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Study withdrawn.
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It is expected that patients who receive physical therapy before surgery will have greater range of motion (ROM), strength, function, satisfaction, and less swelling, pain, and anxiety following surgery compared to those in the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education brochure | Active Comparator | The control group will receive a standard education brochure which will be provided pre-operatively to the participants. |
|
| Live education and exercise instruction | Experimental | The intervention group will receive one to two physical therapy visits consisting of education on the lymphedema risks and prevention factors, along with detailed information about what to except post-surgery as well as with radiation/chemotherapy. Additionally, those in the intervention group will be instructed on exercises to maintain or increase glenohumeral and scapulothoracic joint ROM post surgery and will be set up with a walking program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education brochure | Other |
| ||
| Live education and exercise instruction |
| Measure | Description | Time Frame |
|---|---|---|
| Change in score for Shoulder Pain and Disability Index (SPADI) | Functional outcome measure questionnaire | Before sugery (range 0-4 weeks before surgery), 2 weeks post operatively and 6 weeks post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Shoulder range of motion with goniometer | Pre-operatively (0-4 weeks pre-operatively), 2 and 6 weeks post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Change in other physical therapy test and measures | 6 minute walk test; presence of cording; number of patient reported medical complications; shoulder strength measured by a dynamometer; Arm lymphedema measured by volumeter; Anxiety, general functional abilities, and QOL will be measured by the Functional Assessment of Cancer Therapy- Breast Cancer (FACT-B); Patient satisfaction will be measured using a 5 point Likert Scale. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Eve S Pepin, DPT | Oakland University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St-Mary's of Michigan | Saginaw | Michigan | 48601 | United States | ||
| St. Mary's of Michigan |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| Other |
Participants will receive one to two physical therapy visits consisting of education on the lymphedema risks and prevention factors, along with detailed information about what to except post-surgery as well as with radiation/chemotherapy. Additionally, those in the intervention group will be instructed on exercises to maintain or increase glenohumeral and scapulothoracic joint ROM post surgery and will be set up with a walking program. |
|
| Once pre-operatively (0-4 weeks before surgery), 2 and 6 weeks after surgery |
| Saginaw |
| Michigan |
| 48601 |
| United States |
| D017437 |
| Skin and Connective Tissue Diseases |