DOI QR코드

DOI QR Code

The Effect of Convergent Aquatic Exercise on Shoulder and Pulmonary Function and Quality of Life in Breast Cancer Patients

융복합적 수중운동이 유방암 환자의 어깨 기능, 폐기능과 삶의 질에 미치는 영향

  • 강양훈 (세한대학교 물리치료학과) ;
  • 윤종혁 (세한대학교 물리치료학과)
  • Received : 2021.07.29
  • Accepted : 2021.10.20
  • Published : 2021.10.28

Abstract

This study applied aquatic and land-based exercises to breast cancer patients for comparative analysis and elucidation of their effects on the rehabilitation of cancer patients. Participants included 40 breast cancer patients who were divided into two groups: 20 participants in the experimental group using aquatic exercise and 20 participants in the control group using land-based exercise. After the addition of aquatic or land-based exercises five times per week for eight weeks, differences in each group's shoulder and pulmonary functions as well as their quality of life were compared and analyzed. The results showed a statistically significant difference (p<.001) for shoulder dysfunction, with the experimental group showing a greater improvement than the comparison group. Statistically significant differences (p<.05 and p<.001, respectively) were also observed for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), with the experimental group showing greater improvements. Finally, a statistically significant difference (p<.001) was observed for change in the quality of life, with greater improvements in the experimental group than in the control group. The results of further research in this field are expected to indicate the most efficient method for the recovery and management of physical, psychological, and social health impacts of breast cancer on patients. Furthermore, the research aims to provide fundamental resources for breast cancer rehabilitation in South Korea by conducting studies on patients with lung cancer or colorectal cancer and the application of various aquatic exercise methods.

본 연구는 유방암 환자에게 수중 운동과 지상운동을 적용하여 비교 분석하고 암환자의 재활에 수중 운동의 효과를 규명하고자 시행하였다. 연구대상자는 유방암 환자 40명을 모집하여 수중 운동을 적용한 실험군 20명, 지상 운동을 적용한 대조군 20명으로 설정하였고, 수중운동과 지상운동을 각각 주 5회 8주간 중재한 후 어깨기능과 폐기능 삶의 질을 비교 분석하였다. 그 결과 그룹 간 어깨 기능장애는 실험군에서 대조군에 비해 더 큰 변화를 보여 통계적으로 유의한 차이를 보였고(p<.001), 노력성 폐활량과 1초간 노력성 호기량도 실험군에서 대조군에 비해 더 큰 변화를 보여 통계적으로 유의한 차이를 보였다(p<.05)(p<.001). 삶의 질의 변화 비교에서도 실험군이 대조군에 비해 더 큰 변화를 보여 통계적으로 유의한 차이를 보였다(p<.001). 본 연구 결과가 유방암 환자의 신체적 건강과 심리적, 사회적 건강을 회복시키고 관리함에 있어 효율적인 방법을 제시할 것으로 생각되며, 향후 연구를 발전시켜 폐암, 대장암 등의 환자들을 대상으로 한 연구와 다양한 수중운동 방법들의 적용으로 연구를 발전시켜 국내 유방 암 재활 치료의 기초자료를 제시하고자 한다.

Keywords

References

  1. Y.S. Tae, S.H. Kwon, J.H. Choi et al., (2013). Predictive factors for depression in breast cancer survivors. Asian Oncology Nursing. 13(3), 113-20. DOI:org/10.5388/aon.2013.13.3.113
  2. C.M,, Schneider, C.A. Dennehy, S.D. Carter. (2003). Exercise and Cancer Recovery. Human Kinetics 1.
  3. J.E. Lee, D.U. Shin, B.R. Jo.. (2014). The current status of cancer survivorship care and a consideration of appropriate care model in Korea. Korean Journal of Clinical Oncology, 10(2), 58-62. DOI:.org/10.14216/kjco.14012
  4. A. Jemal, R. Siegel, E.Ward et al., (2009). Cancer statistics. CA Cancer J Clin, 59(4), 225-249. https://doi.org/10.3322/caac.20006
  5. M.D. Stubblefield, N Keole. (2014). Upper body pain and functional disorders in patients with breast cancer. PM&R, 6(2), 170-183. DOI:org/10.1016/j.pmrj.2013.08.605
  6. S Derby, P McGale, C. Correa et al., (2011). Effect of radiotherapy after breast conserving surgery on 10 year recurrence and 15 year breast cancer death: Meta analysis of individual patient data for 10,801 women in 17 randomised trials. The Lancet, 378(9804), 1707-1716. DOI:org/10.1016/S0140-6736(11)61629-2
  7. C.N. Hoskins, J. Haber. (2000). Adjusting to breast cancer. AJN The American Journal of Nursing, 100(4), 26-33.
  8. J.H. Sim, K.S. Park. (2004). A study on quality of life of those who have breast cancer patients taking chemotherapy. Journal of Korean Academy of Adult Nursing, 16, 49-59.
  9. S. Brem, N.B. Kumar. (2011). Management of treatment-related symptoms in patients with breast cancer: Current strategies and future directions. Clin J Oncol Nurs, 15(1), 63-71. DOI:10.1188/11.CJON.63-71
  10. Y.Je, J.Y. Jeon, E.L. Giovannucci. (2013). Association between physical activity and mortality in colorectal cancer: a meta-analysis of prospective cohort studies. International Journal of Cancer, 133(8), 1905-1913. DOI:.org/10.1002/ijc.28208
  11. A.Y. Eom. (2006). Development and application of early rehabilitation program using Yang-style Tai Chi exercise for breast cancer patients after mastectomy. Doctor's Degree. Seoul University. Seoul.
  12. H.J. So. (2009). The Effect of Elastic Band Exercise on Postoperative Improvement Shoulder Joint Dysfunction of Breast Cancer Patients. Master's thesis, Daeku University. Daeku.
  13. P. Baena-Beato. E.G. Artero, M. Arroyo-Morales et al., (2014). Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial. Clinical Rehabilitation, 28(4), 350-360. DOI:org/10.1177/0269215513504943
  14. H.S. Park. (2015). The Effects of Aquatic Rehabilitation by Exercise Intensities on Health Related Fitness and Pain in Elderly Women with Osteoarthritis. The Korea Journal of Sports Science. 24(5), 1469-1479.
  15. O. S. Kim.(2002). A descriptive study of quality of life for breast cancer survivors. Unpublished master's thesis, Seoul National University, Seoul.
  16. K.A. Long, E.J. Lee, S.A. Swank. (1996). Effect of deep water exercise on aerobic capacity in older women. Medicine and Science in Sports and Exercise 28(5), 210
  17. D.K. Lee, T.Y. Hwang. (2019). Effects of Aquatic Proprioceptive Neuromuscular Facilitation Pattern Exercise on Balance, Gait ability and Depression in Patients with Chronic Stroke. J Kor Phys Ther, 31(4),236-241. DOI:10.18857/jkpt.2019.31.4.236
  18. I. Melzer, O. Elbar, I. Tsedek et al. (2008). A water-based training program that include perturbation exercises to improve stepping responses in older adults: study protocol for a randomized controlled cross-over trial. BMC geriatrics, 8(1), 19. https://doi.org/10.1186/1471-2318-8-19
  19. H.D. Seo, K.W. Lee, K.S. Jung. et al., (2012). Reliability and validity of the Korean version of shoulder pain and disability index. J Spec Educ Rehabil Sci, 51(2), 319-36.
  20. D.K. Jeong. (2015). Breathing Exercise Types on Pulmonary Function, Respiratory Muscle Activity and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease. Doctor's Degree. Sehan University. Youngaml.
  21. M.J. Brady, D.F. Cella, F. Mo. et al. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. Journal of clinical oncology. 15(3), 974-86. https://doi.org/10.1200/JCO.1997.15.3.974
  22. H.J. Yoo, S.H. Ahn, S. Eremenco. et al., (2005). Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Quality of life research. 14(6), 1627-32. DOI:10.1007/s11136-004-7712-1
  23. K. Anne, S. Ritta, M . Esko et al. (2005). Impairment, activity limitation and participation restrictions 6 and 12 months after breast cancer operation. J Rehabil Med, 37, 180-188. DOI:10.1080/16501970410024181
  24. C. Kisner, L. A. Colby, J. Borstad. (2017). Therapeutic exercise: foundations and techniques. 5th edition. Fhiladelphia, Fa Davis.
  25. J.Y. S.eo. (2017). The Effect of Sensory Motor Training Using Ball Exercise on Shoulder Functions and Quality of Life in Breast Cancer Women after Mastectomy. Master's thesis, Daechun University. Daechun.
  26. S.H. Moon. (2014). Effects of a Scapular Stabilization Exercise on Shoulder Joint Range of Motion, Arm Function after Diverse Mastectomies. Master's thesis, Dankuk University. Cheonan.
  27. C.L. Alberton, M.P. Tartaruga, S.S. Pinto. et al., (2009). Cardiorespiratory responses to stationary running at different cadences in water and on land. J Sports Med Phys Fitness, 49(2), 142-51.
  28. D.S. Bocalini, A.J. Serra, N. Murad. et al., (2008). Water -versus land-based exercise effects on physical fitness in older women. Geriatrics & gerontology international, 8(4), 265-71. DOI:org/10.1111/j.1447-0594.2008.00485.x
  29. J.M. Song, S.M. Kim. (2009). The Effect of Aquatic Exercise on the Improvement of Physical and Pulmonary Function After Stroke. The Journal Korean Society of Physical Therapy. 21(2), 15-22.
  30. H.M. Kim, M.H. Oh. (2018). Effect of Occupational Therapy Intervention on Shoulder Range of Motion, Pain and Quality of Life in Breast Cancer Patients. J Kor Ent ind A(JKEIA), 12(1), 185-194
  31. O.H. Jo. (2004). Effects of a Comprehensive Rehabilitation Program for Mastectomy Patinets. Journal of Korean Academy of Nursing, 34(5), 809-819. doi.org/10.4040/jkan.2004.34.5.809
  32. S.K. Lee, E.Y. Jung. (2014). The effect of Ai Chi aquatic exercise to the level of human stress and muscle activities. Korea Society for Wellness, 9(1), 131-137.
  33. Y.M. Ko, E.G. Kang, S.H. Jung. et al., (2007). The Impact of Upper Limb Dysfunctions on Quality of Life in Patients with Breast Cancer. Journal of the Korean Academy of Rehabilitation Medicine, 31(5), 562-567.