Cargando…

Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer

Purpose: This study investigated the effects of a serial home-based exercise program in the affected upper extremity immediately after latissimus dorsi (LD) flap reconstruction with mastectomy in order to improve the functional impairment and quality of life in breast cancer survivors. Methods: Pati...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Eunhee, Lee, Joon Seok, Park, Ho Yong, Yang, Jung Dug, Jung, Tae-Du
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498885/
https://www.ncbi.nlm.nih.gov/pubmed/36141372
http://dx.doi.org/10.3390/healthcare10091760
_version_ 1784794871534452736
author Park, Eunhee
Lee, Joon Seok
Park, Ho Yong
Yang, Jung Dug
Jung, Tae-Du
author_facet Park, Eunhee
Lee, Joon Seok
Park, Ho Yong
Yang, Jung Dug
Jung, Tae-Du
author_sort Park, Eunhee
collection PubMed
description Purpose: This study investigated the effects of a serial home-based exercise program in the affected upper extremity immediately after latissimus dorsi (LD) flap reconstruction with mastectomy in order to improve the functional impairment and quality of life in breast cancer survivors. Methods: Patients with breast cancer scheduled for a mastectomy immediately followed by autologous LD flap reconstruction surgery were enrolled. Forty-five patients were included as an intervention group who received a serial home-based exercise program with stretching and strengthening for upper extremities preoperatively (T0), and 2 weeks (T1), 6 weeks (T2), and 3 months (T3) postoperatively. Thirty-five patients were included as the control group. We evaluated the range of movement in the shoulder at T0, T1, T2, T3, 6 months (T4), and 12 months (T5) postoperatively. We also evaluated the disability of the upper extremity using disabilities of the arm, shoulder, and hand (DASH) questionnaire and quality of life using the 36-Item Short-Form Health Survey (SF-36) at T0, T3, T4, and T5. Results: There were significant differences in interaction effects between time and shoulder flexion and internal and external rotation. Post hoc, the intervention group showed more improvement of movement in internal rotation at T2 and T5 and external rotation at T2, T3, and T4. Furthermore, there were significant differences in interaction effects between DASH scores and time in the two groups. Post hoc, there were significantly lower DASH scores at T3, T4, and T5 in the intervention group. There were significant differences in interaction effects of physical role functioning, vitality, and mental health scores of SF-36 and time in the two groups. Post hoc, physical role functioning scores at T3 and T4 and vitality and mental health scores at T3 were elevated in the intervention group. Conclusion: A serial home-based exercise after LD flap reconstruction is effective for the rehabilitation of the affected upper extremity and enhances the quality of life.
format Online
Article
Text
id pubmed-9498885
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-94988852022-09-23 Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer Park, Eunhee Lee, Joon Seok Park, Ho Yong Yang, Jung Dug Jung, Tae-Du Healthcare (Basel) Article Purpose: This study investigated the effects of a serial home-based exercise program in the affected upper extremity immediately after latissimus dorsi (LD) flap reconstruction with mastectomy in order to improve the functional impairment and quality of life in breast cancer survivors. Methods: Patients with breast cancer scheduled for a mastectomy immediately followed by autologous LD flap reconstruction surgery were enrolled. Forty-five patients were included as an intervention group who received a serial home-based exercise program with stretching and strengthening for upper extremities preoperatively (T0), and 2 weeks (T1), 6 weeks (T2), and 3 months (T3) postoperatively. Thirty-five patients were included as the control group. We evaluated the range of movement in the shoulder at T0, T1, T2, T3, 6 months (T4), and 12 months (T5) postoperatively. We also evaluated the disability of the upper extremity using disabilities of the arm, shoulder, and hand (DASH) questionnaire and quality of life using the 36-Item Short-Form Health Survey (SF-36) at T0, T3, T4, and T5. Results: There were significant differences in interaction effects between time and shoulder flexion and internal and external rotation. Post hoc, the intervention group showed more improvement of movement in internal rotation at T2 and T5 and external rotation at T2, T3, and T4. Furthermore, there were significant differences in interaction effects between DASH scores and time in the two groups. Post hoc, there were significantly lower DASH scores at T3, T4, and T5 in the intervention group. There were significant differences in interaction effects of physical role functioning, vitality, and mental health scores of SF-36 and time in the two groups. Post hoc, physical role functioning scores at T3 and T4 and vitality and mental health scores at T3 were elevated in the intervention group. Conclusion: A serial home-based exercise after LD flap reconstruction is effective for the rehabilitation of the affected upper extremity and enhances the quality of life. MDPI 2022-09-13 /pmc/articles/PMC9498885/ /pubmed/36141372 http://dx.doi.org/10.3390/healthcare10091760 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Park, Eunhee
Lee, Joon Seok
Park, Ho Yong
Yang, Jung Dug
Jung, Tae-Du
Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer
title Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer
title_full Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer
title_fullStr Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer
title_full_unstemmed Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer
title_short Effect of Serial Home-Based Exercise Immediately after Latissimus Dorsi Reconstruction in Patients with Breast Cancer
title_sort effect of serial home-based exercise immediately after latissimus dorsi reconstruction in patients with breast cancer
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498885/
https://www.ncbi.nlm.nih.gov/pubmed/36141372
http://dx.doi.org/10.3390/healthcare10091760
work_keys_str_mv AT parkeunhee effectofserialhomebasedexerciseimmediatelyafterlatissimusdorsireconstructioninpatientswithbreastcancer
AT leejoonseok effectofserialhomebasedexerciseimmediatelyafterlatissimusdorsireconstructioninpatientswithbreastcancer
AT parkhoyong effectofserialhomebasedexerciseimmediatelyafterlatissimusdorsireconstructioninpatientswithbreastcancer
AT yangjungdug effectofserialhomebasedexerciseimmediatelyafterlatissimusdorsireconstructioninpatientswithbreastcancer
AT jungtaedu effectofserialhomebasedexerciseimmediatelyafterlatissimusdorsireconstructioninpatientswithbreastcancer