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American journal of physical medicine & rehabilitation · 2024

Effects of Vibration Therapy on Muscle Strength, Shoulder Range of Motion, and Muscle Biomechanical Properties in Patients With Breast Cancer Undergoing Radiotherapy: A Randomized Controlled Trial.

СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Feyzioğlu Özlem, Dinçer Selvi, Yılmaz Binnur Dönmez, Saldıran Tülay Çevik, Öztürk Özgül

Аннотация

OBJECTIVE: The aim of the study was to investigate the effects of vibration therapy to home-based exercises on shoulder muscle strength, range of motion, pain-related disability, and muscles viscoelastic properties of shoulder and neck in patients with breast cancer undergoing radiotherapy.

DESIGN: This randomized controlled superiority trial was conducted with 38 participants who underwent breast cancer surgery. All patients were randomized into two groups: control group and vibration group. Both groups performed home-based exercises for 5 days a week for 6 wks. Vibration group received additional vibration therapy for 2 days a week for 6 wks. Shoulder range of motion, muscle strength, pain, disability, grip strength, and viscoelastic properties of the pectoralis major, upper trapezius, and sternocleidomastoid were compared before and after intervention.

RESULTS: Vibration group demonstrated better improvement in shoulder range of motion, muscle strength, and pain-related disability ( P < 0.05), except for internal rotation range of motion. Only tone of pectoralis major was significantly higher in vibration group according to group x time interaction ( P < 0.05), no differences were detected in terms of muscle viscoelastic properties in the control group patients ( P > 0.05).

CONCLUSIONS: Vibration therapy provided superior improvements in muscle strength, range of motion, and pain-related disability compared to home-based exercises alone in patients with breast cancer undergoing radiotherapy in the early postoperative phase.

TO CLAIM CME CREDITS: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.

CME OBJECTIVES: Upon completion of this article, the reader should be able to: (1) Determine the impact that whiplash-associated disorders have on a patient's life; (2) Identify and recognize the greater benefits of a supervised exercise therapy on recovery after a whiplash injury; and (3) Differentiate between the different exercise protocols conducted (types of exercises and duration) and incorporate therapy appropriately as part of an effective treatment plan.

LEVEL: Advanced.

ACCREDITATION: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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