Effects of Different Protocols of Physical Practice and Mental Imagery on Upper Extremity Range of Motion following Radical Mastectomy Surgery of Patients with Breast Cancer
Oral Presentation XML
Paper ID : 1960-11THCONF
1Human motor development, Kish international College, University of Tehran, Kish island, Iran.
2Radiation Oncologist, Department of Radiation Oncology, Milad Hospital, Isfahan, Iran.
Introduction: Breast cancer has been found to be the most prevalent kind of cancer in women across Iran and world. The radical mastectomy surgery complicates the situation and causes a reduction of upper extremity range of motion. Mental imagery, like physical practice has been found to use similar neural structure movement control process, therefore the combination of these two kind of experiences may cause an improvement in range of motion. The aim of this study was to investigate the effects of different protocols of physical practice and mental imagery on upper extremity range of motion after radical mastectomy surgery of patients with breast cancer.
Methodology: The present study was quasi experimental with pre-post test and three experimental and one control groups. Participants were 50 women with breast cancer whom operated radical mastectomy surgery and undergoing radiotherapy. We administered motor imagery questionnaire for all of the Participants. Then the participants whom got acceptable scores in mental imagery were divided into four groups including physical practice, mental practice, combination of physical and mental practice and control. The Participants of the experimental groups exercised for 5 weeks, 5 days in each week. We took shoulder, elbow and wrist joints range of motion test at pre-intervention and post-intervention. To analyze data, one way ANOVA (using SPSS version 16) at P<0/05 was used.
Results: Results showed between groups significance difference in shoulder, elbow and wrist joints range of motion. In shoulder joint, physical exercise resulted in improvement of all measured range of motion except adduction. The mental practice led to improvement of all of range of motion except adduction and internal rotation. The combination practice improved all of the measured variables. In elbow and wrist joints, all of group led to improvement in flexion and extension except mental practice. Moreover in all of joints, the effect of physical practice was found to be better than mental practice in flexion, extension, abduction and external rotation. Combination practice was better than physical practice in shoulder internal rotation, elbow flexion and extension and wrist flexion. Combination practice in all of joints was better than mental practice in all variables.
Discussion: In medical centers, different protocols of physical practice and mental imagery especially the combination of mental and physical practice can be used to help women with breast cancer operated radical mastectomy surgery for improving shoulder, elbow and wrist joints range of motion.