頁籤選單縮合
題名 | Trunk Function in Rectus Abdominis Myocutaneous Flap Patients=腹直肌移轉乳房重建手術患者之軀幹功能 |
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作者 | 徐阿田; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 21:1 1996.01[民85.01] |
頁次 | 頁20-32 |
分類號 | 418.996 |
關鍵詞 | 腹直肌移轉乳房重建手術; 軀幹功能; Transverse rectus abdominis musculocutaneous flap; Trunk function; |
語文 | 英文(English) |
中文摘要 | 腹直肌移轉乳房重建手術(TRAM)具取用對側腹直肌及其覆蓋的皮府與 皮下組織作為重建乳房的素材。本研究的目的是評估此類病患軀幹功能自然恢復 的過程,以作為決定是否給予此類病患早期物理治療的依據。作者共收集了IS個 病例,其中有匕個病例完成了手術前與手術後6個月的評估。有8位患者完成實驗 的全程。作者發現此類病患的軀幹活動度於伸直與向患側側彎的方向有明顯的減 少。軀幹向非患側側彎的肌力與角速度亦有顯著的減少。據此結果,作者建議對 此類病患除了給予一般對乳房摘除病人的治療手續外,還應加上軀幹的姿態、活 動度與重力訓練,以預防因手術喪失一例腹直肌所造成的問題。(中華物療誌 1996;21(1):20-32) |
英文摘要 | The transverse rectus abdominis musculocutaneous (TRAM) flap procedure involves transferof abdominal tissue to the contralateral chest wall, and then shaped into a breast. This procedureinvolves sacrifice of one or both sides the rectus abdominis muscles. The purpose of this preliminary study was to investigate the course of recovery of trunk functions in TRAM patients who didnot receive any physical therapy intervention. A dynamometer was used to measure strength andROM of the trunk in three cardinal planes. A total of eighteen patients participated. Twelve patients completed the first two tests and eight completed all three tests consisting of a pre, a 6-month and a 12-month postsurgical tests. The results showed significant decreases (p<0.05) in (1)ROM in extension and lateral bending to the operated side, (2) angular velocity of lateral bendingto the non-operated side, (3) isometric trunk strength of lateral bending to the non-operated side.Trunk flexion strength did show 27.5 and 12.5 reduction at 6-month and 12-month postsur-gery comparing to presurgery. The reductions in extension strength during the same time pointswere 14 and 11 respectively. Both, however, were not statistically significant. The deficitsfound in this study indicate a need for early physical therapy intervention for the TRAM patientsto prevent loss of trunk strength and ROM. The authors suggest that scar tissue mobilization,trunk mobility and strengthening exercises should be added to traditional physical therapy programs for mastectomy patients with TRAM breast reconstructive surgery. A much longer followup period is necessary to gauge the full extent the persistent residual loss (or imbalance) of trunkfunction and potential deformity as a result of the TRAM surgery. (JPTA ROC 1996;21(1):20-32) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。