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Effects of Scapular Stabilizing Exercise on Resting Scapular Position of Breast Cancer-related Lymphedema Patients
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 Title & Authors
Effects of Scapular Stabilizing Exercise on Resting Scapular Position of Breast Cancer-related Lymphedema Patients
Ahn, So-Youn; Kim, Jwa-Jun; Ha, Hae-Jung;
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PURPOSE: The purpose of this study was to confirm the effect of exercise combined with scapular stabilizing on resting scapular position (RSP) in breast cancer-related lymphedema patients. METHODS: A total of 20 patients with lymphedema after mastectomy participated in the study. All assessments of the patients edema sides (ES) and non-edema sides (NES) were evaluated. The assessment tools used wad RSP. RSP are; 1) scapular index, 2) 8th thoracic spines process (T8S) to inferior angle of scapular (IA) distance, 3) standing pectoralis minor (PM) distance, and 4) PM index (PMI). All patients carried out a scapular stabilizing exercise seven times a week for 8 weeks. The collected data were analyzed with PASW 18.0. The statistical significance () was 0.05. RESULTS: According to the results, all the variable between the ES and NES for RSP were statistically significant (p<0.05) in the pre-test. After the exercise, the differences in T8S to IA distance and the PMI between the ES and NES weren`t statistically significant. The results of the RSP showed a significant improvement in T8S to IA distance, standing PM distance, and PMI. CONCLUSION: The results of this study showed that, performing the scapular stabilizing exercise had a significant effect on improving RPS in breast cancer-related lymphedema patients.
Lymphedema;Resting scapular position;Scapular stabilizing exercise;
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볼을 이용한 감각운동훈련이 유방암 절제술 후 여성의 어깨 기능과 삶의 질에 미치는 효과,서지윤;최종덕;

대한물리의학회지, 2016. vol.11. 4, pp.147-156 crossref(new window)
Cho YH, Kim SO, Choi JH. The differences of shoulder muscle activity onset time according to body tilting angle in push-up exercise. J Korean Soc Phys Med, 2015; 10(2):55-61. crossref(new window)

Lee BK, Lee JS, Kim TS. The influence of 4 wks complex therapeutic exercise on visual analog scale of pain and range of motion for middle-aged women with breast cancer-related lymphedema. J Korean Soc Phys Med, 2013; 8(2):153-161. crossref(new window)

Lee SG. Effects of strengthening exercise and complex decongestive therapy on edema and quality of life for patients with upper lymphedema. M. S. Dissertation, Korea Univ. Korea. 2008.

Lee JS. Effects of complex decongestive physical therapy and classical decongestive physical therapy on physical function and quality of life for patients with upper lymphedema. M. S. Dissertation, Yong In Univ. Korea. 2010.

Lim CH, Han JT. Effectiveness of Upper Extremity Exercise and Bandage on the Edema and ROM of Patients with Lymphedema. J Korean Soc Phys Med, 2011; 6(1):31-38.

Park JS, Jeon HS, Kwon OY. A comparison of the shoulder stabilizer muscle activities during push-up plus between persons with and without winging scapular. J Korean Phys Ther, 2007; 14(2):44-52.

Ha HJ, Ahn SY, Kwon HY. The relationship between upper limb lymphedema after mastectomy and scapular dyskinesis. J Korean Sport Sci, 2013;22(2):1103-1112.

Blomqvist L, Stark B, Engler N, et al. Evaluation of arm and shoulder mobility and strength after modified radical mastectomy and radiotherapy. Acta Oncologica, 2004;43(3):280-3. crossref(new window)

Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005;35(4):227-38. crossref(new window)

Borstad JD. Resting position variables at the shoulder: Evidence to support a posture-impairment association. Phys Ther. 2006;86(4)549-57.

Box RC, Reul-Hirche HM, Bullock-Saxton JE, et al. Physiotherapy after breast cancer surgery: results of a randomised controlled study to minimise lymphoedema. Breast Cancer Research and Treatment. 2002;75(1):51-64.

Brennan MJ, Depompodo RW, Garden PH. Focused review: Postmastectomy lymphedema. Arch Phys Med Rehabil. 1996;77(3):574.

Carsley-Smith JR. Modern treatment of lymphedema. I. Complex physical therapy: the first 200 Australian limbs. Australas J Dermatol. 1992;33(2)61-8. crossref(new window)

Charles AL, McGarvey GL, Petrek JA, et al. Lymphedema Management. Semin Radiat Oncol. 2003;13(1): 290-301. crossref(new window)

Christodoulakis M, Sanidas E, Bree D. Axillary lymphadenectomy for breast cancer-the influence of shoulder mobilization on lymphatic drainage. Eur J Cancer Clin Oncol. 2002;29(1):303-5.

Damstra RJ, Partsch H. Compression therapy in breast cancer-related lymphedema: A randomized controlled comparative study of relation between volume and interface pressure changes. Journal of Vascular Surgery. 2009;49(5):1256-63. crossref(new window)

Devoogdt N, Christiaens MR, Geraerts I, et al. Effected of manual lymph drainage in addition to guidelines and exercise therapy on arm lymphoedema related to breast cancer: randomised controlled trial. Br Med J. 2011;343:d5326. crossref(new window)

Erickson VS, Pearson ML, Ganz PA, et al. Arm edema in breast cancer patients, J Natl Cancer Inst. 2001;93(2):96-111. crossref(new window)

Gibon MH, Goebel GV, Jordan TM. A reliability study of measurement techniques to determine static scapular position. J Orthop Sports Phys Ther. 1994;21(2): 100-6.

Gosselink R, Rouffaer L, Vanhelden P, et al. Recovery of upper limb function after axillary dissection. J Surg Oncol. 2003;83(4):204-11. crossref(new window)

Haghighat S, Lotfi-Tokaldany M, Yunesian M, et al. Comparing two treatment methods for post mastectomy lymphedema: complex decongestive therapy alone and in combination with intermittent pneumatic compression. Lymphology. 2010;43(1)25-33.

Huang TW, Tseng SH, Lin CC, et al. Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials. World J Surg Oncol. 2013;11:15. crossref(new window)

Kevin G. Differences in scapular upward rotation between baseball pitchers and position players. Am J Sports Med. 2007;35(1):2091-95. crossref(new window)

Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998;26(2):325-37. crossref(new window)

Margaret LM, David JM, Alan WL. The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: a randomized controlled trial. Breast Cancer Research and Treatment. 2004;86(1):95-106. crossref(new window)

Nijs J, Roussel N, Struyf F, et al. Clinical assessment of scapular positioning in patients with shoulder pain: State of the art. J Manipulative Physiol Ther. 2007;30(1): 69-75. crossref(new window)

Odom CJ, Taylor AB. Measurement of scapular asymmetry and assessment of shoulder dysfunction using the lateral scapular slide test: A reliability and validity study. Physical therapy. 2001;81(2):799-809. crossref(new window)

Rockson SG, Miller LT, Senie K. Diagnosis and management of lymphedema. Cancer supplement. 1998;83:2882. crossref(new window)

Sahrmann SA. Does postural assessment contribute to patient care? J Orthop Sports Phys Ther. 2002;32(8):376-379. crossref(new window)