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Exercise rehabilitation for breast a...

McNeely, Margaret L.

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Exercise rehabilitation for breast and head and neck cancer survivors.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Exercise rehabilitation for breast and head and neck cancer survivors./
作者:	McNeely, Margaret L.
面頁冊數:	242 p.
附註:	Source: Dissertation Abstracts International, Volume: 68-10, Section: B, page: 6627.
Contained By:	Dissertation Abstracts International68-10B.
標題:	Health Sciences, Oncology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR33027
ISBN:	9780494330272

Exercise rehabilitation for breast and head and neck cancer survivors.
McNeely, Margaret L.

Exercise rehabilitation for breast and head and neck cancer survivors. - 242 p.

Source: Dissertation Abstracts International, Volume: 68-10, Section: B, page: 6627.

Thesis (Ph.D.)--University of Alberta (Canada), 2007.

The purpose of this dissertation was to provide an in-depth examination of exercise rehabilitation in two cancer survivor groups-breast cancer and head and neck cancer (HNC). These two cancer tumour groups were chosen for study as survivors of these cancers represent a large proportion of the oncology clinical caseload in physical therapy departments. A further objective of this dissertation was to provide research evidence to guide clinical exercise programming.

ISBN: 9780494330272Subjects--Topical Terms:

1018566
Health Sciences, Oncology.

Exercise rehabilitation for breast and head and neck cancer survivors.
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500 $a Source: Dissertation Abstracts International, Volume: 68-10, Section: B, page: 6627.
502 $a Thesis (Ph.D.)--University of Alberta (Canada), 2007.
520 $a The purpose of this dissertation was to provide an in-depth examination of exercise rehabilitation in two cancer survivor groups-breast cancer and head and neck cancer (HNC). These two cancer tumour groups were chosen for study as survivors of these cancers represent a large proportion of the oncology clinical caseload in physical therapy departments. A further objective of this dissertation was to provide research evidence to guide clinical exercise programming.
520 $a Study one is a systematic review and meta-analysis (SRMA) examining the effects of physical exercise for breast cancer patients and survivors. A comprehensive search identified 136 papers, of which 14 met all inclusion criteria. Exercise led to significant improvements in quality of life, physical functioning, peak oxygen consumption and fatigue. The preliminary evidence supports exercise as an effective intervention to improve quality of life, cardiorespiratory fitness, physical functioning, and fatigue in breast cancer patients and survivors.
520 $a The next section of the thesis contains three studies (case series, pilot study and randomized controlled trial) that form the main focus of the dissertation and examine exercise for shoulder dysfunction in HNC survivors. The case series study examined the potential benefit of progressive resistance exercise for shoulder dysfunction in a select group of survivors. The pilot study examined the feasibility of the exercise program and showed a high rate of adherence with the exercise program among head and neck cancer survivors. The randomized controlled trial demonstrated that the resistance exercise program was superior to standard physical therapy for improving shoulder pain and disability, upper extremity strength, and upper extremity endurance. Changes in neck dissection impairment, fatigue, and quality of life favoured the PRET group but did not reach statistical significance.
520 $a In summary, the results of the SRMA provide justification for including clinical exercise programs in the rehabilitation of breast cancer survivors. The results of both the pilot and efficacy studies in HNC support the use of resistance exercise as an adjunct to standard physical therapy to reduce shoulder pain and disability. The findings of the studies with HNC survivors suggest a need for further research with a larger sample size.
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