The Effects of Pre-operative Physical Therapy Education

Oakland University

Overview

It is expected that patients who receive physical therapy before surgery will have greater range of motion (ROM), strength, function, satisfaction, and less swelling, pain, and anxiety following surgery compared to those in the control group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Conditions

Breast Cancer

Interventions

Education brochureOTHER

Live education and exercise instructionOTHER

Participants will receive one to two physical therapy visits consisting of education on the lymphedema risks and prevention factors, along with detailed information about what to except post-surgery as well as with radiation/chemotherapy. Additionally, those in the intervention group will be instructed on exercises to maintain or increase glenohumeral and scapulothoracic joint ROM post surgery and will be set up with a walking program.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * be over the age of 18, * have a good understanding of the English language, and * be scheduled to undergo either a mastectomy, lumpectomy, ALND or Sentinel Lymph Node Dissection (SLND) with or without breast reconstruction. Exclusion Criteria: * if they previously underwent one of the previously mentioned procedures mastectomy, lumpectomy, ALND or Sentinel Lymph Node Dissection (SLND) with or without breast reconstruction.

Locations (2)

St-Mary's of Michigan

Saginaw, Michigan, United States

St. Mary's of Michigan

Saginaw, Michigan, United States

Outcomes

Primary Outcomes

Change in score for Shoulder Pain and Disability Index (SPADI)

Functional outcome measure questionnaire

Time frame: Before sugery (range 0-4 weeks before surgery), 2 weeks post operatively and 6 weeks post-operatively

Secondary Outcomes

Change in Shoulder range of motion with goniometer

Time frame: Pre-operatively (0-4 weeks pre-operatively), 2 and 6 weeks post-operatively

Data from ClinicalTrials.gov

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