Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Scapular Stabilizing Exercise on Resting Scapular Position of Breast Cancer-related Lymphedema Patients

상지림프부종환자의 견갑골안정화운동이 안정시 견갑골 위치에 미치는 영향

  • Ahn, So-Youn (Dept. of Physical Therapy, Choonhae College of Health Sciences) ;
  • Kim, Jwa-Jun (Dept. of Physical Therapy, Choonhae College of Health Sciences) ;
  • Ha, Hae-Jung (Dept. of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 안소윤 (춘해보건대학교 물리치료과) ;
  • 김좌준 (춘해보건대학교 물리치료과) ;
  • 하해정 (부산가톨릭대학교 물리치료학과)
  • Received : 2016.05.11
  • Accepted : 2016.05.11
  • Published : 2016.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study was to confirm the effect of exercise combined with scapular stabilizing on resting scapular position (RSP) in breast cancer-related lymphedema patients. METHODS: A total of 20 patients with lymphedema after mastectomy participated in the study. All assessments of the patients edema sides (ES) and non-edema sides (NES) were evaluated. The assessment tools used wad RSP. RSP are; 1) scapular index, 2) 8th thoracic spines process (T8S) to inferior angle of scapular (IA) distance, 3) standing pectoralis minor (PM) distance, and 4) PM index (PMI). All patients carried out a scapular stabilizing exercise seven times a week for 8 weeks. The collected data were analyzed with PASW 18.0. The statistical significance (${\alpha}$) was 0.05. RESULTS: According to the results, all the variable between the ES and NES for RSP were statistically significant (p<0.05) in the pre-test. After the exercise, the differences in T8S to IA distance and the PMI between the ES and NES weren't statistically significant. The results of the RSP showed a significant improvement in T8S to IA distance, standing PM distance, and PMI. CONCLUSION: The results of this study showed that, performing the scapular stabilizing exercise had a significant effect on improving RPS in breast cancer-related lymphedema patients.

Keywords

References

  1. Cho YH, Kim SO, Choi JH. The differences of shoulder muscle activity onset time according to body tilting angle in push-up exercise. J Korean Soc Phys Med, 2015; 10(2):55-61. https://doi.org/10.13066/kspm.2015.10.2.55
  2. Lee BK, Lee JS, Kim TS. The influence of 4 wks complex therapeutic exercise on visual analog scale of pain and range of motion for middle-aged women with breast cancer-related lymphedema. J Korean Soc Phys Med, 2013; 8(2):153-161. https://doi.org/10.13066/kspm.2013.8.2.153
  3. Lee SG. Effects of strengthening exercise and complex decongestive therapy on edema and quality of life for patients with upper lymphedema. M. S. Dissertation, Korea Univ. Korea. 2008.
  4. Lee JS. Effects of complex decongestive physical therapy and classical decongestive physical therapy on physical function and quality of life for patients with upper lymphedema. M. S. Dissertation, Yong In Univ. Korea. 2010.
  5. Lim CH, Han JT. Effectiveness of Upper Extremity Exercise and Bandage on the Edema and ROM of Patients with Lymphedema. J Korean Soc Phys Med, 2011; 6(1):31-38.
  6. Park JS, Jeon HS, Kwon OY. A comparison of the shoulder stabilizer muscle activities during push-up plus between persons with and without winging scapular. J Korean Phys Ther, 2007; 14(2):44-52.
  7. Ha HJ, Ahn SY, Kwon HY. The relationship between upper limb lymphedema after mastectomy and scapular dyskinesis. J Korean Sport Sci, 2013;22(2):1103-1112.
  8. Blomqvist L, Stark B, Engler N, et al. Evaluation of arm and shoulder mobility and strength after modified radical mastectomy and radiotherapy. Acta Oncologica, 2004;43(3):280-3. https://doi.org/10.1080/02841860410026170
  9. Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005;35(4):227-38. https://doi.org/10.2519/jospt.2005.35.4.227
  10. Borstad JD. Resting position variables at the shoulder: Evidence to support a posture-impairment association. Phys Ther. 2006;86(4)549-57.
  11. Box RC, Reul-Hirche HM, Bullock-Saxton JE, et al. Physiotherapy after breast cancer surgery: results of a randomised controlled study to minimise lymphoedema. Breast Cancer Research and Treatment. 2002;75(1):51-64. https://doi.org/10.1023/A:1016591121762
  12. Brennan MJ, Depompodo RW, Garden PH. Focused review: Postmastectomy lymphedema. Arch Phys Med Rehabil. 1996;77(3):574.
  13. Carsley-Smith JR. Modern treatment of lymphedema. I. Complex physical therapy: the first 200 Australian limbs. Australas J Dermatol. 1992;33(2)61-8. https://doi.org/10.1111/j.1440-0960.1992.tb00081.x
  14. Charles AL, McGarvey GL, Petrek JA, et al. Lymphedema Management. Semin Radiat Oncol. 2003;13(1): 290-301. https://doi.org/10.1016/S1053-4296(03)00035-3
  15. Christodoulakis M, Sanidas E, Bree D. Axillary lymphadenectomy for breast cancer-the influence of shoulder mobilization on lymphatic drainage. Eur J Cancer Clin Oncol. 2002;29(1):303-5.
  16. Damstra RJ, Partsch H. Compression therapy in breast cancer-related lymphedema: A randomized controlled comparative study of relation between volume and interface pressure changes. Journal of Vascular Surgery. 2009;49(5):1256-63. https://doi.org/10.1016/j.jvs.2008.12.018
  17. Devoogdt N, Christiaens MR, Geraerts I, et al. Effected of manual lymph drainage in addition to guidelines and exercise therapy on arm lymphoedema related to breast cancer: randomised controlled trial. Br Med J. 2011;343:d5326. https://doi.org/10.1136/bmj.d5326
  18. Erickson VS, Pearson ML, Ganz PA, et al. Arm edema in breast cancer patients, J Natl Cancer Inst. 2001;93(2):96-111. https://doi.org/10.1093/jnci/93.2.96
  19. Gibon MH, Goebel GV, Jordan TM. A reliability study of measurement techniques to determine static scapular position. J Orthop Sports Phys Ther. 1994;21(2): 100-6.
  20. Gosselink R, Rouffaer L, Vanhelden P, et al. Recovery of upper limb function after axillary dissection. J Surg Oncol. 2003;83(4):204-11. https://doi.org/10.1002/jso.10271
  21. Haghighat S, Lotfi-Tokaldany M, Yunesian M, et al. Comparing two treatment methods for post mastectomy lymphedema: complex decongestive therapy alone and in combination with intermittent pneumatic compression. Lymphology. 2010;43(1)25-33.
  22. Huang TW, Tseng SH, Lin CC, et al. Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials. World J Surg Oncol. 2013;11:15. https://doi.org/10.1186/1477-7819-11-15
  23. Kevin G. Differences in scapular upward rotation between baseball pitchers and position players. Am J Sports Med. 2007;35(1):2091-95. https://doi.org/10.1177/0363546507305098
  24. Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998;26(2):325-37. https://doi.org/10.1177/03635465980260022801
  25. Margaret LM, David JM, Alan WL. The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: a randomized controlled trial. Breast Cancer Research and Treatment. 2004;86(1):95-106. https://doi.org/10.1023/B:BREA.0000032978.67677.9f
  26. Nijs J, Roussel N, Struyf F, et al. Clinical assessment of scapular positioning in patients with shoulder pain: State of the art. J Manipulative Physiol Ther. 2007;30(1): 69-75. https://doi.org/10.1016/j.jmpt.2006.11.012
  27. Odom CJ, Taylor AB. Measurement of scapular asymmetry and assessment of shoulder dysfunction using the lateral scapular slide test: A reliability and validity study. Physical therapy. 2001;81(2):799-809. https://doi.org/10.1093/ptj/81.2.799
  28. Rockson SG, Miller LT, Senie K. Diagnosis and management of lymphedema. Cancer supplement. 1998;83:2882. https://doi.org/10.1002/(SICI)1097-0142(19981215)83:12B+<2882::AID-CNCR45>3.0.CO;2-0
  29. Sahrmann SA. Does postural assessment contribute to patient care? J Orthop Sports Phys Ther. 2002;32(8):376-379. https://doi.org/10.2519/jospt.2002.32.8.376

Cited by

  1. Awareness of Physical Therapy Rehabilitation Program after Breast Cancer Surgery in Healthy Korean Women vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.39
  2. 볼을 이용한 감각운동훈련이 유방암 절제술 후 여성의 어깨 기능과 삶의 질에 미치는 효과 vol.11, pp.4, 2016, https://doi.org/10.13066/kspm.2016.11.4.147