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(Functional rehabilitation gymnastics for the edema of upper limbs and the activity of shoulder joint in postoperative patients with breast cancer) [Chinese - simplified characters]
Wang B-G, Yuan X-Y, Wang Q-T, Luan X-D, Wang C-P, Jia A-L, Wang S-B, Sun Y
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2005 Aug 14;9(30):16-19
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To study the effects of functional rehabilitation gymnastics, which is designed by the Department of Mammary Surgery, Second Affiliated Hospital, Medical College of Qingdao University, on the edema of affected upper limbs and the activity of shoulder joint in postoperative patients with breast cancer. METHODS: Two hundred women with breast cancer were admitted in the Department of Mammary Surgery of Second Affiliated Hospital, the Medical College of Qingdao University from September 2003 to July 2004, and then randomized into a control group (n = 60) and a rehabilitation group (n = 140). Patients in the control group have self-exercise, and those in the rehabilitation group received functional rehabilitation gymnastics assisted with music, which is designed by the Department of Mammary Surgery of Second Affiliated Hospital, the Medical College of Qingdao University. The gymnastics consisted of five parts, which were used at weeks 1, 2, 3, 4 and month 1 after operation, and each part had four chapters. Incidence of edema in the affected upper limbs and the activity of shoulder joint were determined before and 1, 2, and 3 months after treatment as well as anterior, posterior and lateral elevation angle and internal and external rotation angle of upper limbs. RESULTS: According to the intention-to-treat analysis, 200 patients were all involved in the result analysis. (1) Activity of shoulder joint: Three months after operation, anterior, posterior and lateral elevation angles and internal and external rotation angles of upper limbs were bigger in the rehabilitation group than the control group (106.0 +/- 1.0 degrees, 49.0 +/- 2.0 degrees, 85.0 +/- 1.0 degrees, 61.0 +/- 1.0 degrees, 83.0 +/- 1.0 degrees; 48.1 +/- 2.0 degrees; 46.2 +/- 1.0 degrees, 59.5 +/- 4.0 degrees, 58.3 +/- 1.0 degrees, 49.1 +/- 1.0 degrees, t = 6.32 to 1.56, p < 0.05). (2) Incidence of edema: The incidence in the rehabilitation group was significantly lower than that in the control group at 1 and 2 months after operation (7%, 32%, u = 4.42, p < 0.05; 2%, 15%, u = 3.94, p < 0.05). CONCLUSION: The functional rehabilitation gymnastics can improve muscle of upper limbs regularly, promote local blood circulation and lymphatic return, alleviate the edema of affected upper limb, and significantly improve the activity of shoulder joint and functional impairment.

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