EFFECTS OF SWISS BALL EXERCISE AND STRETCHING EXERCISE IN CHEST WALL MOBILITY AND SHOULDER RANGE OF MOTION AMONG POST-OPERATIVE BREAST CANCER WOMEN

  • rekha k Department of , Saveetha College of Physiotherapy, Chennai, Tamil Nadu, India.
  • RESHMA RIHANA SM Department of , Saveetha College of Physiotherapy, Chennai, Tamil Nadu, India.

Abstract

Objectives of the Study: The objectives of the study were to determine and compare the effects of Swiss ball exercises and stretching exercises in improving chest expansion, forced expiratory volume in one second (FEV1), and shoulder range of motion (ROM) among post-operative breast cancer women.


Methods: The study included 20 females who underwent surgery for breast carcinoma. Each group consists of 10 participants who were assessed for chest expansion at three levels, FEV1, and shoulder ROM for flexion and abduction. Group A was treated with Swiss ball exercises and Group B was treated with stretching exercises for a period of 4 weeks, 5 days/week following which post-test was performed same as of pre-test.


Results: Comparison between Swiss ball Group A and stretching Group B shows the chest expansion measurement at axillary level has a significant difference between the groups with p=0.0001, fourth intercostal level showed a difference in mean with p=0.004 and xiphisternal level p-value observed as (0.001), FEV1 between the group also shows significant changes in the post-test with a p=0.0481 and shoulder flexion ROM was increased in post-test when compared to pre-test scores with a p=0.0042 and abduction ROM also showed a significant difference with p=0.0463. Thereby, the post-test scores of Group A are higher than the Group B.


Conclusion: Exercise training on Swiss ball is more effective than stretching in treating post-operative breast cancer patients.

Keywords: Breast carcinoma, Post-operative breast cancer women, Swiss ball, Chest expansion

References

1. Black JH, Meier RH. Cancer Rehabilitation. American Academy of Physical Science and Rehabilitation; 2015. Available from: http://www. emedicine.medscape.com/article/320261-overview#a2(medscape).
2. Anderson RT, Kimmick GG, McCoy TP, Hopkins J, Levine E, Miller G, et al. A randomized trial of exercise on well-being and function following breast cancer surgery: The RESTORE trial. J Cancer Surviv 2012;6:172-81.
3. Key TJ, Appleby PN, Reeves GK, Roddam A, Dorgan JF, Longcope C, et al. Body mass index, serum sex hormones, and breast cancer risk in postmenopausal women. J Natl Cancer Inst 2003;95:1218-26.
4. Hirose K, Tajima K, Hamajima N, Inoue M, Takezaki T, Kuroishi T, et al. A large-scale, hospital-based case-control study of risk factors of breast cancer according to menopausal status. J Jpn Cancer Res1995;86:146-54.
5. Do J, Cho Y, Jeon J. Effects of a 4-week multimodal rehabilitation program on quality of life, cardiopulmonary function, and fatigue in breast cancer patients. J Breast Cancer 2015;27:87-95.
6. Klassen O, Sehmidt ME, Ulrich CM, Schneeweiss A, Potthoff K, Steindorf K, et al. Muscle strength in breast cancer patient receiving different treatment regimes. J Cachexia Sarcopenia Muscle 2017;8:305-16.
7. Lee SY, Sim MK, Do J, Jeong SY, Jeon JY. Pilot study of effective methods for measuring and stretching for pectoral muscle tightness in breast cancer patients. J Phys Ther Sci 2016;28:3030-5.
8. Ceprnja D, Maka K. Implementation of an exercise program in breast cancer rehabilitation to improve shoulder outcomes, a pilot study. Int J Allied Health Sci Pract 2015;13:1-8.
9. Kilbreath SL, Refshauge KM, Beith JM, Ward LC, Lee M, Simpson JM, et al. Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer: A randomized controlled trial. Breast Cancer Res Treat 2012;133:667-76.
10. Schneider CM, Hsieh CC, Sprod LK, Carter SD, Hayward R. Effects of supervised exercise training on cardiopulmonary function and fatigue in breast cancer survivors during and after treatment. Cancer 2007;110:918-25.
11. Krishnan S. Cancer of Stomach and Breast Most Common in Tamilnadu, Times of India; 2015. Available from: http://www.timesofindia. indiatimes.com/city/chennai/cancers-of-stomach-and-breast-most-common-in-tn/articleshow/48716855.cms.
12. Shimozuma K, Ganz PA, Petersen L, Hirji K. Quality of life in the first year after breast cancer surgery: Rehabilitation needs and patterns of recovery. Breast Cancer Res Treat 1999;56:45-57.
13. Maunsell E, Brisson J, Deschhenes L. Arm problems and psychological distress after surgery for breast cancer. Can J Surg 1993;36:315-20.
14. Keays KS, Harris SR, Lucyshyn JM, Maclntyre DL. Effects of pilates exercises on shoulder range of motion, pain, mood and upper extremity function in women living with breast cancer: A pilot study. Phys Ther 2008;88:494-510.
15. Sagen A, Kaaresen R, Sandvik L, Thune L, Risberg MA. Upper limb physical function and adverse effects after breast cancer surgery: A prospective 2.5 year follow up study and preoperative measures. Arch Phys Med Rehabil 2014;95:875-81.
16. Mariano K, Diniz M, Silva AT, Silva J, Vasconcelos L, Branco M. Effect of exercises with swiss ball previously applied to radiation therapy for breast cancer. Rev Neurocienc 2015;23:55-61.
17. Kisner C, Colby LA. Therapeutic Exercise, Foundation and Techniques. 6th ed. New Delhi: Jaypee Brothers Medical Publications; 2013.
18. Sandhu JS, Mahajan S, Shenoy S. An electromyographic analysis of shoulder muscle activation during push-up variations on stable and labile surfaces. Int J Shoulder Surg 2008;2:30-5.
19. Porter SB. Tidy’s Physiotherapy. 15th ed. Amsterdam: Elsevier Publication; 2013.
20. Carriere B. Theory, Principal and Practical Application of Swiss Ball Physical Therapy. Berlin: Springer; 1998. p. 92-100.
Statistics
76 Views | 77 Downloads
Citatons
How to Cite
k, rekha, and R. RIHANA SM. “EFFECTS OF SWISS BALL EXERCISE AND STRETCHING EXERCISE IN CHEST WALL MOBILITY AND SHOULDER RANGE OF MOTION AMONG POST-OPERATIVE BREAST CANCER WOMEN”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 13, no. 4, Feb. 2020, pp. 137-41, doi:10.22159/ajpcr.2020.v13i4.36858.
Section
Original Article(s)