Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study

Gautam, Ajay P and Maiya, Arun G and Vidyasagar, MS (2011) Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study. Journal of Rehabilitation Research & Development, 48 (10). pp. 1-7.

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Abstract

Lymphedema is a debilitating complication following mastectomy, affecting the arm functions and quality of life (QOL)of breast cancer patients. Studies have shown the beneficial effects of upper-limb exercises on lymphedema in clinical settings. However, there is dearth of evidence regarding the effect of home-based exercises on lymphedema; therefore, we examined the effect of a home-based exercise program on lymphedema and QOL in postmastectomy patients. Thirty-two female postmastectomy lymphedema patients participated in an individualized home-based exercise program for 8 weeks. Arm circumference, arm volume, and QOL (36-Item Short Form Health Survey) were measured before and after the program. Data were analyzed with the use of paired t-test for circumferential and volumetric measures and Wilcoxon signed ranks test for QOL. Significance level was set at p < 0.01 with Bonferroni correction (alpha/n = 0.05/5 = 0.01). Analysis showed a statistically significant improvement in the affected upper-limb circumference and volume (~122 mL reduction, p < 0.001) and in the QOL scores (p < 0.001) at the end of the home-based exercise program. The individualized homebased exercise program led to improvement in affected upperlimb volume and circumference and QOL of postmastectomy lymphedema patients.

Item Type: Article
Uncontrolled Keywords: breast cancer, home-based exercise program, mastectomy, physiotherapy, postmastectomy lymphedema, progressive resistance exercise, quality of life, rehabilitation, upper-limb exercise, Wilcoxon signed rank test.
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Medicine > KMC Manipal > Radiotherapy and Oncology
Depositing User: KMC Manipal
Date Deposited: 11 Jul 2012 04:47
Last Modified: 17 Oct 2013 10:28
URI: http://eprints.manipal.edu/id/eprint/76812

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