Article

Prehabilitation benefits among patients undergoing various oncological surgeries
have been demonstrated. However, the effects of presurgical exercise and fitness
on postoperative ipsilateral upper extremity recovery outcomes in patients with
breast cancer surgery are less evident. A systematic review was performed to
assess the effects of preoperative exercise and fitness on postmastectomy
recovery. Systematic literature search was performed in 12 electronic databases.
Study eligibility was accessed using the PICOS (Participants, Interventions,
Comparison, Outcome and Study Design) criteria. Six eligible studies were found:
three cohort-control and three prospective observational studies. One
randomized-controlled trial showed that prehabilitation was beneficial in
shoulder range of motion (ROM) and upper extremity functional recovery. One
cohort-control study demonstrated that preoperative exercises reduced
postoperative pain without increasing the risk of developing a seroma. A
prospective cohort study showed that preoperatively active individuals had a
significantly better chance of feeling recovered physically at 3 weeks after
surgery. Baseline ipsilateral grip strength, shoulder flexion, and abduction ROM
were reliable predictors of shoulder flexion and abduction ROM and grip strength
improvements at 1 month following breast cancer surgery. One study showed that
preoperative conditioning alone without postoperative rehabilitation was
insufficient to aid recovery. Implementing exercise program and optimizing
preoperative fitness, especially shoulder ROM, before breast cancer surgery in
conjunction with individualized rehabilitation program may benefit postmastectomy
ipsilateral upper extremity recovery.

Langue : ANGLAIS