Abstract:
AIM:This article is a report of a review of the effectiveness of exercise programmes on shoulder mobility and lymphoedema in postoperative patients with breast cancer having axillary lymph node dissection, as revealed by randomized controlled trials. BACKGROUND:Breast cancer is the most common malignancy in women. After surgery, the most common postoperative complications are reduced range of motion in the shoulder, muscle weakness in the upper extremities, lymphoedema, pain and numbness. To reduce these impairments, shoulder exercises are usually prescribed. However, conflicting results regarding the effect and timing of such exercises have been reported. Data sources. Studies were retrieved from a systematic search of published works over the period 2000-2009 indexed in the Cumulative Index to Nursing and Allied Health Literature, Ovid Medline, the British Nursing Index, Proquest, Science Direct, Pubmed, Scopus and the Cochrane Library, using the combined search terms 'breast cancer', 'breast cancer surgery', 'exercise', 'lymphoedema', 'shoulder mobility' and 'randomized controlled trials'. METHODS:A quantitative review of effectiveness was carried out. Studies were critically appraised by three independent reviewers, and categorized according to levels of evidence defined by the Joanna Briggs Institute. RESULTS:Six studies were included in the review. Early rather than delayed onset of training did not affect the incidence of postoperative lymphoedema, but early introduction of exercises was valuable in avoiding deterioration in range of shoulder motion. CONCLUSION:Further studies are required to investigate the optimal time for starting arm exercises after this surgery. Nurses have an important role in educating and encouraging patients to practise these exercises to speed up recovery.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Chan DN,Lui LY,So WKdoi
10.1111/j.1365-2648.2010.05374.xsubject
Has Abstractpub_date
2010-09-01 00:00:00pages
1902-14issue
9eissn
0309-2402issn
1365-2648pii
JAN5374journal_volume
66pub_type
杂志文章,评审abstract::Research utilization and attitudes towards research among learning disability nurses in Northern Ireland The current emphasis on evidence-based practice has focused attention once again on the research activities of health professionals in general and their research utilization in particular. While there has been a li...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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