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Arm function after axillary dissection for breast cancer: A pilot study to provide parameter estimates

✍ Scribed by Marianne Hladiuk; Shirley Huchcroft; Walley Temple; B. Elisabeth Schnurr


Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
564 KB
Volume
50
Category
Article
ISSN
0022-4790

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✦ Synopsis


Abstract

Sixty‐three women participated in a study in Calgary, Alberta to assess the rate of arm recovery and factors affecting it up to one year after axillary node dissection for breast cancer. Outcomes included objective measures of swelling, mobility, and strength, and subjective assessments of pain (at rest and with movement) and stiffness. Approximately 42% of women had residual impairment of at least one type one year after surgery, the most common problems being pain (16%) and reduced grip strength (16%). Except for lymphedema, measurements one year after surgery showed little change from measurements at 6 months, suggesting that the shorter follow‐up may be appropriate for assessing the long term effects of axillary dissection. Lymphedema was the only sequela which increased over time. The results provide parameter estimates for designing studies to evaluate the role of physiotherapy after axillary dissection. © 1992 Wiley‐Liss, inc.