While I don’t have research articles, our protocol is unlimited ROM limited by
pain regardless of LV bypass or not. While I don’t have literature on this, and
I work in the acute care setting, I keep close contact with our OP PT’s and
breast surgeon and we don’t seem to have any issues with seroma formation. Just
today I saw an ALND w/LV bypass x5 channels, there were no restrictions, and
she got a bit past 90 degrees. Furthermore I believe our outcomes are really
good regarding any AE such as lymphedema, seroma formation, and wound healing
with early mobility on day 0 (maybe I should have our team publish our data 😀).
Again, this is purely observational and while we use a basic pain scale as our
limiting factor, it’s good food for thought. Especially since it’s not research
based.
Shai Sewell
On May 6, 2021, at 16:59, claudia wiser <claudiawiser@xxxxxxxxxxx> wrote:
Abi-this is the response I got to similar question earlier this year if it
helps!
Claudia
On Jan 7, 2021, at 7:49 PM, Kristin CarrollClaudia,
<kristin.carroll@xxxxxxxxxxxxxxxxxxxxxxxxx> wrote:
Happy New Year!
Here is the one I think that you are looking for that talks about waiting 7
days post op.
Lotze MT, Duncan MA, Gerber LH, Woltering EA, Rosenberg SA. Early versus
delayed shoulder motion following axillary dissection: a randomized
prospective study. Ann Surg. 1981;193(3):288-95.
Then this later study by McNeely did not find postop complications:
McNeely ML, Campbell K, Ospina M, Rowe BH, Dabbs K, Klassen TP, et al.
Exercise interventions for upper-limb dysfunction due to breast cancer
treatment. Cochrane Database Syst Rev. 2010.
https://doi.org/10.1002/14651858.CD005211.pub2.
Not to drive you crazy but here are some more and one most recent one that
mentions all these older ones. The new one by Shao has pending data... will
be interested in the outcome of this study!
Shao, YW., Shu, Q., Xu, D. et al. Effect of different rehabilitation
training timelines to prevent shoulder dysfunction among postoperative
breast cancer patients: study protocol for a randomized controlled trial.
Trials 22, 16 (2021). https://doi.org/10.1186/s13063-020-04954-3
Bendz I, Fagevik Olsen M. Evaluation of immediate versus delayed shoulder
exercises after breast cancer surgery including lymph node dissection--a
randomised controlled trial. Breast. 2002;11(3):241-8.Return to ref 41 in
article
CAS PubMed Article PubMed Central Google Scholar
Petrek JA, Peters MM, Nori S, Knauer C, Kinne DW, Rogatko A. Axillary
lymphadenectomy. A prospective, randomized trial of 13 factors influencing
drainage, including early or delayed arm mobilization. Arch Surg.
1990;125(3):378-82.
CAS PubMed Article PubMed Central Google Scholar
Chen SC, Chen MF. Timing of shoulder exercise after modified radical
mastectomy: a prospective study. Changgeng Yi Xue Za Zhi. 1999;22(1):37-43.
Let me know if that wasn't the one you were thinking about, I have a lot in
my resource library!
Warm Regards,
Kristin
Kristin Carroll, PT
Hartford Healthcare Rehabilitation Network, Hartford, CT
Survivorship Solutions, LLC
-----Original Message-----
From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx>
On Behalf Of claudia wiser
Sent: Thursday, January 7, 2021 6:20 PM
To: APTAOncology@xxxxxxxxxxxxx
Subject: [aptaoncology] seroma formation
Hello
Does anyone have the study that demonstrated doing shoulder exercises above
90 increases seroma formation? And if that has been disproven please chime
in!
Thank you
Claudia Wiser
Sent from my iPad
