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題名 | 物理治療對乳癌患者術後肩關節活動與肌力之療效=Effectiveness of Physical Therapy on Shoulder Mobility and Strength for Patients after Surgery for Breast |
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作者 | 張瑞東; 楊美雪; 李建和; 葉瑞珠; Chang, Rei-tung; Yang, Mei-hsueh; Lee, Jen-ho; Yeh, Jui-chu; |
期刊 | Medical Journal of South Taiwan |
出版日期 | 20110600 |
卷期 | 7:1 2011.06[民100.06] |
頁次 | 頁19-30 |
分類號 | 418.996 |
語文 | chi |
關鍵詞 | 物理治療; 乳癌; 肩關節障礙; Physical therapy; Breast cancer; Shoulder impairment; |
中文摘要 | 目的:探討物理治療於乳癌病人術後肩關節活動障礙之療效及其影響因素。方法:採單一樣本重複測量病歷回溯性之研究設計。對象為南部某區域教學醫院之2008年5月至2010年4月術前無肩關節活動障礙,術前、術後無手臂神經受損、旋轉肌肌腱撕裂傷及中風症狀之21位單側乳癌術後門診病人。採Friedman檢定、Wilcoxon符號等級檢定與Spearman等級相關檢定等無母數統計方法進行資料分析。結果:物理治療對乳癌術後肩關節活動障礙改善具有顯著療效,肩關節活動療效除內轉外,其餘活動療效與術後物理治療介入開始的時間呈現負相關(Spearman's rho= - 0.748 ~ - 0.444,p<0.05),病人年齡與物理治療療效無顯著相關性(p>0.05)。肩關節前屈與外展角度隨著療程次數增加而增加,治療到第4次分別可比治療前角度增加40.3%與45.2%。肩關節肌力於物理治療第1次療程後有顯著改善(p<0.05)。肩關節活動角度與肌力之各療程之療效, 彼此間有顯著的正相關(Spearman's rho= 0.558 ~ 0.999,p<0.01)。結論:物理治療早期介入且持續性施予有助於乳癌病人術後肩關節活動障礙之改善。 |
英文摘要 | Objective: To investigate the effectiveness of physical therapy treatment of shoulder mobility and strength in patients who have undergone breast cancer surgery and axillary lymph node dissection and its determinants.Methods: Twenty-one unilateral breast-cancer patients without brachial plexus injury, rotator cuff tears and stroke following surgery visiting physical therapy outpatient division during sampling period in a regional hospital were selected. One-group repeatedly measured data were collected and nonparametric statistics were used.Results: Shoulder mobility and muscle strength improved significantly after physical therapy treatment. Except on internal rotation, the surgery physical therapy interval negatively related to improvement (Spearman's rho= -0.748 ~ - 0.444, p<0.05), yet not related to age (p>0.05). Compared to pre-treatment, improvement was significant on both shoulder flexion and abduction mobility with increasing treatment frequency (40.3% and 45.2%, p<.001), on muscle-strength recovered at first treatment session (p<0.05), and on a different shoulder-movement-range between each treatment session (Spearman's rho= 0.558 ~ 0.999, p<0.01).Conclusions: Patients after breast cancer surgery and axillary lymph node dissection can benefit from early and constant physical therapy regarding shoulder movement ranges. |
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