Download “Moving On” after breast cancer pilot study: Preliminary Results

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Category:HealthScience
DegreeLevel:DPT
AbstractID#:1039
“MovingOn”afterbreastcancerpilotstudy:PreliminaryResults
AnnM.FloresPT,PhD,CLT,RebeccaStephenson,PT,DPT,MS,OCS,CLT,Mehra Golshan,MD,AllisonKoenigsPT,JenniferAronsonsPT
Background&Purpose
Breastcanceristhenumber1cancerinAmericanwomen.Thereare
currentlyapproximately2.8millionbreastcancersurvivorsintheUnited
States.BCApatientsundergosurgicaltreatmentintheformofa
lumpectomyormastectomy& areleftwithemotional& physical
functionalimpairmentssuchas:
• Pain
• Fatigue
• Lossofstrength& shoulderrangeofmotion(ROM)
• Lymphedema
Purpose: Toassesstheacceptability& feasibilityofanearlyphysical
therapyeducationinterventionforbreastcancersurgicalcandidates& to
determinewhetherthisinterventionimprovestheparticipants’
knowledge& awarenessofsecondaryeffectsrelatedtosurgery.
Hypothesis: Bythe3rd monthpost-op,theinterventiongroupcompared
tothecontrolgroupwillexhibitincreasedROM,strength&healthrelatedqualityoflife&willexhibitdecreasedpain,fatigue&fewersigns
&symptomsoflymphedema.
Methods
Results
Variable
Outcome
N=61*
Ageinyearsmean
SurgicalApproachfrequency
Racefrequency
55
Mastectomy
Lumpectomy
White
AfricanAmerican
Hispanic
ResponsibleforInsurancefrequency(%ofn =49)
Self
Spouse/Partner
Both
Other
*Exceptotherwiseindicated
InterventionEvaluation
Volunteered Feedback
%Agreedor StronglyAgreed
N=12
“Thebooklet &exercisevideohave
acceptableinformationforphysicaland
functionalrecoveryafterbreastcancer.”
100%
“Theinformationinthebookletwas
useful.”
100%
“Thebookletanswered questionsthatI
hadaboutphysicalandfunctional
recoveryafterbreastcancertreatment.”
92%
“Thebesttimetogetthebookletand
exercisevideoisbeforebreastcancer
surgery.”
100%
29(47)
32(53)
54(88)
5(10)
1(2)
23(47)
8(16)
13(27)
5 (10)
Conclusions&Relevance
• MajorityoftheparticipantsfoundtheMovingOn
booklettobeuseful,haveacceptableinformation,
answeredquestionsregardingrecovery&isbestto
receivebeforesurgery
• InterventiongrouptendedtohavelessROM&
strengthatbaseline,buttheamountofchangewas
greaterthanthecontrolgroup
• Participantswereprimarilymiddle-aged,white
femaleswithmajorityhavinghadlumpectomy&
responsiblefortheirownhealthinsurance
SelectedReferences
1.BreastCancerStatistics.CentersforDiseaseControlandPreventionWebsite.
http://www.cdc.gov/cancer/breast/statistics/index.htm.
UpdatedAugust20,2015.AccessedNovember9,2015.
2.U.S.BreastCancerStatistics.BreastCancer.orgWebsite.
http://www.breastcancer.org/symptoms/understand_bc/statistics.UpdatedOctober23,2015.Accessed
November8,2015.
3.CornishBH,ChapmanC,Hirst C,etal.Earlydiagnosisoflymphedemausingmultiplefrequencybioimpedence.
Lymphology 2001;34(1):2-11.
4.RidnerSH,DietrichMS,DengJ,etal.Bioelectricalimpedancefordetectingupperlimblymphedemain
nonlaboratory settings.LymphaticResearch&Biology2009;7(1):11-15.
5.LingCH,deCraen AJ,Slagboom PE,etal.Accuracyofdirectsegmentalmulti-frequencybioimpedance analysis
intheassessmentoftotalbodyandsegmentalbodycompositioninmiddle-agedadultpopulation.Clin Nutr.
2011Oct;30(5):610-5.
Funding:APTASectiononWomen’sHealthGrant(PI:Flores);NortheasternUniversityProvost
UndergraduateResearchAward(FacultyMentor:Flores)