Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Efficacy of Ultrasound on Bone Mineral Density and Quality of Life in Females Post- Mastectomy Patients: Pre-post Intervention Study


Affiliations
1 College of Medical& Health Sciences, Ahlia University, Bahrain
2 Faculty of Physical Therapy, Cairo University, Egypt
     

   Subscribe/Renew Journal


Background: Cancer patients experience osteopenia or osteoporosis resulting from accelerated loss of bone mineral density (BMD) caused by their treatment. Such bone loss greatly increases the risk for fracture and can have other serious effects on quality of life. Therapeutic ultrasound is a frequently used modality in the practice of physical therapy.

Purpose of the study: to investigate the effect of low intensity pulsed ultrasound on BMD of lumbar vertebrae and quality of life in post-mastectomy patients.

Methodology: 50 pre-menopausal post mastectomy women suffered from lumbar vertebrae osteopenia, received therapeutic ultrasound 3 times/ week for eight weeks. Outcomes measures were Dexometery (DXA) as well as Quality of Life Question (QLQ-SF 36). Both were measured before and after intervention.

Results: Showed a high significant increase (P < 0.0001) in BMD and an improvement in all performance aspects of life quality and symptom reduction.

Conclusion: Therapeutic ultrasound is an effective modality to increase BMD for post mastectomy women to improve their quality of life.


Keywords

Ultrasound; Bone Mineral Density; Osteopenia; Quality of Life.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Taleghani F, ParsaYekta Z, Nikbakht A. Adjustment process in Iranian women with breast cancer. J Nursing cancer. 2008; 31(3):32-41.

  • Parkin D, Fernandez L. Use of statistics to assess the global burden of breast cancer. Breast J. 2006; 12(1): 70-80.

  • King, M. Difalco, E. Lymphedema: skin and wound care in an aging population. Ostomy Wound Manage, 2005; 51 ( Suppl 11A): 14-16.

  • Hack T, Degner L. Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology. 2003; 13(4):235-247.

  • Kunkel E, Emmie C, Titus O. Psychological and sexual well being, philosophical/spiritual views, and health habits of long-term cancer survivors. Health Care for Women International. 2002; 16:253-262.

  • Ream E, Richardson A, Dann C. Facilitating patient’s coping with fatigue during chemotherapy-pilot outcomes. Cancer Nursing. 2002; 25(4):300-308.

  • Silberfarb P, Maurer H, Crouthamel C. Psychological aspects of neoplastic disease: Functional status of breast cancer patients during different treatment regimes. American Journal of Psychiatry. 1980; 137:450-455.

  • Holtzman L, Chesney K. Rehabilitation of the leukemia/lymphoma patient. In: McGarvey CL, eds. Clinics in Physical Therapy: Physical Therapy for the Cancer Patient. New York, NY: Churchill Livingstone Inc, 1990: 85–110.

  • Sinaki M. Osteoporosis. In: Joel A, DeLisa J, eds. Rehabilitation Medicine: Principles and Practice. 2nd ed. Philadelphia, Pa: JB Lippincott Co, 1993:1018–1035.

  • Kanis A, McCloskey V, Beneton C, et al. Bone measurements with DXA and ultrasound: diagnostic and prognostic use. In: Papapoulos E, Lips P, Pols P, et al, eds. Osteoporosis 1996:Proceedings of the 1996 World Congress on Osteoporosis. Amsterdam, the Netherlands: Elsevier Science Publishers BV, 1996:181–190.

  • Croarkin E. Osteopenia in the patient with cancer. Physical therapy. 1999; 79 (2): 196- 201

  • Vargo M. Orthopedic management of malignant bone lesions. Physical Medicine and Rehabilitation: State-of-the-Art Reviews. Philadelphia, Pa: Hanley & Belfus Inc;1994 ;8(2).

  • Dyson M. Therapeutic applications of ultrasound. Nyborg L, Ziskin C (editors). Biological effects of ultrasound. New York: Churchill Livingstone. 1985; 121-33.

  • Wells T. Surgical applications of ultrasound. Nyborg L, Ziskin C (editors). Biological effects of ultrasound. New York: Churchill Livingstone. 1985; 157-67.

  • Jingushi S, Azuma V, Ito M, Harada Y, Takagi H, Ohta T, Komoriya K. Effects of non-invasive pulsed low-intensity ultrasound on rat femoral fracture. In Proceedings of the Third World Congress of Biomechanics. 1998; p 175b.

  • Shimazaki A, Inui K, Azuma Y, Nishimura N, Yamano Y. Low-intensity pulsed ultrasound accelerates bone maturation in distraction osteogenesis in rabbits. J Bone Joint Surg Br. 2000; 82: 1077-82.

  • Haar G. Basic physics of therapeutic ultrasound. Physiotherapy. 1987; 73:110-113.

  • Mayr E, Frankel V, Rüter A. Ultrasound—an alternative healing method for nonunions. Arch Orthop Trauma Surg. 2000; 120:1–8

  • Ware J, Snow K, Kosinski M, Gandek B. SF-36 health survey manual and interpretation guide. Boston (MA): The Health Institute, New England Medical Center; 1993.

  • Ringe J, Faber H, Farahm P, Dorst A. Efficacy of risedronate in men with primary and secondary osteoporosis: results of a 1-year study. Rheumatol Int. 2006; 26(5):427-431.

  • Sheng S, Hong C, Walter H, et al. In vitro effects of low intensity ultrasound stimulation on the bone cells. J. Biomed Mater Res. 2001; 57:449-456.

  • Monici M, Antonio P, Basile V, et al. Can ultrasound counteract bone loss? Effect of low intensity ultrasound stimulation on a model of osteoclastic precursor. Acta Astronautica. 2007; 60:383-390.

  • Fukada E, Yasuda I. On the piezoelectric effects of bone. J Physiol Soc Jpn. 1957; 12:1158–1162.

  • Glazer P, Heilmann M, Lotz J, Bradford D. Use of ultrasound in spinal arthrodesis. A rabbit model. Spine. 1998; 23: 1142-48.

  • Corradi C, Cozzolino A. The action of ultrasound on the evolution of an experimental fracture in rabbits. Minerva Ortop. 1952; 55: 44-5.

  • Corradi C, Cozzolino A. Ultrasound and bone callus formation during function. Arch Ortop. 1953;66: 77-98.

  • Duarte L. The stimulation of bone growth by ultrasound. Arch Orthop Trauma Surg. 1983; 101: 153-9.

  • Nolte P, van der Krans A, and Patka P. Lowintensity pulsed ultrasound in the treatment of nonunions. J Trauma. 2001; 51(4):693-703; discussion 702-703.

  • Rubin C, Bolander M, Ryaby P, et al. The use of low-intensity ultrasound to accelerate the healing of fractures. J Bone Joint Surg. 2001; 83-A (2): 259-270.

  • Cook S, Ryaby J, McCabe J, et al. Acceleration of time and distal radius fracture healing in patients who smoke. Clin Orthop. 1997 ;( 337):198-207.

  • Kristiansen T, Ryaby J, McCabe J, et al. Accelerated healing of distal radial fractures with the use of specific, low-intensity ultrasound. A multicenter, prospective, randomized, doubleblind, placebocontrolled study. J Bone Joint Surg. 1997; 79(7): 961-973.

  • Wang S, Lewallen D, Bolander M. Low intensity ultrasound treatment increases strength in a rat femoral fracture model. J Orthop Res. 1994;12: 40-47.


Abstract Views: 375

PDF Views: 0




  • Efficacy of Ultrasound on Bone Mineral Density and Quality of Life in Females Post- Mastectomy Patients: Pre-post Intervention Study

Abstract Views: 375  |  PDF Views: 0

Authors

Sayed A. Tantawy
College of Medical& Health Sciences, Ahlia University, Bahrain
Dalia M. Kamel
Faculty of Physical Therapy, Cairo University, Egypt

Abstract


Background: Cancer patients experience osteopenia or osteoporosis resulting from accelerated loss of bone mineral density (BMD) caused by their treatment. Such bone loss greatly increases the risk for fracture and can have other serious effects on quality of life. Therapeutic ultrasound is a frequently used modality in the practice of physical therapy.

Purpose of the study: to investigate the effect of low intensity pulsed ultrasound on BMD of lumbar vertebrae and quality of life in post-mastectomy patients.

Methodology: 50 pre-menopausal post mastectomy women suffered from lumbar vertebrae osteopenia, received therapeutic ultrasound 3 times/ week for eight weeks. Outcomes measures were Dexometery (DXA) as well as Quality of Life Question (QLQ-SF 36). Both were measured before and after intervention.

Results: Showed a high significant increase (P < 0.0001) in BMD and an improvement in all performance aspects of life quality and symptom reduction.

Conclusion: Therapeutic ultrasound is an effective modality to increase BMD for post mastectomy women to improve their quality of life.


Keywords


Ultrasound; Bone Mineral Density; Osteopenia; Quality of Life.

References