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Purpose <p>To evaluate the effects of occupational therapy in a return-to-family intervention (RTF-I) on upper limb, shoulder, and role function in breast cancer patients.</p> Methods <p>A total of 104 participants were randomly assigned to either the RTF-I group or a control group. Upper limb function, health-related quality of life, and role function were assessed using multiple tools, including a self-assessment scale of the upper arm and shoulder function; the Disabilities of Arm, Shoulder, and Hand Questionnaire (Quick-DASH); shoulder range of motion (ROM) measurements; the Cancer Rehabilitation Evaluation System-Short Form (CARES-SF); and the Family Adaptability and Cohesion Evaluation Scales (FACES). Data were collected at baseline and at a 3-month follow-up.</p> Results <p>Following the intervention, the RTF-I group demonstrated significant improvements in all evaluated outcomes compared to the control group (<i>P</i> &lt; 0.05). These included total and dimensional scores on the Self-Assessment Scale, Quick-DASH, and CARES-SF; shoulder ROM (flexion, extension, abduction, and horizontal abduction); and FACES scores.</p> Conclusions <p>RTF-I was associated with improvements in upper limb function, quality of life, and role performance in postoperative breast cancer patients, potentially supporting their reintegration into family life.</p>

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Effects of occupational therapy in return-to-family intervention on upper limb, shoulder function, and role function in breast cancer patients: a multicenter randomized controlled trial

  • 期刊论文

  • 发表日期：

    2025年11月11日

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  • Pengjuan Song,
  • Ruolin Li,
  • Jun-E. Liu,
  • Lihui Liu,
  • Juan Liu

摘要

Purpose

To evaluate the effects of occupational therapy in a return-to-family intervention (RTF-I) on upper limb, shoulder, and role function in breast cancer patients.

Methods

A total of 104 participants were randomly assigned to either the RTF-I group or a control group. Upper limb function, health-related quality of life, and role function were assessed using multiple tools, including a self-assessment scale of the upper arm and shoulder function; the Disabilities of Arm, Shoulder, and Hand Questionnaire (Quick-DASH); shoulder range of motion (ROM) measurements; the Cancer Rehabilitation Evaluation System-Short Form (CARES-SF); and the Family Adaptability and Cohesion Evaluation Scales (FACES). Data were collected at baseline and at a 3-month follow-up.

Results

Following the intervention, the RTF-I group demonstrated significant improvements in all evaluated outcomes compared to the control group (P < 0.05). These included total and dimensional scores on the Self-Assessment Scale, Quick-DASH, and CARES-SF; shoulder ROM (flexion, extension, abduction, and horizontal abduction); and FACES scores.

Conclusions

RTF-I was associated with improvements in upper limb function, quality of life, and role performance in postoperative breast cancer patients, potentially supporting their reintegration into family life.