Mazian, Haniif Ahmad Mazian
(2020)
Aerobic and resistance exercises in post-operative breast cancer participants at risk of lymphedema: an exploratory study.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background and Objectives:
Breast cancer related lymphadenopathy (BCL) is a serious problem that affects the activity of
daily living, self-esteem and quality of life (Ahmed, 2006). BCL affects a high percentage of
post mastectomy and axillary clearance patients.(ACS, 2006) This experimental exploratory
study is aimed to see whether a tailored resistance and aerobic exercise applied as early as to
weeks post-surgery may prevent the development of upper limb edema and whether it is
feasible from the aspect of safety and applicability.
Methodology:
This is a pilot study, 16 patients fits the inclusion criteria were randomized into two arms. 10
were enrolled in the exercise groups, and 6 designate to the routine physiotherapy group.
Subjects in the exercise group were prescribed resistance and aerobic exercise two weeks
post-surgery and were required to comply to the regime for six weeks where the parameters
were measured again.
Results:
Significant outcomes were found in the interventional group, the percentage of RLV of Axilla
in intervention group (0.56 (2.34)) was significantly lower than percentage of RLV of Axilla
in control group (5.03 (2.84)) (p = 0.009) and the percentage of RLV of Middle Upper Arm in
intervention group (0.93 (1.84)) was significantly lower than percentage of RLV of Middle
Upper Arm in control group (5.66 (10.85)) (p = 0.005). The Arm Fluid Volume in
intervention group (3.79 (5.92)) was also significantly lower than the Arm Fluid Volume in
control group (22.36 (9.49)) (p = 0.001).
Conclusions:
We conclude that this study provide positive outcomes as compared to the control group
results and it is feasible to be carried out by the patients.
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