The Effect of Early Rehabilitation After Breast Cancer Surgery on Physical and Psychosocial Functions

Pamukkale University2 个研究点分布在 1 个国家目标入组 63 人开始时间: 2020年7月1日最近更新: 2023年6月12日

适应症

试验速览

阶段: 不适用
状态: 已完成
发起方: Pamukkale University
入组人数: 63
试验地点: 2
主要终点: muscle shortness test

研究概览研究设计入排标准结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

At least 42 patients between the ages of 30-65, who were followed up in Pamukkale University General Surgery Breast Polyclinic and planned for breast surgery, will be included in the study. Those who met the criteria for inclusion in the study and those who voluntarily agreed to participate in the study, who were preoperatively evaluated, will be randomly divided into two groups using the closed envelope method by matching age, gender, type of surgery and breast cancer stage. The first of these groups is the study (n=21) and the second is the control group (n=21).

详细描述

Study group: Patients in the study group will be informed about the postoperative physiotherapy program and patient education will be provided by the physiotherapist before the operation. After obtaining the consent of the surgeon performing the operation, preoperative and post-operative complications (infection, lymphedema, fatigue...) and the things to be considered (use of upper extremities, skin care, importance of weight control...) and patient education will be given by the physiotherapist. In addition, respiratory control, diaphragmatic breathing, relaxation exercises, gradual passive-active assistive-active range of motion exercises, stretching exercises will also be demonstrated preoperatively.

From the first postoperative day, with the approval of the surgeon performing the operation, the postoperative exercise program will be started once a day under the supervision of a physiotherapist during the stay of the participants in the hospital.

At the same time, participants will be directed to moderate intensity aerobic exercise (walking, jogging...) for 150 min/week. Information will be given on the importance of physical activity and increasing the level of physical activity. In addition, a brochure containing explanatory information about the postoperative physiotherapy program after breast surgery will be given to the participants.

Participants will continue the exercises as a home program after discharge. During this follow-up period, the participants will meet again with the physiotherapist every two weeks for the control, compliance and continuity of the exercises. In these interviews, while compliance with the exercise program is checked, exercise tolerance will also be determined and necessary interventions and modifications will be made. In case of any complication (limitation in physical functions, lymphedema...) during the home program, he will be informed about meeting with the relevant physician and physiotherapist as soon as possible.

Control group: The patients in the control group will be informed about the postoperative physiotherapy program and patient education will be provided by the physiotherapist before the operation. Within the knowledge and approval of the surgeon performing the operation, preoperatively, respiratory control, diaphragmatic breathing, relaxation exercises, passive-active assistive-active range of motion exercises are shown by the physiotherapist, and patient education is provided with information about possible postoperative complications and what needs to be considered. will be given.

研究设计

研究类型: Interventional
分配方式: Randomized
干预模型: Parallel
主要目的: Treatment
盲法: Single (Participant)

盲法说明

participants do not know which group they belong to

入排标准

年龄范围: 30 Years 至 65 Years（Adult, Older Adult）
性别: Female
接受健康志愿者: 否

入选标准

•Having a breast surgery indication with a diagnosis of breast cancer
•Having stage 1-2-3 breast cancer
•Education level to be at least literate
•To be in stable clinical condition
•Not having any other disease that will affect their physical and psychosocial functions
•Being good at cooperation
•Referred by the relevant surgeon and no contraindications for early postoperative physiotherapy

排除标准

•History of previous breast cancer surgery
•Concurrent bilateral breast cancer and/or surgery
•History of shoulder surgery
•Preoperative shoulder dysfunction
•Upper extremity deep vein thrombosis
•BMI>40 kg/m²
•Use of an assistive walking device
•Stage 4 metastatic cancer
•All conditions that require close monitoring during exercise (such as uncontrolled or unstable cardiovascular disease or diabetes)
•cognitive impairment