Evaluating the responsiveness of the fullerton advanced balance scale in patients with lymphedema secondary to breast cancer surgery.

Evaluating the responsiveness of the fullerton advanced balance scale in patients with lymphedema secondary to breast cancer surgery. Lymphology. 2019;52(2):61-70 Authors: Yoosefinejad AK, Hadadi M, Eslamloo P Abstract Lymphedema following surgical treatment for breast cancer can impair balance and predispose patients to falling. Fullerton Advanced Balance (FAB) Scale is a reliable and valid tool which can identify persons with different balance levels, but its responsiveness has not been investigated in patients with lymphedema secondary to breast surgery. Thirty women with stage 2 lymphedema secondary to breast cancer treatment received complex decongestive therapy (CDT) for 2 weeks as a routine treatment method. They were evaluated with FAB Scale and Timed Up and Go Test (TUGT), volumetric measurements and circumferential measurements of the upper limbs before and after CDT. A moderate change was found in FAB score after CDT (Cohen's effect size = 0.65). For FAB, the computed standard error of the mean was 0.85 and minimal detectable change was 2.33. Significant improvement in FAB score and TUGT results, and significant reductions in circumferential and volumetric measurements were seen after 2 weeks of CDT. The FAB score change showed a moderate correlation with circumference change and volumetric change (r = -0.41) but a very weak correlation with TUGT change (r = -0.1). The FAB Scale showed acceptable responsiveness in detecting treatment effects in...
Source: Lymphology - Category: Internal Medicine Tags: Lymphology Source Type: research

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Purpose: Women with lymph node-positive early breast cancer who achieve a good response to primary chemotherapy could potentially avoid axillary node clearance (ANC) and proceed to sentinel lymph node biopsy (SLNB) [1]. This would reduce the risk of significant lymphoedema. We have previously reported response rates in the axilla following primary chemotherapy in our population [2]. We now report on 30 patients who had a marker clip inserted in the lymph node prior to primary chemotherapy. At the time of breast surgery, patients either underwent ANC or SLNB with at least three lymph nodes removed, including the marker clip...
Source: Clinical Oncology - Category: Radiology Authors: Source Type: research
Conclusions: Our model is more reliable and stable to assist doctors predict the SLN metastasis in breast cancer patients before operation. Introduction The incidence of breast cancer is the first in female malignant tumors, in which the highest incidence of breast cancer has been reported in Europe and the United States, however, in recent years, the incidence of breast cancer in China has annually increased (1, 2). Based on surgery as an important step in the treatment of breast cancer, in recent years, different individuals have never stopped exploration of a novel and optimum approach. Besides, NSABP-04, ASCOG-...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
Abstract PURPOSE: The occurrence of upper extremity lymphedema after regional nodal irradiation (RNI) for breast cancer treatment varies significantly based on patient and treatment factors. The relationship between the radiation therapy (RT) field design and lymphedema risk is not well-characterized. The present study sought to correlate the variations in RT field design with lymphedema outcomes. METHODS AND MATERIALS: Women with stage II-IV breast cancer receiving RNI after breast surgery that included sentinel lymph node biopsy or axillary dissection were identified. Their arm circumference was measured be...
Source: Ann Oncol - Category: Cancer & Oncology Authors: Tags: Int J Radiat Oncol Biol Phys Source Type: research
AbstractBackgroundBreast cancer remains the number 1 lethal malignancy in women. With rising incidence and decreased mortality, the number of breast cancer survivors has increased. Consequently, sequelae, such as pain, are becoming more important.PurposeThe purpose of this study was to identify risk factors for the development of pain in breast cancer survivors.MethodsPubMed and Web of Science were systematically screened for studies encompassing risk factors for the development of pain in breast cancer survivors. Meta-analyses were carried out for risk factors described in more than one article. Moderator analysis was per...
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
happens every October and is a month which organizations around the world concentrate their efforts on raising awareness about  the disease. Cochrane Breast Cancer's objective is to provide the best source of accurate and up-to-date information, especially about the prevention, early detection, treatments, follow-up care, and supportive practices for women diagnosed with breast cancer. Their Cochrane Reviews continue to be an integral part of national and international clinical best practice guidelines and their development of Plain Language Summaries provide evidence topolicymakers and members of the ...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
Publication date: Available online 26 May 2016 Source:International Journal of Nursing Sciences Author(s): Ausanee Wanchai, Jane M. Armer, Bob R. Stewart, Bonnie B. Lasinski Lymphedema is the swelling of soft tissues as a result of the accumulation of protein-rich fluid in extracellular spaces. Secondary lymphedema is precipitated by an event causing blockage or interruption of the lymphatic vessels. Secondary lymphedema is a potential complication that may affect the quality of life of patients treated for breast cancer. Life-long risk factors of post-breast cancer lymphedema are related to the extent of axillary no...
Source: International Journal of Nursing Sciences - Category: Nursing Source Type: research
Conclusions This study implies that BCRL has a negative effect on the QOL of breast cancer survivors, potentially negating the positive effects on QOL reconstructive breast surgery has.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: Journal of Reconstructive Microsurgery - Category: Surgery Authors: Tags: Original Article Source Type: research
Abstract Lymphoedema (LE) secondary to cancer is the side effect of cancer treatments and may appear on breast cancer (BC) survivors’ upper limb post-surgery. Several symptoms other than swelling have been reported. LE onset adversely affects the emotional and psychological state of BC survivors, leading to anxiety, depression, body image issues and altered psychological quality of life (QoL). In sufficient informational support, physical limitations, compression garments, LE symptoms and age are associated with the emotional and psychological sequelae. Social impact of LE, such as social confidence, job sec...
Source: Current Breast Cancer Reports - Category: Cancer & Oncology Source Type: research
Purpose The purpose of this study is to identify risk factors for transient lymphedema (TLE) and persistent lymphedema (PLE) following treatment for breast cancer. Materials and Methods A total of 1,073 patients who underwent curative breast surgery were analyzed. TLE was defined as one episode of arm swelling that had resolved spontaneously by the next followup; arm swelling that persisted over two consecutive examinations was considered PLE. Results At a median follow-up period of 5.1 years, 370 cases of lymphedema were reported, including 120 TLE (11.2%) and 250 PLE (23.3%). Initial grade 1 swelling was observed in 351...
Source: Cancer Research and Treatment - Category: Cancer & Oncology Tags: Original Article Source Type: research
Learn how weightlifting may improve the discomfort of lymphedema, a problem that may arise after breast surgery or radiation to the breast.
Source: About.com Breast Cancer - Category: Cancer & Oncology Authors: Tags: health Source Type: news
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