Early Versus Delayed Shoulder Motion Following Axillary Dissection
- 1 March 1981
- journal article
- clinical trial
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 193 (3), 288-295
- https://doi.org/10.1097/00000658-198103000-00007
Abstract
The role and timing of physical therapy following axillary dissection for melanoma, or in conjunction with modified radical mastectomy has not been extensively studied. A prospective randomized clinical trial was carried out over an 18-month period in the Surgery Branch, National Cancer Institute (NCI) and Department of Rehabilitation Medicine, Clinical Center, in which patients were assigned to receive one of two post-operative physical therapy regimens. Patients were assigned to receive graduated increases in allowed range of motion (ROM), either beginning on postoperative day 1 (early) or day 7 (delayed). All patients were advanced to full pain-free ROM when the suction catheters were removed. A total of 36 patients with 40 axillary dissections (19 for melanoma, 21 for breast cancer) were included in this study. Patients randomized to receive early motion had more total wound drainage (805 ± 516 cc vs. 420 ± 301 cc, pKeywords
This publication has 22 references indexed in Scilit:
- Wound drainage following radical mastectomy: the effect of restriction of shoulder movementBritish Journal of Surgery, 1979
- Surgical morbidity after mastectomy operationsThe American Journal of Surgery, 1978
- Prognostic Factors in Patients Undergoing Lymphadenectomy of Malignant MelanomaAnnals of Surgery, 1977
- The post-mastectomy rehabilitation group program: Structure, procedure, and population demographyThe American Journal of Surgery, 1976
- Rehabilitation of the Postmastectomy Patient with LymphedemaCA: A Cancer Journal for Clinicians, 1976
- A comparison between suction and corrugated drainage after simple mastectomy: A report of a controlled trialBritish Journal of Surgery, 1976
- The quality of survival in breast cancer: A case-control comparisonCancer, 1974
- A controlled trial of closed wound suction drainage in radical mastectomyBritish Journal of Surgery, 1973
- Treatment of Early Breast Cancer: A Report after Ten Years of a Clinical TrialBMJ, 1972
- Role of rehabilitation medicine in the care of the patient with breast cancerCancer, 1971