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KMID : 0379719990130020101
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Journal of Korean Community Health Nursing Academic Society
1999 Volume.13 No. 2 p.101 ~ p.114
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Effects of Aquatic Exercise Program on the Shoulder Joint Function , Physical Symptom and Quality of Life 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, physical symptom, quality of life and stress 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, physical symptom, quality of life, and stress were examined after the completion of treatment. The data were collected through isokinetic muscle strength evaluation and questionnaire survey before and after the treatment. Paired and unpaired t-test were adopted to analyze the data.
The results were as follows ;
1. The increment in the range of motion of the shoulder joint in the experimental group after the exercise was significantly greater than those in the control group.
2. The peak torque of shoulder girdle muscles increased significantly after the exercise in the experimental group only.
3. The physical symptom score decreased significantly after the exercise in the experimental group only.
4. The experimental group revealed significantly higher level of quality of life and lower level of stress after the exercise compared with those before the exercise, whereas the control group showed no significant changes in those levels.
These findings may indicate that the aquatic exercise program is effective in increasing the range of motion of the shoulder joint and muscle strength and quality of life, and also effective in decreasing physical symptoms, and the level of stress in postmastectomy patients. Accordingly, the acquatic exercise program can be adopted as an effective nursing intervention for postmastectomy rehabilitation.
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