物理治療對乳癌患者術後肩關節活動與肌力之療效

Effectiveness of Physical Therapy on Shoulder Mobility and Strength for Patients after Surgery for Breast

張瑞東(Rei-Tung Chang) ； 楊美雪(Mei-Hsueh Yang) ； 李建和(Jen-Ho Lee) ； 葉瑞珠(Jui-Chu Yeh)

《南臺灣醫學雜誌》 7卷1期 (2011/06) Pp. 19-30

https://doi.org/10.6726/MJST.201106_7(1).0003

摘要

Objective: To investigate the effectiveness of physical therapy treatment of shoulder mobility and strength in patients who have undergone breast cancer surgery and axillary lymph node dissection and its determinants.Methods: Twenty-one unilateral breast-cancer patients without brachial plexus injury, rotator cuff tears and stroke following surgery visiting physical therapy outpatient division during sampling period in a regional hospital were selected. One-group repeatedly measured data were collected and nonparametric statistics were used.Results: Shoulder mobility and muscle strength improved significantly after physical therapy treatment. Except on internal rotation, the surgery physical therapy interval negatively related to improvement (Spearman's rho= -0.748 ~ - 0.444, p＜0.05), yet not related to age (p＞0.05). Compared to pre-treatment, improvement was significant on both shoulder flexion and abduction mobility with increasing treatment frequency (40.3% and 45.2%, p＜.001), on muscle-strength recovered at first treatment session (p＜0.05), and on a different shoulder-movement-range between each treatment session (Spearman's rho= 0.558 ~ 0.999, p＜0.01).Conclusions: Patients after breast cancer surgery and axillary lymph node dissection can benefit from early and constant physical therapy regarding shoulder movement ranges.

關鍵字

物理治療 ； 乳癌 ； 肩關節障礙

並列摘要

Objective: To investigate the effectiveness of physical therapy treatment of shoulder mobility and strength in patients who have undergone breast cancer surgery and axillary lymph node dissection and its determinants.Methods: Twenty-one unilateral breast-cancer patients without brachial plexus injury, rotator cuff tears and stroke following surgery visiting physical therapy outpatient division during sampling period in a regional hospital were selected. One-group repeatedly measured data were collected and nonparametric statistics were used.Results: Shoulder mobility and muscle strength improved significantly after physical therapy treatment. Except on internal rotation, the surgery physical therapy interval negatively related to improvement (Spearman's rho= -0.748 ~ - 0.444, p＜0.05), yet not related to age (p＞0.05). Compared to pre-treatment, improvement was significant on both shoulder flexion and abduction mobility with increasing treatment frequency (40.3% and 45.2%, p＜.001), on muscle-strength recovered at first treatment session (p＜0.05), and on a different shoulder-movement-range between each treatment session (Spearman's rho= 0.558 ~ 0.999, p＜0.01).Conclusions: Patients after breast cancer surgery and axillary lymph node dissection can benefit from early and constant physical therapy regarding shoulder movement ranges.

並列關鍵字

physical therapy ； breast cancer ； shoulder impairment