scholarly journals Correlation of pain relief with physical function in hand osteoarthritis: randomized controlled trial post hoc analysis

2010 ◽  
Vol 12 (1) ◽  
pp. R7 ◽  
Author(s):  
H Richard Barthel ◽  
John H Peniston ◽  
Michael B Clark ◽  
Morris S Gold ◽  
Roy D Altman
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Relief ◽  
Physical Function ◽  
Controlled Trial ◽  
Hand Osteoarthritis ◽  
Post Hoc Analysis ◽  
Randomized Controlled ◽  
Post Hoc

scholarly journals Weight Lifting and Physical Function Among Survivors of Breast Cancer: A Post Hoc Analysis of a Randomized Controlled Trial

2015 ◽  
Vol 33 (19) ◽  
pp. 2184-2189 ◽  
Author(s):  
Justin C. Brown ◽  
Kathryn H. Schmitz
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Physical Function ◽  
Standard Care ◽  
Controlled Trial ◽  
Weight Lifting ◽  
Control Group ◽  
Post Hoc Analysis ◽  
Randomized Controlled ◽  
Post Hoc

Purpose Survivors of breast cancer may experience deterioration of physical function. This is important because poor physical function may be associated with premature mortality, injurious falls, bone fracture, and disability. We conducted a post hoc analysis to explore the potential efficacy of slowly progressive weight lifting to reduce the incidence of physical function deterioration among survivors of breast cancer. Methods Between October 2005 and August 2008, we conducted a single-blind, 12-month, randomized controlled trial of twice-per-week slowly progressive weight lifting or standard care among 295 survivors of nonmetastatic breast cancer. In this post hoc analysis of data from the Physical Activity and Lymphedema Trial, we examined incident deterioration of physical function after 12 months, defined as a ≥ 10-point decrease in the physical function subscale of the Medical Outcomes Short-Form 36-item questionnaire. Results The proportion of participants who experienced incident physical function deterioration after 12 months was 16.3% (24/147) in the control group and 8.1% (12/148) in the weight lifting group (relative risk, 0.49; 95% CI, 0.25 to 0.96; P = .04). No serious or unexpected adverse events occurred that were related to weight lifting. Conclusion Slowly progressive weight lifting compared with standard care reduced the incidence of physical function deterioration among survivors of breast cancer. These data are hypothesis generating. Future studies should directly compare the efficacy of weight lifting with other modalities of exercise, such as brisk walking, to appropriately inform the development of a confirmatory study designed to preserve physical function among survivors of breast cancer.

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