ABSTRACT: Evaluation of immediate versus delayed shoulder exercises
after breast cancer surgery including lymph node dissection -
A randomised controlled trial
Two hundred and thirty women who had undergone surgery for breast
cancer were randomised to a prospective study, comparing early
(group A) and delayed (group B) shoulder exercise.
group A received instructions and an exercise programme supervised
by a physiotherapist, whereas group B received written instructions
to use the arm normally but to avoid heavy work.
Two weeks after
surgery both groups were given identical exercise programmes.
Shoulder mobility, hand strength and arm volume were measured
preoperatively, 1 month, 6 months and 2 years postoperatively.
After 2 years 13.8% of the women had lymphoedema, but there were
no significant differences between the groups. Grip strength
was slightly decreased during the postoperative period in both
Postoperatively, all movements in both groups
were decreased after 2 weeks and 1 month and shoulder elevation
and abduction remained decreased at 2 years.
Mobility in group
A recovered significantly earlier than in group B.
[07/03/2002; The Breast]
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