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題 名 | The Effect of Home Exercises Program on Shoulder Motions of Postmastectomy Patients=居家運動治療對乳癌切除手術後病人之異常肩關節活動的效果 |
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作 者 | 黃麗麗; 蔡美文; 連倚南; | 書刊名 | 物理治療學會雜誌 |
卷 期 | 12 1987.11[民76.11] |
頁 次 | 頁83-90 |
分類號 | 418.92 |
關鍵詞 | 居家運動治療; 乳癌切除手術病人; 肩關節; |
語 文 | 中文(Chinese) |
中文摘要 | 闊立台稱大學附設醫院之乳房切除後之乳癌病人聯誼會於民國75年成 立,有的病人在乳癌同側肩關節(患側)有活動度減小的現象,為了幫助病人重獲 正常的肩關節功能,曾在定期的聯誼會活動中,介紹一套居家運動治療方法給病 人,本研究旨在探討居家運動治療的病人肩關節活動的效果,以便未來能為乳房 切除手術後肩關節發生活動障磚而又無法每日到醫院接受物理治療的病人建立 一套經濟且有效的治療模式。 本研究共收集純位病人作為研究對象,皆曾接受單側乳房切除手術且除局部外 無任何轉移的跡象,這些病人依學習居家運動治療的方式不同而分為三組,第 一組有川垃病人會接受團體教導與團體治療,第二組有位病人,只接受過團體 教道,其餘6位不曾接受過任何教速或治療,故將之編入第三組作為對照組。物 理治療師在民國乃年3、4、5月份的聯誼會定期活動中,以量角器測量病人治療 前之肩關節活動度,同時在5月份的聯誼會活動中,介紹一套居家運動方法給病 人,其方式包括有團體教導與團體治療兩種。團體教導,乃在特別演講中以幻 燈片教導病人居家運動治療的方法,團體治療則在特別演講後將自願參加之病 人,每6至8人組成一小組接受物理冶療師指導正確的運動方法。兩個月後,再 一次測量病人治療後之肩關節活動度,同時詢問病人每日居家運動的次數。 治療前三組病人之肩關節活動度與一般狀況如年齡、傷口癒合的時間等,均無明 顯差異,兩個月後,第一組病人之肩前屈、外展與外轉的肩關節活動度均有明顯 的改善,第二組病人則只有肩前屈的活動度有明顯的改善,第三組病人沒有任何 進步的跡象。此外,開刀一年以上的病人,經過兩個月的居家運動後,也能有明 顯的進步,其中第一組有41.7的病人經過兩個月後,肩外展的活動度幾近正常(≧ 175°),第二組則有23.5的病人達到相同結果。因此,著者等認為在醫院的聯誼 會活動中,經由團體教導與團體治療,指導病人居家肩部運動的治療模式,有必 要推廣至台灣各大綜合醫院,以幫助乳房切除手術後的病人免於發生肩關節活動 障�ョC |
英文摘要 | The Breast Cancer Club of National Taiwan University Hospital was set up for postmastectomy patients in 1986. It was found that 70 of patients had limited motion in oneor more directions of ipsilateral shoulders (affected side) after mastectornies. To help patientsto regain complete recovery of shoulder motions, a home exercise program was introducedto the patients in the club activity. This study was designed to find out the effect of the program and hoped to set up an economic and effective treatment model for postmastectomypatients with limited shoulder motions in future. Patients who had abnormal range of motion(ROM) of the affected shoulders, without evidence of recurrence or distant metastasis wereincluded in this study, while the patients with bilateral mastectomies were excluded. Totally55 patients were collected. According to the types of instructions, 21 patients who receivedgroup instruction and therapy were classified into Group 1, 28 patients who received groupinstruction only were classified into Group II, the remaining 6 patients who did not receiveany instruction were classified into Group III as a control. Group instruction was carriedout by means of a special lecture with slides demonstration. In the mean time, group therapywas arranged for patients, who participated the program voluntarily, after the special lecture.During group therapy, the patients learned the exercises under the supervision of physicaltherapist. The pretreatment ROM of shoulders were assessed during the activities of the clubin March, April and May 1986. After the home program was instructed for 2 months, thepost-treatment ROM of shoulders were measured. There were no significant difference amongthree groups in the severity of limited shoulder motions before treatment. Significant improvement in shoulder motions was found in Group I after treatment, but no improvementwas found in Group III. There were 41.7 of patients in Group I, while only 23.5 of patientsin Group II who received operation for more than one year, regained normal or nearly normalROM (>175°) of shoulder abduction after treatment. Since the home exercises programis introduced by means of group instruction which was easy to carry out during theclub activities, it is valuable to be adopted as an adjunct program for the patients with limitedshoulder motions after mastectomy. |
本系統中英文摘要資訊取自各篇刊載內容。