Aquatic Rehabilitation for Shoulder Dysfunction after Breast Cancer - A Single Subject Design

2.50
Hdl Handle:
http://hdl.handle.net/10755/164778
Category:
Abstract
Type:
Presentation
Title:
Aquatic Rehabilitation for Shoulder Dysfunction after Breast Cancer - A Single Subject Design
Author(s):
Moore-Higgs, Giselle
Author Details:
Giselle Moore-Higgs, ARNP, PhDc, AOCN, Assistant Director, Clinical Trials Office, University of Florida Shands Cancer Center, Gainesville, Florida, USA, email: mooregj@ufl.edu
Abstract:
Research Study: Survivors of breast cancer face physiologic alterations to normal tissue and body functions that have a negative impact on quality of life. One such treatment related morbidity is altered shoulder mobility (ASM). Despite extensive documentation of its existence the literature, there is a paucity of data describing effective rehabilitation regimens including novel techniques such as aquatic therapy. Data from the orthopedic literature show that aquatic rehabilitation may provide an acceptable alternative to traditional physical therapy for bone and soft tissue injuries including postoperative rehabilitation. The purpose of this study is to evaluate the effectiveness of a 4-week aquatic rehabilitation program on the symptoms of ASM in breast cancer survivors, and to evaluate the impact of such a program on the patient's perception of functional quality of life as impacted by ASM. The Enabling Disabling Process, a framework found in professional rehabilitation practice defines rehabilitation as the process by which physical, sensory or mental capacities are restored or developed. This is achieved through functional change in the person but also through changes in the physical and social environment. Aquatic rehabilitation strives to reverse the disabling process and enable the individual to succeed in improving function. The study will use a non-concurrent, multiple baseline, singlesubject design. Subjects will be their own controls using the contra-lateral shoulder and arm function as normal values. A convenient sample of 3 patients treated for Stage I or II breast cancer with breast conservation therapy will be recruited. Demographic, oncologic, and therapeutic data will be compiled from the subject's medical record. Quality of life will be measured using the SPADI and the FACT-B+4 Quality of Life Scale. Shoulder function will be assessed using range of motion calculations, isotonic arm strength, arm circumference, and grip strength. The intervention will consist of 10 shoulder exercises conducted in a therapy pool over thirty minutes, three times a week for a total of 4 weeks. Data analysis will be conducted using a visual graph analysis. This IRB approved study is ongoing with a projected completion date of 12/31/2009.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAquatic Rehabilitation for Shoulder Dysfunction after Breast Cancer - A Single Subject Designen_GB
dc.contributor.authorMoore-Higgs, Giselleen_US
dc.author.detailsGiselle Moore-Higgs, ARNP, PhDc, AOCN, Assistant Director, Clinical Trials Office, University of Florida Shands Cancer Center, Gainesville, Florida, USA, email: mooregj@ufl.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/164778-
dc.description.abstractResearch Study: Survivors of breast cancer face physiologic alterations to normal tissue and body functions that have a negative impact on quality of life. One such treatment related morbidity is altered shoulder mobility (ASM). Despite extensive documentation of its existence the literature, there is a paucity of data describing effective rehabilitation regimens including novel techniques such as aquatic therapy. Data from the orthopedic literature show that aquatic rehabilitation may provide an acceptable alternative to traditional physical therapy for bone and soft tissue injuries including postoperative rehabilitation. The purpose of this study is to evaluate the effectiveness of a 4-week aquatic rehabilitation program on the symptoms of ASM in breast cancer survivors, and to evaluate the impact of such a program on the patient's perception of functional quality of life as impacted by ASM. The Enabling Disabling Process, a framework found in professional rehabilitation practice defines rehabilitation as the process by which physical, sensory or mental capacities are restored or developed. This is achieved through functional change in the person but also through changes in the physical and social environment. Aquatic rehabilitation strives to reverse the disabling process and enable the individual to succeed in improving function. The study will use a non-concurrent, multiple baseline, singlesubject design. Subjects will be their own controls using the contra-lateral shoulder and arm function as normal values. A convenient sample of 3 patients treated for Stage I or II breast cancer with breast conservation therapy will be recruited. Demographic, oncologic, and therapeutic data will be compiled from the subject's medical record. Quality of life will be measured using the SPADI and the FACT-B+4 Quality of Life Scale. Shoulder function will be assessed using range of motion calculations, isotonic arm strength, arm circumference, and grip strength. The intervention will consist of 10 shoulder exercises conducted in a therapy pool over thirty minutes, three times a week for a total of 4 weeks. Data analysis will be conducted using a visual graph analysis. This IRB approved study is ongoing with a projected completion date of 12/31/2009.en_GB
dc.date.available2011-10-27T12:06:50Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:50Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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