Multidisciplinary rehabilitation program after breast cancer: benefits on physical function, anthropometry and quality of life

Autor: Dorian Deflandre, Thierry Bury, Martine Devos, Anne-France Leclerc, Marco Tomasella, Jean-François Kaux, Eric Lifrange, Marguerite Foidart-Dessalle, Philippe Coucke, Olivier Bruyère, Didier Maquet, Jean-Michel Crielaard, Guy Jerusalem
Rok vydání: 2017
Předmět:
medicine.medical_specialty
medicine.medical_treatment
Population
Psychological intervention
Breast Neoplasms
Physical Therapy
Sports Therapy and Rehabilitation
Risk Assessment
Body fat percentage
Hospitals
University
03 medical and health sciences
0302 clinical medicine
Breast cancer
Physical medicine and rehabilitation
Belgium
Quality of life
medicine
Humans
030212 general & internal medicine
Program Development
education
Mastectomy
Physical Therapy Modalities
Aged
Postoperative Care
education.field_of_study
Exercise Tolerance
Rehabilitation
Anthropometry
business.industry
Middle Aged
medicine.disease
Exercise Therapy
Treatment Outcome
Physical Fitness
030220 oncology & carcinogenesis
Quality of Life
Physical therapy
Female
Interdisciplinary Communication
business
Body mass index
Follow-Up Studies
Zdroj: European Journal of Physical and Rehabilitation Medicine. 53
ISSN: 1973-9095
1973-9087
Popis: Background Different clinical trials show beneficial effects of physical training offered during and/or after breast cancer treatment. However, given the variety of side effects that may be encountered, physical training could be combined with psychological, relational and social guidance. This kind of multidisciplinary program has been little studied so far. Aim The aim of this study was to determine the benefits of a three-month multidisciplinary rehabilitation program among women after breast cancer treatment. Design Controlled no-randomized trial. Setting University for outcomes, University Hospital Center for interventions. Population Two hundred and nine outpatients who have been treated for a primary breast carcinoma. Methods Patients were divided into a control group (N.=106) and an experimental group (N.=103) which has benefited from a rehabilitation program of three months including physical training and psycho-educational sessions. The assessments, performed before and after the program, included functional assessments ("Sit and Reach Test", maximal incremental exercise test and "Six-Minute Walk Test"), body composition measurements (Body Mass Index [BMI] and body fat percentage) and a questionnaire (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30). Results After three months, flexibility, walking distance and all parameters measured during the maximal incremental exercise, except maximal heart rate, were significantly improved in the experimental group. The body fat percentage was significantly decreased and a significant improvement was observed for perceived health status (quality of life), functional role, emotional state, physical, cognitive and social functions and for most symptoms. In the control group, most of these improvements didn't appear and a significant increase in BMI and body fat percentage was observed. Conclusions This trial identifies the benefits of a well detailed multidisciplinary rehabilitation program, including physical re-conditioning and psycho-educational sessions, with important improvements in functional capacity, body composition and the majority of functions and symptoms among women after breast cancer treatment. Clinical rehabilitation impact Through its results, this study could contribute to the development of hospital quality standards for oncologic rehabilitation. Physiotherapists can efficiently propose this kind of multidisciplinary rehabilitation program.
Databáze: OpenAIRE
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