scholarly journals Function, Shoulder Motion, Pain, and Lymphedema in Breast Cancer With and Without Axillary Web Syndrome: An 18-Month Follow-Up

2018 ◽  
Vol 98 (6) ◽  
pp. 518-527 ◽  
Author(s):  
Linda A Koehler ◽  
David W Hunter ◽  
Anne H Blaes ◽  
Tufia C Haddad
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Small Sample ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Abduction ◽  
Repeated Measures Design ◽  
Axillary Web Syndrome ◽  
Shoulder Range Of Motion ◽  
And Function

Abstract Background Axillary web syndrome (AWS) can develop following breast cancer surgery and presents as a tight band of tissue in the axilla with shoulder abduction. Objective The objectives were to determine the prevalence and natural history of AWS and the association between AWS and function, range of motion, pain, lymphedema, and body mass index (BMI). Design This study was a longitudinal prospective cohort study utilizing a repeated measures design. Methods Axillary web syndrome, function, shoulder range of motion, pain, and lymphedema (using circumference, bioimpedance spectroscopy, tissue dielectric constant) were assessed in women at 2, 4, and 12 weeks and 18 months following breast cancer surgery. Prevalence of AWS and the association with the measured outcomes were analyzed. Results Thirty-six women agreed to participate in the study. The cumulative prevalence of AWS was 50% (18/36) at 18 months following breast cancer surgery. AWS was identified as a risk factor for reduced function. Women with AWS had statistically reduced range of motion, lower BMI, and higher number of lymph nodes removed compared to the non-AWS group. Forty-one percent (13/32) of women had AWS at 18 months. AWS reoccurred in 6 women following resolution, and a new case developed beyond the early postoperative period. The overall prevalence of physical impairments ranged from 66% to 97% within the first 18 months following surgery regardless of AWS. Limitations Limitations include a small sample size and potential treatment effect. Conclusion AWS occurs in approximately 50% of women following breast cancer surgery. It can persist for 18 months and potentially longer, develop beyond the early postoperative time period, and reoccur after resolution. Clinicians need to be aware of the chronicity of AWS and its association with reduced range of motion and function.

scholarly journals Impact of Physiotherapy on Quality of Life and Arm Function after Breast Cancer Surgery in Women of Different Age

2020 ◽  
Vol 2 (9) ◽  
Author(s):  
Aušra Tvarijonavičienė
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Range Of Motion ◽  
General Health ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Range Of Motion ◽  
Arm Function ◽  
Shoulder Range

Breast cancer is the most common oncological disease among women. After breast cancer surgery women face various physical and psychosocial problems. They often suffer from arm lymphedema, poor posture, and pain. Side effects of breast cancer surgery can greatly affect general physical health and quality of life. To manage the problems it is necessary to apply rehabilitation. The most important part of rehabilitation is physiotherapy with the main aim of helping patients to recover and to achieve their maximum functional level (Hsieh et al., 2008). The aim of this study was to determine the impact of physiotherapy on differently aged women’s arm function after breast cancer surgery. The sample size of the survey was 40 women who were referred for post operative outpatient rehabilitation. The participants were divided into two age groups: I group – women aged 35–49 years (n = 20, average age 42 ± 4.30 yrs.); II group – women aged 50–64 years (n = 20, average age 56 ± 5.39 yrs.). Shoulder range of motion, arm circumference and pain were measured before and after 14 physiotherapy procedures, their general health state and quality of life were assessed as well. Shoulder range of motion increased, arm swelling and pain on the operated side decreased significantly in women of different age. General health status and quality of life after physiotherapy improved significantly both in younger and older women, but there were no significant differences between groups. After breast cancer surgery more than half of the women had psychological problems and were worried about their health in future, and less than half experienced body image problems and faced various social problems. Physical therapy was equally effective for both younger and older women.Keywords: physiotherapy, breast cancer, lymphedema, quality of life.

scholarly journals Accessory Joint and Neural Mobilizations for Shoulder Range of Motion Restriction After Breast Cancer Surgery: A Pilot Randomized Clinical Trial

2017 ◽  
Vol 16 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Irene de la Rosa Díaz ◽  
María Torres Lacomba ◽  
Ester Cerezo Téllez ◽  
Cristina Díaz del Campo Gómez-Rico ◽  
Carlos Gutiérrez Ortega
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Randomized Clinical Trial ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

scholarly journals Movement, Function, Pain, and Postoperative Edema in Axillary Web Syndrome

2015 ◽  
Vol 95 (10) ◽  
pp. 1345-1353 ◽  
Author(s):  
Linda A. Koehler ◽  
Anne H. Blaes ◽  
Tuffia C. Haddad ◽  
David W. Hunter ◽  
Alan T. Hirsch ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Mass Index ◽  
Dielectric Constant ◽  
Range Of Motion ◽  
Body Mass ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Axillary Lymph ◽  
Axillary Web Syndrome ◽  
Movement Function

Background Axillary web syndrome (AWS) is a condition that may develop following breast cancer surgery and that presents as a palpable axillary cord of tissue. Objective The purposes of this study were: (1) to determine the clinical characteristics of AWS related to movement, function, pain, and postoperative edema and (2) to define the incidence of and risk factors for AWS within the first 3 months following breast cancer surgery. Design This was a prospective cohort study with a repeated-measures design. Methods Women who underwent breast cancer surgery with sentinel node biopsy or axillary lymph node dissection (N=36) were assessed for AWS, shoulder range of motion, function, pain, and postoperative edema (using girth measurements, bioimpedance, and tissue dielectric constant) at 2, 4, and 12 weeks. Demographic characteristics were used for risk analysis. Results Seventeen women (47.2%) developed AWS, and AWS persisted in 10 participants (27.8%) at 12 weeks. Abduction range of motion was significantly lower in the AWS group compared with the non-AWS group at 2 and 4 weeks. There were no differences between groups in measurements of function, pain, or edema at any time point. Trunk edema measured by dielectric constant was present in both groups, with an incidence of 55%. Multivariate analysis determined lower body mass index as being significantly associated with AWS (odds ratio=0.86; 95% confidence interval=0.74, 1.00). Limitations Limitations included a short follow-up time and a small sample size. Conclusion Axillary web syndrome is prevalent following breast/axilla surgery for early-stage breast cancer and may persist beyond 12 weeks. The early consequences include movement restriction, but the long-term effects of persistent AWS cords are yet unknown. Low body mass index is considered a risk factor for AWS.

scholarly journals Effect of exercise on shoulder function and morbidity following mastectomy with axillary dissection in patients with breast cancer: a prospective randomized clinical study

2018 ◽  
Vol 5 (10) ◽  
pp. 3217
Author(s):  
Sri Aurobindo Prasad Das ◽  
Sathasivam Sureshkumar ◽  
Vijayakumar C. ◽  
Vikram Kate ◽  
Srinivasan K.
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Exercise Intervention ◽  
Exercise Group ◽  
Breast Cancer Surgery ◽  
Exercise Interventions ◽  
Randomized Clinical Study ◽  
Shoulder Range Of Motion ◽  
Drain Removal ◽  
Significant Difference

Background: There are no guidelines for the exercises performed in physical rehabilitation after breast cancer surgery and, specifically, for how to minimize these postoperative complications. Hence this study was conducted to study the effect of exercise intervention on upper extremity range of motion, strength, lymphedema, pain and activities of daily living (ADL).Methods: A total of 75 patients were included in the study in accordance to inclusion criteria. They were randomized into exercise group (n=38) and no exercise group (n=37). Patients in the exercise group were given a set of 19 active or active assisted range of motion exercises and strengthening exercises with frequent follow up. The other group were did not receive any strict exercise, they were given a few free hand exercise when they had some shoulder complaints based on treating physician discretion. Apart from demographic data other parameters studied were pain, numbness, active shoulder range of motion, muscle strength, lymphedema and ADL. These were evaluated before surgery, 24 hours after drain removal and 3 weeks /6 weeks/ 3 months of post-surgery.Results: Demographic parameters were comparable between the groups. Pain score, shoulder ROM were better in the exercise group compared to no exercise group and this difference was found to be significant (p <0.001). More patients in no exercise group experienced numbness. There was no statistically significant difference in the grip strength between the two groups. The incidence of lymphedema was higher in no exercise group compared to exercise group and this was extremely significant. (p < 0.001). Patients in no exercise group had higher disability scores for ADL which was significant compared to exercise group.Conclusions: Exercise interventions resulted in significantly reduced pain, improved shoulder ROM and lowered ADL impairment. Exercise intervention significantly reduced the incidence of lymphedema, but there was no effect on strength.

scholarly journals Blurred lines between axillary web syndrome and Mondor's disease after breast cancer surgery: A case report

2020 ◽  
Vol 63 (4) ◽  
pp. 365-367 ◽  
Author(s):  
Alessandro de Sire ◽  
Marco Invernizzi ◽  
Lorenzo Lippi ◽  
Carlo Cisari ◽  
Levent Özçakar ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Axillary Web Syndrome ◽  
Mondor’S Disease ◽  
Mondor's Disease

scholarly journals Frequency and associated factors of axillary web syndrome in women who had undergone breast cancer surgery: a transversal and retrospective study

SpringerPlus ◽  
2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Kassandra Ferreira Pessoa Fukushima ◽  
Luana Aroucha Carmo ◽  
Adriana Carvalho Borinelli ◽  
Caroline Wanderley Souto Ferreira
Keyword(s):  
Breast Cancer ◽  
Retrospective Study ◽  
Associated Factors ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Axillary Web Syndrome

scholarly journals A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea

2021 ◽  
Vol 45 (5) ◽  
pp. 401-409
Author(s):  
Sangah Jeong ◽  
Byung Joo Song ◽  
Jiyoung Rhu ◽  
Cheolki Kim ◽  
Sun Im ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Underlying Disease ◽  
Disease Type ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Univariable Analysis ◽  
Axillary Web Syndrome ◽  
Single Center Study ◽  
Type Of Surgery

Objective To investigate the prevalence and risk factors of axillary web syndrome (AWS) in Korean patients.Methods This retrospective study included a total of 189 women who underwent breast cancer surgery and received physical therapy between September 2019 and August 2020. We analyzed AWS and the correlation between the patients’ demographics, underlying disease, type of surgery and chemotherapy or radiation therapy, and lymphedema.Results The prevalence of AWS was found to be 30.6%. In the univariable analysis, age, chemotherapy, and hypertension were related to AWS. Finally, the multivariable logistic regression revealed that chemotherapy (odds ratio [OR]=2.84; 95% confidence interval [CI], 1.46–5.53) and HTN (OR=2.72; 95% CI, 1.18–6.30) were the strongest risk factors of AWS.Conclusion To the best of our knowledge, this was the first study that explored the risk factors of AWS in a Korean population after breast cancer surgery. As almost one-third of patients suffer from AWS after breast cancer surgery, it is essential to closely monitor the development of AWS in patients with hypertension or undergoing chemotherapy.

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