8/9/2019 2014 No. 5 Effects of Exercise Interventions on Pro-Inflammatory Biomarkers in Breast Cancer Survivors

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post operatory and directed to our clinic. Here the patient underwent

medical gymnastic exercises up to 60 degrees abduction in shoulder joint

for a 6-week period. Afterwards the exercises focused on improving

mobility in the upper limb keeping a 60 degree range of motion (ROM) in

the shoulder joint and performing the rest of the movements from the

elbow and   st joints.   Assessment/Results:   The 6-week evaluationshowed 60 degrees of abduction in the shoulder joint without external

rotation; at 3 months follow-up the patient showed perfect ability incoordinating mobility keeping the 60 degree ROM allowed by the pros-

thesis. At the 1-year follow-up the patient presented a complete recovery of 

daily living activities without the need of retiring.   Discussions:   Theparticularities of this case consist in the large piece of humeral bone and

shoulder joint resected that requested a bio-membrane coating surounding

the metal prosthetics that allowed the functionality of the tendons and

nerves.   Conclusions:  The complex orthopedic rehabilitation treatmentin metastatic bone fractures is still a challenge for the twenty-rst century 

medicine that benets from research in bio-nano-technologies and imag-

istics providing the patient a high satisfaction index.

No. 4 Multidisciplinary Rehabilitation in Persons With

Primary Brain Tumour: A Controlled Clinical Trial.Fary Khan, MBBS; Bhasker Amatya, MD MPH;Mary Galea, Phd Bappsci (Physio) BA Grad Dip Physio GradDip Neurosci; Kate Drummond.

Disclosure:   None.  Objective:   To evaluate the effectiveness of multi-disciplinary (MD) rehabilitation program for persons with brain tumour

(BT) (gliomas) in an Australian community cohort.  Design:   Controlledclinical trial.   Settings:   Ambulatory rehabilitation settings.   Partic- ipants:   The BT survivors (n   ¼   106) in the community were allocatedeither to the treatment group (n¼53) or waitlist control group (n¼53)

irrespective of their tumour grade severity and duration by treating team

based on their requirement. Interventions:  The treatment group receivedindividualized intensive ambulatory (centre-based) MD rehabilitation while

the waitlist patients were the control group who continued with their usual

activity in the community.  Main Outcome Measures:   The primary outcome functional independence measure (FIM) measured   ‘activity ’  limi-

tation. Secondary measures included depression anxiety stress scale (DASS),

perceived impact problem prole (PIPP), and cancer rehabilitation evalua-

tion system short-form (CARES-SF). Assessments were at baseline 3 and 6

months.   Results:   Participants were predominantly female (56%), withmean age 5113.6 years (range from 21 to 77 years) and median time since

diagnosis of 2.1 years (inter quartile range  ¼  0.9 to 4.0). Intention-to-treat

analysis showed a signicant difference between groups at 3-month in

favour of MD program in FIM motor subscales:   ‘self-care’,   ‘sphincter’,

‘locomotion’,   ‘mobility ’ (p