Clinical Efficacy Research Of Mobilization With Movement Is Observed The Restricted Shoulder Joint Activity In Patients With Breast Cancer After Surgery

With the cumulatively rapid pace of life,the incidence of cancer is increasingly high.The most common cancer among women is breast cancer,which causes great pain to women.Breast cancer is the focus of current research due to a variety of reasons for the patient's body function has not been timely recovery of the problem.Research purposes: the purpose of this paper is to find a rehabilitation program that can effectively improve the limitation of shoulder joint movement after breast cancer surgery which can be conveniently applied in clinical treatment through mobilization with movement combined with progressive resistance training and conventional rehabilitation training(breast cancer postoperative rehabilitation exercise combined with progressive resistance training)in breast cancer patients with postoperative shoulder joint activity limited control studies.Research methods: the subjects of this study were breast cancer patients in the rehabilitation department of Peking Union Medical College Hospital.40 patients with shoulder joint mobility limitation after breast cancer surgery were evaluated and screened.They were randomly divided into the intervention group and the control group,and each group had 20 people.Both two groups were treated with progressive resistance training.The control group was also treated with breast cancer postoperative rehabilitation exercise to intervene.The intervention group was also treated with mobilization with movement to intervene the shoulder joint.Both two groups conducted 8 weeks of the experimental intervention.The intervention frequency of progressive resistance training in both groups were 5 times a week,and each time 20 minutes.The intervention frequency of breast cancer postoperative rehabilitation exercise in the control group were twice a week,and each time 30 minutes.And the intervention frequency of mobilization with movement in the intervention group were also twice a week,and each time 30 minutes.Visual analogue scale(VAS)assessment,measurement of range of motion for shoulder flexion,abduction,and extension,measurement of grip strength in standing position,and patient's shoulder scoring using the Improved Constant-Murley Shoulder Score System(CMS)were performed before and after the intervention for all subjects.Patients were followed up at the 8 week in the end of the intervention,and indicators were evaluated again and compared with those after the intervention.Research results:(1)Before the intervention,there was no significant difference between two groups in age,affected hand,cancer stage,surgical method,marital status,education level,occupation and other aspects(p>0.05).(2)The VAS scores of patients in the control group was as follows.Before intervention: 4.15±1.14;After intervention: 3.65±0.75;After follow-up survey:3.80±0.83.The VAS scores of patients in the intervention group respectively were4.20±1.01,3.25±0.64 and 3.00±0.56(p<0.05).The range of motion for shoulder flexion of patients in the control group respectively were 132.95±20.87,134.95±20.39 and134.80±19.54.The range of motion for shoulder flexion of patients in the interventiongroup respectively were 130.50±19.87,147.50±13.28 and 150.10±11.01(p<0.05).The range of extension for shoulder flexion of patients in the control group respectively were35.20±3.96,40.40±3.50 and 37.60±3.69.The range of extension for shoulder flexion of patients in the intervention group respectively were 36.75±5.79,43.20±4.01 and42.55±3.91(p<0.05).The range of abduction for shoulder flexion of patients in the control group respectively were 116.50±21.89,121.65±21.68 and 122.65±21.87.The range of abduction for shoulder flexion of patients in the intervention group respectively were 117.10±19.65,134.15±13.08 and 136.40±11.63(p<0.05).The VAS scores,the range of motion,extension and abduction for shoulder flexion of two groups showed different trends as the time change,and the differences were statistically significant.At the end of the study,the VAS scores,the range of motion,extension and abduction for shoulder flexion in the intervention group were all better than those in the control group.(3)After the intervention,the CMS of the patients was 58.80 ± 4.63 in the intervention group,and 54.10 ± 5.60 in the control group.The difference was statistically significant(p<0.05).After follow-up survey,the CMS of the patients was61.45 ± 3.65 in the intervention group,and 58.80 ± 4.10 in the control group.The difference was statistically significant(p<0.05).Research conclusions:(1)Both mobilization with movement and breast cancer postoperative rehabilitation exercise can effectively reduce the pain degree of shoulder joint and increase the range of motion of shoulder joint.(2)Both mobilization with movement and breast cancer postoperative rehabilitation exercise can increase the CMS and improve the upper limb function of patients.(3)In terms of improving postoperative shoulder joint mobility limitation and pain relief in breast cancer patients,the effect of mobilization with movement combined with progressive resistance training is obviously better and more lasting than that of breast cancer postoperative rehabilitation exercise combined with progressive resistance training.