Fysioterapi etter brystkreftoperasjon

Background: Traditionally patients after breast cancer surgery have been advised by the physiotherapist to minimise active use of the involved arm to avoid development of postoperative complications. There is, however, minimal scientific documentation to confirm this. The purpose of this study was look at relationships between active use of the involved arm, level of physical activity and the development of lymphedema. Pain, arm function and quality of life were also evaluated. Methods: Ninety women from 32 to 70 years old, undergoing breast surgery with axillary node dissection were examined six -11 months postoperatively. Active use of the involved arm was recorded by a questionnaire. Lymphedema was evaluated with a volummeter and defined as a difference in arm volume between involved and uninvolved arm of more than 10 percent. Arm function was evaluated with a functional score and VAS was used for evaluating pain. Quality of life was evaluated with the EORTC QLQ-C30. Results: There was no significant correlation between active use of the involved arm and the development of lymphedema. No significant correlation was found between active use of the involved arm, arm volume differences or other demographic data. Women using the involved arm most frequently in work or leisure did not report more pain. They scored slightly better on the arm function tests and the quality of life questionnaire than those who used their arm less frequently. Conclusion: The study indicates that restrictions regarding active use of the involved arm are not necessary after breast cancer surgery