Breast Cancer
Conditions
Brief summary
It is expected that patients who receive physical therapy before surgery will have greater range of motion (ROM), strength, function, satisfaction, and less swelling, pain, and anxiety following surgery compared to those in the control group.
Interventions
OTHEREducation brochure
OTHERLive education and exercise instruction
Participants will receive one to two physical therapy visits consisting of education on the lymphedema risks and prevention factors, along with detailed information about what to except post-surgery as well as with radiation/chemotherapy. Additionally, those in the intervention group will be instructed on exercises to maintain or increase glenohumeral and scapulothoracic joint ROM post surgery and will be set up with a walking program.
Sponsors
Oakland University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* be over the age of 18, * have a good understanding of the English language, and * be scheduled to undergo either a mastectomy, lumpectomy, ALND or Sentinel Lymph Node Dissection (SLND) with or without breast reconstruction.
Exclusion criteria
* if they previously underwent one of the previously mentioned procedures mastectomy, lumpectomy, ALND or Sentinel Lymph Node Dissection (SLND) with or without breast reconstruction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in score for Shoulder Pain and Disability Index (SPADI) | Before sugery (range 0-4 weeks before surgery), 2 weeks post operatively and 6 weeks post-operatively | Functional outcome measure questionnaire |
Secondary
| Measure | Time frame |
|---|---|
| Change in Shoulder range of motion with goniometer | Pre-operatively (0-4 weeks pre-operatively), 2 and 6 weeks post-operatively |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in other physical therapy test and measures | Once pre-operatively (0-4 weeks before surgery), 2 and 6 weeks after surgery | 6 minute walk test; presence of cording; number of patient reported medical complications; shoulder strength measured by a dynamometer; Arm lymphedema measured by volumeter; Anxiety, general functional abilities, and QOL will be measured by the Functional Assessment of Cancer Therapy- Breast Cancer (FACT-B); Patient satisfaction will be measured using a 5 point Likert Scale. |
Countries
United States
Outcome results
None listed