The importance of rehabilitation in the treatment of breast cancer (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...
Rehabilitation Of Women After Mastectomy - Proposed Procedure
2018
Breast cancer is a leading cancer among women, high incidence of cancer is not synonymous with high mortality. Women subjected to radical or partial mastectomy after the surgery want to return to full fitness as soon as possible. Movement restrictions associated with surgery do not have a positive effect on the patients' psyche. One of the complications of surgery in the axillary region is damage to the long thoracic nerve. An impairment of the blade mechanics affects the nonergergic movement in the shoulder joint. Using the neurorehabilitation methods, the correct spatula pattern should be reconstructed. Facilitation, or traffic paving, is an effective method used also for peripheral nerve injuries. In each method, the movement is assisted by a therapist who can determine the direction of movement through resistance, or assist it. The study presents examples of activities that can be used in therapy in its various phases. The method of using methods depends on the degree of structural damage and should be modified for the purposes of therapy. A review of available literature and own experience were used for the work.
Breast cancer rehabilitation method - a systematic review
Context: Breast cancer is the most prevalent cancer amongst women but it has the highest survival rates amongst all cancer. Rehabilitation therapy of post-treatment effects from cancer and its treatment is needed to improve functioning and quality of life. This review investigated the range of methods for improving physical, psychosocial, occupational, and social wellbeing in women with breast cancer after receiving breast cancer surgery. Method: A search for articles published in English between the years 2009 and 2014 was carried out using The Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, PubMed, and ScienceDirect. Search terms included: ‘breast cancer’, ‘breast carcinoma’, ‘surgery’, ‘mastectomy’, ‘lumpectomy’, ‘breast conservation’, ‘axillary lymph node dissection’, ‘rehabilitation’, ‘therapy’, ‘physiotherapy’, ‘occupational therapy’, ‘psychological’, ‘psychosocial’, ‘psychotherapy’, ‘exercise’, ‘physical activity’, ‘cognitive’, ‘occupational’, ‘alternative’, ‘complementary’, and ‘systematic review’. Study selection: Systematic reviews on the effectiveness of rehabilitation methods in improving post-operative physical, and psychological outcomes for breast cancer were selected. Sixteen articles met all the eligibility criteria and were included in the review. Data extraction: Included review year, study aim, total number of participants included, and results. Data synthesis: Evidence for exercise rehabilitation is predominantly in the improvement of shoulder mobility and limb strength. Inconclusive results exist for a range of rehabilitation methods (physical, psycho-education, nutritional, alternative-complementary methods) for addressing the domains of psychosocial, cognitive, and occupational outcomes. Conclusion: There is good evidence for narrowly-focused exercise rehabilitation in improving physical outcome particularly for shoulder mobility and lymphedema. There were inconclusive results for methods to improve psychosocial, cognitive, and occupational outcomes. There were no reviews on broader performance areas and lifestyle factors to enable effective living after treatment. The review suggests that comprehensiveness and effectiveness of post-operative breast cancer rehabilitation should consider patients’ self-management approaches towards lifestyle redesign, and incorporate health promotion aspects, in light of the fact that breast cancer is now taking the form of a chronic illness with longer survivorship years.
Physiotherapy Rehabilitation in Patients with Breast Cancer -A Case Report
https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.3\_March2022/IJHSR-Abstract.020.html, 2022
Breast cancer has been the most common cancer in the United Kingdom since 1997, accounting for 31% of all new cancer diagnoses in women. The rate of new diagnoses among people over 40 years old rises fast, from under 1 per 100,000 in young adults to well over 400 per 100,000 in those over 85 years old (1). Breast cancer survival rates are improving as a result of breakthroughs in diagnosis and therapy, and cancer survivorship has emerged as a major focus in the cancer care continuum. (2). Cancer rehabilitation is defined as the process of aiding a patient in attaining the best level of physical, psychological, social, sexual, vocational, recreational, and economic functioning possible within the restrictions of the disease and therapy. (2). Pain, lymphedema, secondary malignancies, and sexual dysfunction are among the possible long-term physical repercussions of cancer (2). Fear and anxiety about return of cancer, sadness, and emotions of uncertainty and loneliness are all possible psychological consequences. (2). Changes in interpersonal connections, financial and health insurance concerns and difficulty returning to work or seeking employment owing to impairment are all examples of social impacts (2). Even though recent advancements in therapy have increased survival rates, they are also associated with considerable adverse effects (3). Breast cancer survival rates have increased as a result of breakthroughs in early detection procedures, followed by more tailored and/or aggressive therapy (3). Although breast cancer patients' rehabilitation has become a priority in recent years, additional research on the most effective sorts of therapies is still needed. (3).
Physiotherapeutic performance in mastectomy after breast cancer: a literature review
Journal of Cancer Prevention & Current Research, 2021
Cancer is characterized by disorganized and chaotic cell growth that results from genetic changes inherited or acquired by the action of certain environmental, chemical, radioactive, viral and hormonal agents named carcinogens, which thereby initiate the process of tumorigenesis. 1 Breast cancer is the second most common form of cancer in the world and the leading cause of death by cancer among females. It mainly affects women aged between 40 and 60 years. 1,2 The main risk factors are genetics and external, such as environment, living habits, eating habits, age, menarche, exposure to estrogen, radiation, obesity, sedentarism and environmental toxins. 1,2 According to the World Health Organization (WHO), about 40% of deaths could be prevented by eliminating or minimizing exposure to carcinogens. Primary prevention consists in promoting health and avoiding external risk factors. Secondary prevention involves actions aimed at early diagnosis of the disease. The main objectives of treatments are to cure, prolong survival and improve the quality of life (QoL) of patients. 1 Primary treatment for breast neoplasm is a surgical intervention called mastectomy, whose goal is tumor removal. The most commonly used surgical procedure is modified radical mastectomy, in which the entire breast is removed, along with axillary lymph nodes. 1,3,4 After mastectomy, women face a psychological trauma. These feelings lead them to explore the possibilities of breast reconstruction, in order to reconstitute their body image, with improvements to QoL and well-being, so it should be considered as an integral part of breast cancer treatment. 5 Treatment-associated morbidities include paresthesia of the axillary region and the lateral wall of the thorax, pain, enlargement of upper limb, reduction of shoulder's range of motion, limitation of daily living activities (DLAs), and interference in QoL. 6 Patients undergoing physical therapy have their recovery time reduced and return more quickly to their daily, occupational and sports activities, as well as can reacquire movement amplitude, strength, good posture, coordination, self-esteem and, mainly, minimize possible postoperative complications and increase their QoL. 3 In the preoperative phase, the work of musculature maintenance is important, besides a previous evaluation of the patient's overall conditions. The post-surgical treatment aims at a significant improvement in skin texture, absence of fibrotic nodulation, reduction of edema, pain relief, minimization of possible tissue adhesions, rapid recovery of areas with hypoesthesia, that is, less of complications and acceleration of patient's return to daily activities. 7,8 The main physical therapy resources used to achieve that, are: manual lymphatic drainage, ultrasound, cryotherapy, laser therapy, electrotherapy, active exercises and complex decongestive therapy (CDT), which is fundamental to the recovery process. 7 Because of the high incidence of breast cancer, and the search for a treatment that ranges from tumor removal surgery to breast reconstruction
Archives of the Balkan Medical Union, 2020
L'approche multidisciplinaire du cancer du sein-le rôle des spécialités d'appui avant et après la mastectomie Introduction. Bien que de nombreuses patientes se rétablissent fonctionnellement, le cancer du sein et la mastectomie ont un impact physique et psycho-émotionnel sur la qualité de la vie. Afin d'éviter les erreurs et les biais, réduire la détresse émotionnelle et aider à la récupération postopératoire, nous suggérons des évaluations physiothérapeutiques et psychologiques avant et après la mastectomie. Objectif. De démontrer que la physiothérapie et le conseil psychologique améliorent le processus de rééducation, en évaluant et en traitant les altérations posturales et le lymphoedème et en réduisant le niveau de détresse et d'anxiété. Méthodes. Il s'agit d'une étude prospective sur vingt patientes avec un cancer du sein âgées de 32 à 65 ans, réparties en 2 groupes égaux. Le groupe d'étude a subi une évaluation et une intervention physiothérapeutiques et psychologiques, avant (pour les altérations posturales, l'état émotionnel) et après la mastectomie ABSTRACT Introduction. Although many patients recover functionally, breast cancer and mastectomy have physical and psycho-emotional impact on the quality of life. To avoid errors and biases, reduce emotional distress and help postoperative recovery, physiotherapeutic and psychological assessments before and after mastectomy are needed. The objective of the study was to demonstrate that physiotherapy and psychological counseling enhance the rehabilitation process, by assessing and treating the postural alterations and lymphedema and reducing the level of distress and anxiety. Material and methods. We performed a prospective study on 20 patients with breast cancer, aged 32-65 years, divided into two equal groups. The study group undergone physiotherapeutic and psychological assessment and intervention, before mastectomy (for postural alterations, emotional status) and after mastectomy (for lymphedema, limited arm movements, anxiety, depression, hopelessness, acceptance). None of the patients in the control group presented to physiotherapeutic and psychological assessment before mastectomy. After surgery, all were assessed by a
Journal of Pharmaceutical Research International
Background: The most commonly identified cancer is breast cancer. In either the lobules or the breast ducts, the cancer normally grows. Infiltrating ductal carcinoma is the most common subtype. It may appear as a lump or mass; changes in the skin or nipple; breast rash or redness; or lymphadenopathy. Presenting Complains and Investigations: the patient presented with the complains of swelling and pain in the left breast in lower outer quadrant since 6 months, which was initially small in size and gradually increased and reached up this level 2x2 cm which placed in infra areolar region covering lower inner and outer quadrant. USG and cytology reports showed bilateral breast with axilla. Right breast was normal, enlarged lymph node in the right axilla measuring 15.2 x 4.6 mm with maintained hilum S/O reactive lymphadenopathy. In left breast there is E/O ill-defined taller than wider irregular hypoechoic lesion with spiculated margins, measuring approximately 15.9 x 12.4 mm in lower i...
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.