Background <p>Understanding the timing and factors related to the complications such as lymphedema and the limiting of upper limb mobility can help in taking timely measures to prevent them and contribute to the functional recovery of patients after breast cancer surgery. We aimed to observe the relationship between age and postoperative complications of breast cancer and the improvement of limb function after early rehabilitation intervention in patients of different ages.</p> Methods <p>Sixty postoperative breast cancer patients were divided into three groups: young, middle-aged, and elderly. Rehabilitation treatment intervention was conducted within 1 week after surgery, and later rehabilitation training guidance was provided. Follow-up was conducted at 3&#xa0;months postoperatively. The occurrence of lymphedema and shoulder joint restriction was assessed at enrollment and 3&#xa0;months postoperatively. The comprehensive functional status of patients was evaluated using the International Classification of Functioning, Disability, and Health (ICF) Activity and Participation Assessment Scale.</p> Results <p>At 3&#xa0;months postoperatively, there was no significant difference in the incidence of lymphedema among the three groups (<i>P</i> &gt; 0.05). However, the incidence of shoulder joint restriction in the young group was significantly lower than that in the middle-aged and elderly groups (<i>P</i> &lt; 0.05). At 3&#xa0;months postoperatively, the scores of the ICF Activity and Participation Assessment Scale in all three groups were significantly lower than those at enrollment. The scores in the young group were significantly lower than those in the middle-aged and elderly groups (<i>P</i> &lt; 0.05). The improvement in the ICF Activity and Participation Assessment Scale scores at 3&#xa0;months postoperatively compared to enrollment was higher in the young group than in the middle-aged and elderly groups (<i>P</i> &lt; 0.05).</p> Conclusion <p>Our study found that the incidence of postoperative shoulder restriction and the recovery of limb function are related to age in breast cancer patients. In the future, studies with larger sample sizes and longer follow-up durations are warranted.</p>

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The impact of age factors on postoperative limb function recovery in breast cancer

  • Zhikai Feng,
  • Yulong Bai,
  • Bin Xiao,
  • Guimao Wang,
  • Junhao Cai,
  • Weijiang Li,
  • Qiang He

摘要

Background

Understanding the timing and factors related to the complications such as lymphedema and the limiting of upper limb mobility can help in taking timely measures to prevent them and contribute to the functional recovery of patients after breast cancer surgery. We aimed to observe the relationship between age and postoperative complications of breast cancer and the improvement of limb function after early rehabilitation intervention in patients of different ages.

Methods

Sixty postoperative breast cancer patients were divided into three groups: young, middle-aged, and elderly. Rehabilitation treatment intervention was conducted within 1 week after surgery, and later rehabilitation training guidance was provided. Follow-up was conducted at 3 months postoperatively. The occurrence of lymphedema and shoulder joint restriction was assessed at enrollment and 3 months postoperatively. The comprehensive functional status of patients was evaluated using the International Classification of Functioning, Disability, and Health (ICF) Activity and Participation Assessment Scale.

Results

At 3 months postoperatively, there was no significant difference in the incidence of lymphedema among the three groups (P > 0.05). However, the incidence of shoulder joint restriction in the young group was significantly lower than that in the middle-aged and elderly groups (P < 0.05). At 3 months postoperatively, the scores of the ICF Activity and Participation Assessment Scale in all three groups were significantly lower than those at enrollment. The scores in the young group were significantly lower than those in the middle-aged and elderly groups (P < 0.05). The improvement in the ICF Activity and Participation Assessment Scale scores at 3 months postoperatively compared to enrollment was higher in the young group than in the middle-aged and elderly groups (P < 0.05).

Conclusion

Our study found that the incidence of postoperative shoulder restriction and the recovery of limb function are related to age in breast cancer patients. In the future, studies with larger sample sizes and longer follow-up durations are warranted.