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KMID : 0350519960490020805
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Journal of Catholic Medical College
1996 Volume.49 No. 2 p.805 ~ p.817
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Effects of Aquatic Exercise Program on the Shoulder Joint Function, Immune Response and Emotional State in Postmastectomy Patients
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Abstract
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This study was designed to investigate the effects of an aquatic exercise program on the shoulder joint function, immune response and emotional state among the patients who received modified radical mastectomy between 6 to 12 months prior to
their
visits. The subjects were 31 women aged between 40 and 60 who visited the out-patient department at Kang Nam St. Mary's Hospital for follow-up care, and were not under the treatment of intravenous cancer chemotherapy or radiation therapy, and had
no
complications. Twelve of them were assigned to the control group, while nineteen subjects to the experimental group.
The aquatic exercise program was developed by the author with the assistance of exercise specialists. The program includes warming up, aerobic and cooling down exercises in water. The aquatic exercise program for the experimental group was
carried
out 3
times a week with 60 minutes in each time for 8 weeks from September 20th to November 15th , 1995 in a regular swimming pool in Seoul. Changes in the range of motion of the shoulder joint, muscle strength, immune response, and emotional state
were
examined after the completion of treatment. The data were collected through isokinetic muscle strength evaluation, blood sampling and questionnaire survey before and after the treatment. Paired and unpaired t-test were adopted to analyze the
data.
@ES The results were as follows;
@EN 1. The increment in the range of motion of the shoulder joint in the experimental group after exercise was significantly greater than that in the control group.
2. The peak torque of shoulder girdle muscles increased significantly after the exercise in the experimental group only.
3. In flexor and abductor, the ration of peak torque of shoulder girdle muscles between the affected and unaffected side decreased significantly in the experimental group only after the exercise.
4. Grip strength in both hands increased significantly after the exercise in the experimental group only.
5. The physical symptom score decreased significantly after the exercise in the experimental group only.
6. In the experimental group, the ration of the natural killer cell in lymphocytes increased significantly after the exercise. By contrast, control group showed no significant change in immune response.
7. The experimental group revealed significantly lower levels of anxiety and the of depression after the exercise compared with those before the exercise, whereas the control group showed no significant changes in those levels.
These findings may indicated that the aquatic exercise program in effective in increasing the range of motion of the shoulder joint, muscle strength and immune response, and also effective in decreasing physical symptoms, the levels of anxiety
and
depression I postmastectomy patients. Accordingly, the acquatic exercise program can be adopted as an effective nursing intervention for postmastectomy rehabilitation.
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