Effectiveness of Extremity Exercise Program with Nerve Gliding to Improve Chemotherapy-Induced Peripheral Neuropathy Symptoms in Breast Cancer Women | ||||
| Egyptian Journal of Health Care | ||||
| Volume 16, Issue 1, March 2025, Page 733-748 PDF (281.75 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2025.419372 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Madiha Hassan Nabih Mohamed1; Eman A. Fadel Elsherbiny2; Zeinab Gamal Mohamed Ellatif Abouelezz3 | ||||
| 1Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing- Mansoura University and Head of Adult Nursing department, Faculty of Nursing- Delta University | ||||
| 2Assistant Professor of Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt. | ||||
| 3Assistant Professor of Medical Surgical Nursing College of Nursing, Misr University for Science and Technology | ||||
| Abstract | ||||
| The most popular and successful cancer treatment is chemotherapy. Chemotherapy-induced peripheral neuropathy (CIPN) is a remarkably significant adverse effect relevant to cancer treatment.Developing efficient treatments to control neuropathic symptoms is essential given the detrimental and long-term effects of CIPN. Aim: To investigate effectiveness of extremity exercise program with nerve gliding in order to mitigate symptoms of chemotherapy-induced peripheral neuropathy in breast cancer women. Research design: A quasi-experimental design was employed. Setting: The study was conducted at Nuclear Medicine Unit affiliated to Mansoura University Hospitals, Egypt. Study subject: A purposive sample consists of 100 breast cancer women undergoing standard chemotherapy with taxanes, vinca alkaloids and platinum compounds was chosen to accomplish the aim of the current study. Tools: Four tools were used to gather the study's pertinent data: Tool I: A structured interview Questionnaire, Tool II: Neuropathy Scale-clinical version (TNSc), Tool III: Peripheral Neuropathy Scale (PNS) and Tool IV: Neuropathic Pain Scale (NPS). Results: The study group demonstrated statistically significant improvement in terms of the intensity of neuropathic pain after intervention, physical function and role function (0.005* and 000.0*), and symptom severity (P=0001*) when compared to the control group. Neuropathy symptoms and indicators were positively correlated with functional interference (P=<0.001*). Conclusion: The current study came to a conclusion that using an exercise program combined with nerve gliding as a treatment paradigm improves functional abilities and neuropathic symptoms. It also shows promise as a treatment that may be used to help people with breast cancer during chemotherapy. Recommendations: Using an extremities exercise program combined with nerve gliding as an adjunctive therapy or interventional treatment for patients with CIPN. An in-service educational program regarding extremity exercise program with nerve gliding should be established at an organizational level to expand the nurses’ awareness regarding its importance for patients with CIPN. | ||||
| Keywords | ||||
| Breast Cancer Women; Chemotherapy-Induced Peripheral Neuropathy Symptoms; Extremity Exercise Program; Nerve Gliding | ||||
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