FUNCTIONAL COMPLICATIONS FOLLOWING BREAST CANCER THERAPY AND THE ROLE OF REHABILITATION IN RECOVERY OF FUNCTIONAL STATUS — A CASE REPORT (original) (raw)
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/ Derleme An Evaluation of the Current Rehabilitation Methods for Women with Breast Cancer
2015
At present, breast cancer (BC) survival rates are increasing day by day; therefore, the disabilities associated with BC therapy and the disease itself require a variety of rehabilitation modalities frequently. After the initial treatment, breast cancer patients require a dynamic follow-up period to check for tumor recurrence, metastasis, as radiation therapy side effects as well as side effects of chemotherapy, and physiatric evaluations and rehabilitative interventions must be a part of this process. Functional problems which need rehabilitation and have unfavourable effect on quality of life, emerges after breast cancer therapy. For example, chemotherapy may induce neuropathy, impair concentration and memory, and cause fatigue, and when combined with radiotherapy after axillary lymph node dissection (ALND), it has been associated with chronic pain in the ipsilateral arm. Furthermore, axillary dissection and/or radiation therapy in conjunction with chemotherapy can cause limitation...
European journal of physical and rehabilitation medicine, 2012
Breast cancer (BC) is currently the most frequent tumor in women. Through the years, BC management has evolved towards conservative surgery. However, even minimally invasive surgery can cause neuromotor and/or articular impairments which can lead to permanent damage, if not adequately treated. To clinically evaluate upper ipsilateral limb function and the impact of certain post-surgical consequences arising after invasive or breast-conserving surgery for early BC, by intervening, or not intervening, with an early rehabilitation program. To investigate physical morbidity after sentinel (SLND) or axillary lymph node dissection (ALND) and after reconstructive surgery in the treatment of early BC. Observational prospective trial. Inpatient and outpatient treatment. Eighty-three females participated in the study: 25 patients did not begin physiotherapy during hospitalization (Group A), 58 patients received early rehabilitation treatment (Group B). The patients of Groups A and B were comp...
Physical rehabilitation after breast cancer
Translational Cancer Research
Assessment, prevention and early diagnosis of breast cancer-related lymphedema (BCRL) Detection and management of early-stage BCRL may prevent progression to chronic disabling disease and may enable cost-effective conservative interventions (1). Lymphedema is a condition characterized by accumulation of protein-rich tissue fluid in extravascular interstitial spaces that causes edema, due to the impairment of lymphatic system, producing chronic inflammation with pain, tightness and heaviness in the arm. Patients at high-risk for BCRL have history of axillary lymph-node dissection (ALND), regional nodal irradiation, taxane-based chemotherapy, increased BMI, and cellulitis. Surveillance and regular follow up reduce BCRL risk in these patients (1). Pathophysiology of BCRL shows an acute and chronic phase with different stages (2): Stage 0 or latent stage of BCRL, the accumulation of fluid may not be evident with subclinical volume accumulation Stage I with clinically palpable lymphedema, that disappears with elevation of the limb and it is characterized by a lack of fibrosis. Subsequently, intradermal fibrosis is an irreversible and chronic phase of BCRL lasting more than 3 months. Stage II lymphedema no longer pits on pressure because of excess fat deposition and tissue fibrosis and no longer reverses with elevation. Stage III lymphedema has progressive swelling with trophic skin changes, including papules, warts, skin folds, tissue bulges, and often open draining wounds, leading to severe impairment in mobility and high risk of infection (3). Diagnostic techniques for BCRL have developed with increased sensitivity, allowing for subclinical detection and early treatment (4). Pre and postoperative circumferential measurements of both arms should be taken at 4 points (the metacarpal-phalangeal joints, the wrists, 10 cm distal to the lateral epicondyles, and 12 cm proximal to the lateral epicondyles). A difference of more than 2.0 cm at any of the 4 measurement points means the needs of BCRL treatment. It is important to keep attention to symptoms of heaviness,
Journal of Rehabilitation Medicine, 2004
Objective: To describe the impairments of upper body and limbs, activity limitations and participation restrictions 6 and 12 months after operation for breast cancer and to examine the impact of impairments on activity limitations. Design: A prospective survey 6 and 12 months after operation. Patients: Ninety-six breast cancer patients. Methods: A questionnaire for assessing the impairments, activity limitations and participation restrictions was developed. Results: The most common impairments 6 months after operation were breast and axilla scar tightness, axilla oedema and neck-shoulder pain. At 12-month follow-up the breast scar tightness ( p = 0.008) and axilla oedema ( p = 0.023) decreased, and limb ache ( p = 0.005) increased significantly. The most limiting impairments were axilla oedema and limb numbness 6 months after operation, and at 12-month follow-up axilla oedema. Lifting, carrying and reaching out caused worsening of impairments to more than half of the respondents at 6-month follow-up. Regression analysis showed that many impairments together were determinants of activity limitations and sleep impairment. Participation restrictions were constant. Respondents had not given up participation in activities in the home, but some had abandoned leisure activities and felt that their work ability had decreased. Conclusion: Impairments and their impact on activities were frequent and constant. There is an urgent need for developing rehabilitation protocols for breast cancer patients.
PLoS ONE, 2014
Background: Breast cancer is the most common type of cancer in women in the developed world. As a result of breast cancer treatment, many patients suffer from serious complaints in their arm and shoulder, leading to limitations in activities of daily living and participation. In this systematic literature review we present an overview of the adverse effects of the integrated breast cancer treatment related to impairment in functions and structures in the upper extremity and upper body and limitations in daily activities. Patients at highest risk were defined.
Physiotherapeutic approach in a patient with breast carcinoma – A case report
Medical Science
Breast carcinoma is one of the most serious illnesses in females and a significant because of mortality and morbidity. A variety of treatment programs has now been developed to help with the restoration of shoulder movement while also lowering the occurrence of subsequent lymphedema. Modified radical mastectomy has several advantages, including local cancer management and a lower chance of cancer recurrence, as well as the preservation of the chest muscles, which prevents deformity and allows patients to undergo breast reconstruction. Lymphedema can cause cosmetic issues, functional difficulties, and psychological anguish in breast cancer patients, all of which can reduce the quality of life. Females who receive quick breast reconstruction have a lower risk of depression and have a higher standard of life. For females who have had breast cancer, physiotherapy can assist to reduce pain, restore shoulder mobility, and enhance the quality of life.
https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.3\_March2022/IJHSR-Abstract.018.html, 2022
Early breast cancer treatment can cause shoulder dysfunction, which is a well-known and prevalent adverse effect (1). In individuals treated surgically for breast cancer, physiotherapy was found to enhance shoulder function considerably (1). Breast cancer is the most common type of cancer in women and the leading cause of death and morbidity (2). Every year, 1.67 million new instances of breast cancer are identified worldwide, with 458,000 fatalities (2). Although 89 percent of breast cancer survivors live for at least five years after treatment, side symptoms can continue for months or even years(2). The most common upper-limb side effects are pain and joint dysfunction, with prevalence rates ranging from 12% to 51% for pain and 1.5 percent to 50% for joint dysfunction. Surgery is the most common treatment for primary breast cancer. Shoulder exercises are commonly advised to reduce mobility and strength loss as well as prevent lymphedema. Several clinical services have been developed to help with shoulder range of motion rehabilitation and secondary lymphedema prevention(3). The goal of this study was to see how additional postoperative physiotherapy affected shoulder function after the initial postoperative healing period, especially when given for a longer period. Patients who have had a mastectomy are always at risk of getting shoulder pain and adhesive capsulitis, and they must take precautions (3).