Physical Functional Limitations in Breast Cancer- A Case Series.

Multidisciplinary approach, to Breast Cancer (BC) has significantly improved patient survival time, but the patients suffer from adverse effects of cancer and anti-cancer treatment affecting their functionality and overall quality of life. This case series aimed to identify limitations in physical functioning among patients with breast cancer. An interview guide was developed on the basis of literature definition of ‘physical function’, its determinants, International Classification of Functioning, Disability and Health criteria on functioning, and literature published on relevant factors in BC. Fifteen women diagnosed with BC, who were either undergoing active treatment or completed it, with age ranging between 26-75 years, were included. Semi-structured interviews were conducted using interview guide and responses were audio-recorded. The responses obtained were then coded and analysed using thematic analysis. Out of total 15 participants, three were on ongoing active treatment and 12 had completed it (nine were within one year of completion of active treatment). Thematic analysis revealed that the subjects experienced impairments in upper quarter flexibility (n=7), upper limb functional strength (n=9), limitations in basic (n=5) and instrumental activities of daily living (n=12) and many had done changes in performing activities at home or workplace (n=12). Many women had pain (n=13) in neck or arm after sustained activity, swelling in arm, cording, fatigue, impairment of balance (n=6) and negative body image perception. Such limitations were more prevalent among old and frail. Limitations in physical functioning were found prevalent among participants in the present case series which points out the need for long term surveillance of women with breast cancer for physical functional limitations. [ABSTRACT FROM AUTHOR]