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Auteur Wendy Demark-Wahnefried
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Aerobic and Resistance Exercise Improves Shoulder Function in Women Who Are Overweight or Obese and Have Breast Cancer: A Randomized Controlled Trial / Frank C. Sweeney in Physical Therapy, Vol. 99 n° 10 (October 2019)
[article] Aerobic and Resistance Exercise Improves Shoulder Function in Women Who Are Overweight or Obese and Have Breast Cancer: A Randomized Controlled Trial [texte imprimé] / Frank C. Sweeney, Auteur ; Wendy Demark-Wahnefried, Auteur ; Kerry S. Courneya, Auteur . - 2019 . - p. 1334-1345.
Langues : Français (fre)
in Physical Therapy > Vol. 99 n° 10 (October 2019) . - p. 1334-1345
Catégories : PATHOLOGIE
Cancer , Glande mammaire [pathologie] , Obésité
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
Résumé : Background: Adverse upper limb musculoskeletal effects occur after surgical procedures and radiotherapy for breast cancer and can interfere with activities of daily living.
Objective: The objective of this study was to examine the effects of a 16-week exercise intervention on shoulder function in women who are overweight or obese and have breast cancer.
Design: This study was a randomized controlled trial.
Setting: The study was performed at the Division of Biokinesiology and Physical Therapy at the University of Southern California.
Participants: One hundred women with breast cancer were randomly allocated to exercise or usual-care groups. The mean (SD) age of the women was 53.5 (10.4) years, 55% were Hispanic white, and their mean (SD) body mass index was 33.5 (5.5) kg/m2.
Intervention: The 16-week exercise intervention consisted of supervised, progressive, moderate to vigorous aerobic and resistance exercise 3 times per week.
Measurements: Shoulder active range of motion, isometric muscular strength, and patient-reported outcome measures (including Disabilities of the Arm, Shoulder, and Hand and the Penn Shoulder Scale) were assessed at baseline, after the intervention, and at the 3-month follow-up (exercise group only). Differences in mean changes for outcomes were evaluated using mixed-model repeated-measures analysis.
Results: Compared with the usual-care group, the exercise group experienced significant increases in shoulder active range of motion (the mean between-group differences and 95% confidence intervals (CIs) were as follows: shoulder flexion = 36.6° [95% CI = 55.220.7°], external rotation at 0° = 23.4° [95% CI = 31.112.5°], and external rotation at 90° = 34.3° [95% CI = 45.926.2°]), improved upper extremity isometric strength, and improved Disabilities of the Arm, Shoulder, and Hand and Penn Shoulder Scale scores.
Limitations: Limitations include a lack of masking of assessors after the intervention, an attention control group, and statistical robustness (shoulder function was a secondary end point).
Conclusions: A 16-week exercise intervention effectively improved shoulder function following breast cancer treatment in women who were overweight or obese, who were ethnically diverse, and who had breast cancer.
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