Effect of Multimodal Exercise Program on Functional Outcome, Fatigue and Emotional Health in Mastectomy Patient with Concomitant Rheumatoid Arthritis: A Case Study

Authors

  • Saumi Sinha Department of Cardiorespiratory, Pravara Institute of Medical Sciences (Deemed to be University), Dr.APJ Abdul Kalam College of Physiotherapy, Loni, Maharashtra, India https://orcid.org/0000-0002-8479-4471
  • Rohit Balasaheb Rahane Pravara Institute of Medical Sciences (Deemed to be University), Dr.APJ Abdul Kalam College of Physiotherapy, Loni, Maharashtra, India https://orcid.org/0000-0001-7328-0398
  • Rakesh Kumar Sinha Pravara Institute of Medical Sciences (Deemed to be University), Dr.APJ Abdul Kalam College of Physiotherapy, Loni, Maharashtra, India https://orcid.org/0000-0002-2052-8924

DOI:

https://doi.org/10.26452/ijrps.v13i3.2125

Abstract

Breast cancer is among the most prevalent type of cancer among women. Mastectomy is a common surgical option for breast cancer, which usually leads to significant functional impairment. Fatigue, anxiety and depression are reported by mastectomy patients. This study aims to investigate the effect of a multimodal exercise program on improving functional impairment, fatigue, anxiety and depression after mastectomy. A 40-year-old female presented with abnormal tissue growth, pain and nipple discharge at the right breast. She was diagnosed with invasive ductal carcinoma stage I and undertook six weeks of neoadjuvant chemotherapy followed by modified radical mastectomy (MRM). Postoperatively, patient had a functional impairment, fatigue, anxiety and depression. An eight-week multimodal exercise program comprising ROM exercises, strength and endurance training, breathing exercises and functional activities was given. DASH for assessing upper extremity functions, BFI for assessing the impact of fatigue on daily activities and HADS for assessing anxiety and depression. An eight-week multimodal exercise program effectively improves functional impairment, fatigue, anxiety and depression in mastectomy patients with rheumatoid arthritis.

Keywords:

Case report, Mastectomy, Functional impairment, Fatigue, Anxiety, Depression, Multimodal exercise program

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Published

2022-08-12

How to Cite

Saumi Sinha, Rohit Balasaheb Rahane, & Rakesh Kumar Sinha. (2022). Effect of Multimodal Exercise Program on Functional Outcome, Fatigue and Emotional Health in Mastectomy Patient with Concomitant Rheumatoid Arthritis: A Case Study. International Journal of Research in Pharmaceutical Sciences, 13(3), 302–310. https://doi.org/10.26452/ijrps.v13i3.2125