Physiotherapy
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Browsing Physiotherapy by Author "Enas Kamel Ali Safadi"
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- ItemComparisons Study of Supervised Physiotherapy Intervention and Home Program on Pain, Fatigue & Functional Abilities among Women Post Breast Cancer(Al-Quds University, 2023-12-28) Enas Kamel Ali Safadi; إيناس كامل علي صفديBackground: Appreciation to early diagnosis and enhanced treatment, the survival rate in patients with breast cancer has improved. However, breast cancer survivor women often suffer from long-term complications such as pain fatigue, reduced ROM, and functional abilities. Physiotherapy has been identified as a viable and successful intervention strategy that can help reduce some of the side effects of cancer treatments. Supervised physiotherapy intervention that includes exercises to improve ROM, as well as manual therapy techniques such as mobilization and stretching, help with improving function and reducing pain. A home exercise program can also be beneficial to help maintain and improve ROM. Aim of the study: to investigate and compare the effects of supervised physiotherapy intervention and unsupervised home programs on pain, fatigue, functional abilities, and shoulder range of motion in breast cancer survivor women. Materials and methods: A prospective quasi-experimental, 2-arm parallel research on 84 breast cancer patients was done. The intervention program included 3 sessions a week for 8 weeks. 40 women (Group A) received supervised physiotherapy intervention, while 44 women (Group B) followed an unsupervised home program. The outcome measures were pain intensity by visual analog scale, shoulder range of motion by goniometer and the quick dash questionnaire, Fatigue by the brief Fatigue Inventory, and assessment of aerobic capacity and endurance by the 6-minute walk test. Statistical analysis was carried out utilizing paired and independent t-tests. Results: Both intervention groups improved significantly after the intervention. When compared to Group B, Group A showed a higher reduction in pain (p 0.001), exhaustion (p 0.001), and improved functional abilities (p 0.001). Furthermore, Group A improved significantly on the Six Minute Walk Test scale (p 0.001) and shoulder range of motion (p 0.001). Conclusion: The study found that exercise programs significantly reduced fatigue in breast cancer patients, improved functional abilities, and reduced pain, while physiotherapy had a greater impact on fatigue and functional abilities