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Post-Mastectomy and/or Axillary Node Dissection Rehabilitation Protocol

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1.  A 50-year-old male arrives at the clinic post axillary node dissection 3 weeks ago for evaluation. You would like to assess strength. What outcome measure is recommended for clinical use? Box and Blocks 6 Minute Walk Test Hand grip and hand held dynamometry The Five Time Sit to Stand Test

2.  A 57-year-old female presents to clinic post-mastectomy, week 2 in recovery with no drains in place. She is present for the 2nd visit, what will be included in your treatment? Full range of motion, scapular mobility, breathing techniques 90 degree shoulder range of motion, scapular mobility, breathing techniques 90 degree shoulder range of motion, lifting objects>10 lbs., scapular mobility Full range of motion, lifting objects>10 lbs., breathing techniques

3.  A 56-year-old female arrives at the clinic post-mastectomy and axillary node dissection of the left upper extremity. The patient states that she is currently on doxorubicin, a chemotherapy. How much time should she be performing a moderate level of activity and which range of rate of perceived exertion on the Borg RPE scale should she stay in? 180 min, 10-12 RPE 75 min, 12-16 RPE 150 min, 12-13 RPE 75 min 12-13 RPE

4.  A 34-year-old female comes into the clinic status post axillary node dissection and mastectomy of right breast for third treatment session she states that her arm is feeling full and heavy. Which is NOT a sign or symptom that demonstrates early signs or high risk of lymphedema? Sleeve feels tighter on affected arm vs. non-affected Affected arm is red and hot to touch Patient performed pinch test to affected arm and there is no difference from unaffected arm Patient demonstrates decreased AROM of affected vs unaffected arm

5.  What should a patient AVOID to reduce the risk of lymphedema? Weight gain Sunscreen when outdoors Loose fitted clothes