Effectiveness of an Adapted Physical Activity Protocol for Upper Extremity Recovery and Quality of Life Improvement in a Case of Seroma after Breast Cancer Treatment

• Published in: International journal of environmental research and public health 2020-10, Vol.17 (21), p.7727
• Main Authors: Mirandola, Daniela, Maestrini, Francesca, Carretti, Giuditta, Manetti, Mirko, Marini, Mirca
• Format: Article
• Language: English
• Subjects: Asymptomatic; Back pain; Breast cancer; Breast Neoplasms - surgery; Cancer therapies; Case Report; Chemotherapy; Endocrine therapy; Exercise; Exercise Therapy - standards; Female; Functional testing; Humans; Intervention; Lymph Node Excision - adverse effects; Lymph Node Excision - rehabilitation; Mammography; Mastectomy; Middle Aged; Mobility; Muscles; Pain; Pain perception; Physical activity; Physical fitness; Plastic surgery; Prostheses; Quality of Life; Questionnaires; Radiation therapy; Reconstructive surgery; Rehabilitation; Seroma - etiology; Seroma - therapy; Surgery; Survival; Ultrasonic imaging; Upper Extremity - surgery
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph17217727

Growing evidence indicates that physical activity (PA) interventions may reduce upper limb function-limiting side effects of treatments and improve quality of life (QoL) of breast cancer (BC) survivors. However, the possible effectiveness of PA in cases developing seroma after BC treatment has yet to be demonstrated. Here, we describe for the first time the impact of a structured PA pathway (i.e., two cycles of eight-week adapted PA followed by eight-week adapted fitness) on upper limb disability and QoL in a peculiar case of chronic seroma as complication of reconstructive plastic surgery after left breast mastectomy and lymphadenectomy. A 56-year-old female BC survivor underwent a functional test battery (i.e., shoulder-arm mobility, range of motion, back flexibility and indirect assessment of pectoralis minor muscle) at baseline, during and after ending the structured PA pathway. Upper limb and back pain intensity and QoL were evaluated by numerical rating scale and Short Form-12 questionnaire, respectively. A relevant seroma reduction, an improvement in upper limb mobility and pain perception, and an overall increase in QoL were achieved after the structured PA intervention. Our findings suggest that an adapted PA intervention may represent an effective strategy for seroma treatment in BC survivors.