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The Effects of a Specific Exercise Program on Shoulder Function for Breast Cancer Survivors, 6-9 Months Post-Surgery

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dc.contributor.advisorHynes, Loriann M.
dc.creatorBiafore, Claire Louise
dc.date.accessioned2018-05-28T12:59:06Z
dc.date.available2018-05-28T12:59:06Z
dc.date.copyright2017-12-04
dc.date.issued2018-05-28
dc.date.updated2018-05-28T12:59:06Z
dc.degree.disciplineKinesiology & Health Science
dc.degree.levelMaster's
dc.degree.nameMSc - Master of Science
dc.description.abstractBackground: The most common complication following breast cancer intervention surgery is a lack of shoulder function of the affected side, which has been linked to a decrease in quality of life. Presently, few reports are available that examine the benefits of a limited active, rehabilitative shoulder program to assist this population during their recovery period (6-9 months). Hypothesis: Implementing a specific active exercise program (9 weeks) for breast cancer survivors, 6-9 months post-surgery will improve this populations perceived quality of life, perceived shoulder function, improve their observational posture, decrease lymphedema and improve their active shoulder range of motion. Study Design and Methods: This study was approved by York Universitys Human Participants Review Sub-Committee and Mount Sinais Toronto Academic Health Sciences Network. The exercise program targeted muscle range of motion, strength, endurance and included the following exercises: static pectoralis stretch, active shoulder lateral raises with internal rotation, bent over row and standing push-ups. The exercise program was progressive (an increase of 5 repetitions per week) and was the same four exercises for each participant within the study. All participants (n=6) were assessed at baseline, four weeks post-baseline and eight weeks post-baseline. Only baseline measurements and final assessment were analyzed for the overall true effect of the exercise intervention. Outcome measures included: Quality of Life questionnaires (EORTC QLQ-C30, QLQ-BR23 and DASH), clinical postural evaluation, measurement of lymphedema (by a cloth measuring tape) and range of motion using a standard manual goniometer. Results: Upon the completion of the study, participants found a perceived improvement in the social functioning scale, with a mean change from baseline to final assessment: 58.0-77.7 (t=-2.91, p=0.03, SD 11.79), and pain scale, with a mean from baseline to final assessment: 41-22 (t=3.80, p=0.01, SD11.79). Furthermore, participants perceived an improvement in their shoulder function in approximately 20% of the DASH questionnaire items and clinically, the participants shoulder range of motion made a relevant improvement from baseline to final assessment. Conclusion: The implementation of an active and daily exercise program was statistically significant and clinically relevant in the perceived improvement of quality of life, both a perceived and an observational improvement in shoulder function for breast cancer survivors 6-9 months post-surgery.
dc.identifier.urihttp://hdl.handle.net/10315/34567
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectBiomechanics
dc.subject.keywordsBreast Cancer
dc.subject.keywordsMastectomy
dc.subject.keywordsLumpectomy
dc.subject.keywordsExercise Rehabilitation
dc.subject.keywordsShoulder
dc.subject.keywordsD.A.S.H.
dc.subject.keywordsEORTC QLQ-C30
dc.subject.keywordsGoniometer Measurements
dc.subject.keywordsClinical Postural Evaluation
dc.subject.keywordsLymphedema
dc.subject.keywordsRange of Motion
dc.subject.keywordsDaily Exercise Program
dc.subject.keywordsBreast Cancer Survivors
dc.titleThe Effects of a Specific Exercise Program on Shoulder Function for Breast Cancer Survivors, 6-9 Months Post-Surgery
dc.typeElectronic Thesis or Dissertation

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