유방 젤제술 후 조기 운동프로그램의 치료 효과

Abstract

The purposes of this study were to investigate the therapeutic effects of an early exercise program after mastectomy and to provide the early exercise program protocol for patients who had undergone mastectomy. The subjects were seventy women whowerediagnosed with breast cancer. They were randomly assigned either to a experimental group (n=35) that received early postoperative exercise program or to a control group (n=35) that received only education by nurses. Data were obtained for eachpatientfrom goniometric measurements of shoulder flexion, abduction, external rotation, 10 elements of functional performance, and subjective pain evaluation using visual analogue scale (VAS). All variables were measured preoperatively, three dayspostoperatively, and one month postoperatively. Data were compared by groups using independent t0-test and Mann-Whitney U test for parametric or non-parametric data, respectively. There were no significant differences between the groups for all variablespreoperatively and at three days postoperatively. But thee were significant differences atone month postoperatively. The experimental group showed a statistically significantincreases in shoulder flexion, abduction, and external rotation and in the pain VAS atone month postoperatively (p<.05). Also at one month postoperatively, the experimentalgroup had less difficulty with three elements of functional performance-doing up a'back' zippered article of clothing, reaching the ipsilateral scapula, and contralateralscapula with the fingers on the operated side than the control group (p<.05). The results of this study suggest that, after mastectomy, the early exercise programconducted by a well-trained physical therapist can make a significant contribution to thereturn of more normal shoulder function and activities of daily living and to anincreased quality of life.