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dc.contributor.authorReynolds, Sara-Grace
dc.contributor.authorBaima, Jennifer
dc.contributor.authorWaugh, Debra
dc.contributor.authorWoo, Lauren
dc.contributor.authorSooy, John
dc.contributor.authorLarkin, Anne C.
dc.contributor.authorWard, B. Marie
dc.contributor.authorEdmiston, Kathryn
dc.date2022-08-11T08:10:54.000
dc.date.accessioned2022-08-23T17:24:01Z
dc.date.available2022-08-23T17:24:01Z
dc.date.issued2015-10-01
dc.date.submitted2016-05-06
dc.identifier.doi10.13028/hm6f-0x72
dc.identifier.urihttp://hdl.handle.net/20.500.14038/49100
dc.description<p>Presented at the American Academy for Physical Medicine and Rehabilitation Annual Assembly, Boston, MA, October 2015.</p> <p>Poster abstract previously published in <a href="http://dx.doi.org/10.1016/j.pmrj.2015.06.306" target="_blank">PM&R Journal</a>.</p>
dc.description.abstractObjective: To evaluate prehabilitation exercises to improve shoulder pain and abduction range of motion (ROM) after breast cancer surgery; to evaluate methods of exercise teaching; to assess postsurgical seroma formation. Design: Pilot study Setting: Academic medical center Participants: 60 breast cancer patients were randomly assigned to either personal exercise instruction, group 1, n=36, or video only instruction, group 2, n=24. Interventions: Shoulder exercises were assigned to both groups 1 month prior to surgery at an outpatient visit. Group 1 received personal instruction on exercises, plus written exercise instruction, and a link to access an online video. Group 2 received only written exercise instruction and a link to access the online video. Main Outcome Measures: Exercise compliance, pain (via visual analog scale), shoulder abduction ROM (via goniometer), and presence or absence of seroma. Results or Clinical Course: 76% of study patients chose to exercise. There was no difference in exercise compliance between personal instruction versus video teaching. (75%, 24/32 in-person vs. 77%, 10/13 video only, OR=1.03). 66% of patients (20/30) lost greater than 10 degrees shoulder abduction ROM at 1 month post surgery. 29% of patients (9/31) had worse shoulder pain at one month post surgery than at baseline (24%, 6/25 exercisers, and 50%, 3/6 non-exercisers). 15% of patients (4/27) had worse shoulder pain at 3 months post surgery than at baseline (8%, 2/25 exercisers, and 100%, 2/2 non-exercisers). Prehabilitation exercise program inferred no additional risk of seroma formation (21%, 7/33 exercisers vs. 22%, 2/9 non-exercisers OR=.94). Conclusion: In-person teaching does not appear superior to video teaching for prehabilitation exercises in breast cancer. A high quality randomized controlled trial is necessary to assess efficacy of prehabilitation for improving post surgical outcomes. Prehabilitation exercises do not appear to increase risk of seroma formation in breast cancer surgery.
dc.language.isoen_US
dc.rightsCopyright is held by the author(s), with all rights reserved.
dc.subjectprehabilitation
dc.subjectexercises
dc.subjectinstruction
dc.subjectshoulder pain
dc.subjectbreast cancer surgery
dc.subjectNeoplasms
dc.subjectOrthopedics
dc.subjectRehabilitation and Therapy
dc.subjectWomen's Health
dc.titlePrehabilitation for Shoulder Dysfunction in Breast Cancer
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1001&amp;context=som_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/som_pubs/2
dc.identifier.contextkey8571213
refterms.dateFOA2022-08-30T04:10:58Z
html.description.abstract<p>Objective: To evaluate prehabilitation exercises to improve shoulder pain and abduction range of motion (ROM) after breast cancer surgery; to evaluate methods of exercise teaching; to assess postsurgical seroma formation.</p> <p>Design: Pilot study</p> <p>Setting: Academic medical center</p> <p>Participants: 60 breast cancer patients were randomly assigned to either personal exercise instruction, group 1, n=36, or video only instruction, group 2, n=24.</p> <p>Interventions: Shoulder exercises were assigned to both groups 1 month prior to surgery at an outpatient visit. Group 1 received personal instruction on exercises, plus written exercise instruction, and a link to access an online video. Group 2 received only written exercise instruction and a link to access the online video.</p> <p>Main Outcome Measures: Exercise compliance, pain (via visual analog scale), shoulder abduction ROM (via goniometer), and presence or absence of seroma.</p> <p>Results or Clinical Course: 76% of study patients chose to exercise. There was no difference in exercise compliance between personal instruction versus video teaching. (75%, 24/32 in-person vs. 77%, 10/13 video only, OR=1.03). 66% of patients (20/30) lost greater than 10 degrees shoulder abduction ROM at 1 month post surgery. 29% of patients (9/31) had worse shoulder pain at one month post surgery than at baseline (24%, 6/25 exercisers, and 50%, 3/6 non-exercisers). 15% of patients (4/27) had worse shoulder pain at 3 months post surgery than at baseline (8%, 2/25 exercisers, and 100%, 2/2 non-exercisers). Prehabilitation exercise program inferred no additional risk of seroma formation (21%, 7/33 exercisers vs. 22%, 2/9 non-exercisers OR=.94).</p> <p>Conclusion: In-person teaching does not appear superior to video teaching for prehabilitation exercises in breast cancer. A high quality randomized controlled trial is necessary to assess efficacy of prehabilitation for improving post surgical outcomes. Prehabilitation exercises do not appear to increase risk of seroma formation in breast cancer surgery.</p>
dc.identifier.submissionpathsom_pubs/2
dc.contributor.departmentDepartment of Medicine, Division of Hematology Oncology
dc.contributor.departmentDepartment of Surgery
dc.contributor.departmentSchool of Medicine
dc.contributor.departmentDepartment of Orthopedics and Physical Rehabilitation
dc.contributor.studentSara-Grace Reynolds, Lauren Woo, John Sooy


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