Impact of Applying Shoulder Exercises on Preventing shoulder Dysfunction among Post Operative Breast Cancer Women | ||
| Egyptian Journal of Health Care | ||
| Volume 14, Issue 3, September 2023, Pages 785-804 PDF (823.02 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2023.321587 | ||
| Authors | ||
| Furat Hussein Mahmoud; Sabah Nazeh Eldriny; Baghdad Hussein Mahmoud | ||
| Assist. Profs of Medical Surgical Nursing, Faculty of Nursing, Helwan University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Breast cancer is one of the alarming type of cancer which affect patients physically, socially and psychologically. Mastectomy is one of the surgical procedure for managing it.Mastectomy results in shoulder stiffness and pain, thus leading to decrease musculature strength and limitation of ROM. These changes prevent post mastectomy patients from performing normal activities of daily living. Aim: Was to study the impact of applying shoulder exercises on preventing shoulder dysfunction among post operative breast cancer women. Design: a quasi-experimental study designwas used . Setting: The study was carried out in the surgical oncology department and surgical outpatient clinic at national Cancer Institute Cairo, Egypt. Subjects: A purposive sample of(60) adult female patients with breast cancer scheduled for modified radical mastectomy and were randomly and alternatively divided equally into study and control groups; (30) for each. Tools: Two tools were used to collect data included I: patients' Structured Interview questionnairewhich include part I patients' personal data , Part II patients' General health condition and tool II Disability of the Arm ,Shoulder and Hand (DASH questionnaire ) Pre & post exercises. Results: 50% of the study sample had no difficulty to write and to put on pullover sweater and 63.3% of them had moderate difficulty to push open a heavy door and to do recreational activities. 53.3% of the study sample had no limited activities interference with their social activities after 4 weeks follow up and no limited stiffness in arm ,shoulder or hand post exercises and no tingling in arm, shoulder and hand . Total scores of the study group pre shoulder exercises had a highly significant correlation with total scores of the study group post and follow up shoulder exercises (P= 0.00,.002).Conclusion: Shoulder exercise in post mastectomy women improves upper extremity range of motion and reduces pain. Shoulder exercises were also found to improve shoulder function and upper extremity activities of daily living (ADL).Recommendations: Continuous education of women to do shoulder exercises which can play an important role in improving shoulder dysfunction after mastectomy. A simple illustrated booklet and posters of shoulder exercises should be developed for breast cancer patients to prevent shoulder dysfunction after mastectomy. | ||
| Keywords | ||
| Breast cancer women; Shoulder dysfunction; Shoulder Exercises | ||
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