scholarly journals Impact of Physiotherapy on Quality of Life and Arm Function after Breast Cancer Surgery in Women of Different Age

2020 ◽  
Vol 2 (9) ◽  
Author(s):  
Aušra Tvarijonavičienė
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Range Of Motion ◽  
General Health ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Range Of Motion ◽  
Arm Function ◽  
Shoulder Range

Breast cancer is the most common oncological disease among women. After breast cancer surgery women face various physical and psychosocial problems. They often suffer from arm lymphedema, poor posture, and pain. Side effects of breast cancer surgery can greatly affect general physical health and quality of life. To manage the problems it is necessary to apply rehabilitation. The most important part of rehabilitation is physiotherapy with the main aim of helping patients to recover and to achieve their maximum functional level (Hsieh et al., 2008). The aim of this study was to determine the impact of physiotherapy on differently aged women’s arm function after breast cancer surgery. The sample size of the survey was 40 women who were referred for post operative outpatient rehabilitation. The participants were divided into two age groups: I group – women aged 35–49 years (n = 20, average age 42 ± 4.30 yrs.); II group – women aged 50–64 years (n = 20, average age 56 ± 5.39 yrs.). Shoulder range of motion, arm circumference and pain were measured before and after 14 physiotherapy procedures, their general health state and quality of life were assessed as well. Shoulder range of motion increased, arm swelling and pain on the operated side decreased significantly in women of different age. General health status and quality of life after physiotherapy improved significantly both in younger and older women, but there were no significant differences between groups. After breast cancer surgery more than half of the women had psychological problems and were worried about their health in future, and less than half experienced body image problems and faced various social problems. Physical therapy was equally effective for both younger and older women.Keywords: physiotherapy, breast cancer, lymphedema, quality of life.

scholarly journals Accessory Joint and Neural Mobilizations for Shoulder Range of Motion Restriction After Breast Cancer Surgery: A Pilot Randomized Clinical Trial

2017 ◽  
Vol 16 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Irene de la Rosa Díaz ◽  
María Torres Lacomba ◽  
Ester Cerezo Téllez ◽  
Cristina Díaz del Campo Gómez-Rico ◽  
Carlos Gutiérrez Ortega
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Randomized Clinical Trial ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

scholarly journals Quality of Life and Recovery of Arm Function Applying Physiotherapy After Breast Cancer Surgery

2019 ◽  
Vol 1 (12) ◽  
Author(s):  
Jūratė Nagytė ◽  
Vilma Dudonienė
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Breast Conserving Surgery ◽  
Shoulder Range Of Motion ◽  
Affected Side ◽  
Hand Muscle ◽  
Shoulder Range

Research background. Breast cancer is the most common female malignancy. Different types of surgery are performed after assessing stage of the disease, tumour morphology, and other dimensions. Dysfunction of hand after surgery may affect physical, emotional and sexual function and quality of life more than body shape changes (Guan et al., 2012). The aim of this study was to evaluate the quality of life, shoulder range of motion, arm pain, circumference of arm, and hand muscle strength after breastconserving surgery after mastectomy. Methods. The study included 30 women, 15 of them were after breast conserving surgery, and 15 – after mastectomy. All subjects participated in the same physiotherapy program ‒ stretching and muscle strengthening exercises, shoulder girdle, neck and hand massage, lymph drainage massage (sleeve), transcutaneous electrical nerve stimulation (TENS). Duration of rehabilitation was two weeks. Quality of life, shoulder range of motion, arm pain and circumference, hand muscle strength of the affected side were measured before and after rehabilitation. Results. Regardless of the type of surgical intervention, the range of motion of shoulder flexion, extension and abduction in both groups after physiotherapy increased signifcantly, but for the patients who had undergone breast conserving surgery the ranges of motion were signifcantly higher (flexion – 163.20 ± 11,7°; extension – 48.53 ± 5.5°; abduction – 145.27 ± 13.6°) than for those who undergone mastectomy (flexion – 141.20 ± 13.2°; extension – 33.13 ± 4.9°; abduction – 130.33 ± 14.9°). It was found that circumference of the arm reduced significantly  in both groups, but comparing one group to another no signifcant differences were found. Pain intensity after physiotherapy in patients with mastectomy and patients who had undergone breast conserving surgery signifcantly decreased, but pain reduction was signifcantly higher in patients after breast conserving surgery (6.00 ± 1.1 points) compared to mastectomy group (3.67 ± 1.5 points). Muscle strength of hand of the affected side after physiotherapy increased signifcantly in both groups, but signifcantly more (up to 15.03 ± 2.1 kg) in patients after the breast conserving surgery compared to patients who had undergone mastectomy (up to 12.77 ± 2.0 kg). In addition, most of the functions of quality of life in patients who had undergone breast conserving surgery were signifcantly better than those in patients who had undergone mastectomy. Conclusions: 1. Regardless of the surgery type, shoulder range of motion and hand muscle strength increased signifcantly, and arm circumference and the pain reduced signifcantly after physiotherapy. 2. Shoulder range of motion and hand strength of the affected side were signifcantly higher while pain was signifcantly lower in patients who had undergone breast-conserving surgery compared to patients who had undergone mastectomy. 3. three components of the quality of life ‒ role, emotional and social functions – were signifcantly higher, but symptom scale scores were better in patients who had undergone breast-conserving surgery compared to those who had undergone mastectomy.Keywords: physiotherapy, breast cancer, mastectomy, breast-conserving surgery

Effect of Rapid Rehabilitation Concepts on Quality of Life and Pain in Patients Undergoing Radical Breast Cancer Surgery in Perioperative Period

2021 ◽  
Vol 7 (5) ◽  
pp. 1538-1544
Author(s):  
Xin Li ◽  
Hai-yan An ◽  
Yi Zhao ◽  
Mingli Ji ◽  
Jing An ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Perioperative Period ◽  
Nursing Intervention ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Control Group ◽  
T Lymphocyte Subsets ◽  
Significant Difference

To study the effect of rapid rehabilitation nursing on patients’ quality of life and pain level during the perioperative period of radical breast cancer surgery. Methods: 126 patients who were hospitalized in our hospital from January 2018 to February 2020 and underwent radical breast cancer surgery were divided into control group and rapid rehabilitation group according to the perioperative period intervention method. Routine nursing intervention and rapid rehabilitation nursing intervention were used respectively. The general conditions of the two groups were recorded, and the differences of T cell subsets before operation and 3 days after operation were detected. Visual analogue pain (VAS) score was used to evaluate the changes of pain degree at 1 day, 3 days and 5 days after operation and on the day of discharge. Postoperative complications and satisfaction were compared between the two groups. Quality of life (QOL) was assessed at 1 month and 3 months after operation using the CARES-SF score. Results: Anesthesia waking time (26.12 ± 5.77) min, off-bed activity time (14.25 ± 2.87) h and hospital stay (7.82 ± 2.15) d in the rapid rehabilitation group were shorter than those in the control group (P < 0.05). The operation time (92.02 ± 14.78) min and intraoperative blood loss (57.96 ± 13.96) mL in the rapid rehabilitation group were not significantly different from those in the control group (P > 0.05). In the control group, 3d after operation, T lymphocyte subsets were decreased gradually than that before operation (P < 0.05), CD3+ was decreased 3d after operation than that before operation in the rapid rehabilitation group (P < 0.05), but CD4+, CD8+, CD4+ / CD8 + 3d after operation had no significant difference than that before operation (P > 0.05). In rapid rehabilitation group, T lymphocyte subsets at 3d after operation were higher than those in the control group (P < 0.05). The postoperative complication rate of the rapid rehabilitation group was lower than that of the control group, and the satisfaction degree was higher than that of the control group, with significant difference (P < 0.05). After follow-up, it was found that the scores of qualities of life, such as physiology, psychosocial, marriage, sexual life and relationship with medical staff in the rapid rehabilitation group were lower than those in the control group at 1 month and 3 months after operation (P < 0.05). Conclusion: The concept of rapid rehabilitation nursing can stabilize the immune function of patients after radical breast cancer surgery, promote the postoperative rehabilitation and improve the quality of life after operation.

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