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Undergraduate/Graduate 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)