A recent study published in the ‘British Medical Journal’ proposed that a structured exercise program is clinically effective in reducing upper limb disability after breast cancer treatment in women with a high risk of post-operative complications.
This study was a multicenter randomized controlled trial which aimed to assess the effectiveness of a structured exercise program in comparison with usual care for women who have undergone breast cancer surgery. The study included 392 women undergoing breast cancer surgery and at risk of post-operative upper-limb disability. They were randomly allotted to usual care along with structured exercise or usual care alone.
Participants allotted to usual care were provided with information leaflets recommending postoperative exercises and general postoperative instructions. Women allotted to the structured exercise program were also given information leaflets and exercises involved stretching, strengthening, physical activity, and behavioral change techniques to support exercise adherence, which was introduced 7-10 days after the surgery.
The primary outcomes of the interventions were analyzed based on a questionnaire assessing Disability of Arm, Hand and Shoulder, at 12 months after randomization. The secondary outcomes were analyzed based on post-operative pain, complications, and health related quality of life.
The results of the study showed greater improvement in upper limb functioning with exercise when compared to usual care. The secondary outcomes showed decreased pain intensity and fewer symptoms of arm disability at 12 months. No complications were observed in women allotted to exercise.
Thus, the results of the study suggest that progressive exercise is safe and clinically effective for women at high risk of developing shoulder and upper limb problems after non-reconstructive breast surgery.
Source: Bruce J, Mazuquin B, Canaway A et al. Exercise versus usual care after non-reconstructive breast cancer surgery (UK PROSPER): multicentre randomised controlled trial and economic evaluation. BMJ. 2021:e066542.
Source link: https://www.bmj.com/content/375/bmj-2021-066542
Know the cancer – Breast cancer treatment
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