Kinematic disorders of the scapula in a group of women after mastectomy – a systematic review

Maciej Śliwiński, Paulina Ostrowska, Rita Hansdorfer-Korzon


Maciej Śliwiński, Paulina Ostrowska, Rita Hansdorfer-Korzon – Kinematic disorders of the scapula in a group of women after mastectomy – a systematic review. Fizjoterapia Polska 2022; 22(2); 150-167

Abstract
Background. Breast cancer is the most common neoplastic disease in the group of women. In terms of negative consequences of oncological treatment, disorders of the kinematics of the shoulder complex and coexisting disorders of motor control are also distinguished. Aim of the study. The aim of the study is to systematize information on motor disorders in terms of scapula kinematics in the area of the shoulder complex during upper limb elevation movements in the group of women after mastectomy. Methods. The systematic review is based on the search results of Science Direct, Ebsco, and PubMed. The systematic review was performed on the basis of PRISMA guidelines. Results. The analysis of the works showed the existence of disorders in the kinematics of the scapula in the group of women after mastectomy. In this group of patients, the scope of upwards rotation of the scapula during the elevation of the upper limb, its lowering, and functional movements was limited. Conclusions: The analysed articles indicate the existence of disorders of the scapula kinematics in the group of women after mastectomy. The obtained results indicate the necessity of implementing routine evaluation and motor re-education in the field of scapula kinematics disorders in the process of comprehensive rehabilitation in this group of patients.
Key words:
mastectomy, motor control, breast cancer
Pobierz/Download/下載/Cкачиваете Besplatno preuzmi članak na engleskom jeziku

The effectiveness of conservative methods of rehabilitation (PT) in treatment of lymphoedema after mastectomy operation

Dorota Hanasz-Sokołowska, Urszula Kaźmierczak, Wojciech Hagner, Magdalena Kaźmierczak

Dorota Hanasz-Sokołowska, Urszula Kaźmierczak, Wojciech Hagner, Magdalena Kaźmierczak – The effectiveness of conservative methods of rehabilitation (PT) in treatment of lymphoedema after mastectomy operation. Fizjoterapia Polska 2006; 6(1); 67-72

Abstract

Background. The aim of our research was to evaluate the effectivness of two methods of treatment of the lymphoedema after mastectomy operation. Method number 1 – classic method in treatment of lymphoedema after mastectomy operation. Treatment by using: lymphatic drainage, pneumatic massage, exercises in series 10/ 3 times a week. Method number 2 – complex methods that helps in restoration of patency: lymphatic drainage, pneumatic massage, exercises, bandaimy the upper limb, where lymphoedema appeared in series 10, 5 times a week. The examination aim was to evaluate subside of pain druing process of decreasing of lymphoedema. Material and methods. In our research we examinated patients with lymphoedema of upper limb after mastectomy operation, who were treated in Wojewódzkie Centrum Onkologii in Gdansk. Patients were devided into two groups of 15 patients each. In first group patients were treated in serie of 10, 3 times a week by classic method used: lymphatic drainage, pneumatic massage, exercises. In second group patients were treated by complex method of treatment, in series of 10, 5 times a week, by using classic treatment and adding the bandainy of upper limb, were lymphoedema appeared after operation. Results. Treatment of lymphoedema by using two methods had influence on our final results. Lymphoedema in group number 1, who were treated by classic method was located on level of forearm and elbow point. Lymphoedema in group number 2, who were treated by complex method was located over decvanon of vinov bone. Conclusions. Our research shows that conservative methods of rehabilitation had influence in process of decreasing lymphoedema, also helped to relieve pain in upper limb. The complex method is very effective treatment in lymphotic restor patency process.

Key words:
mastectomy, lymphoedema, rehabilitation
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

The influence of kinesiotaping applications on lymphoedema of an upper limb in women after mastectomy

Anna Lipińska, Zbigniew Śliwiński, Wojciech Kiebzak, Tomasz Senderek, Janusz Kirenko

Anna Lipińska, Zbigniew Śliwiński, Wojciech Kiebzak, Tomasz Senderek, Janusz Kirenko – The influence of kinesiotaping applications on lymphoedema of an upper limb in women after mastectomy. Fizjoterapia Polska 2007; 7(3); 258-269

Abstract
Background. Doctor Kenzo Kase is a creator of the method Kinesio Taping. In the course of years-lasting experiences he worked out a plas-ter called Kinesio Tex, which applied during therapy in the form of application affects a patient not only during a visit, but also after its finishing supporting autotherapy of an organism. The usage of the method of kinesiotaping at women after mastectomy influences on the decrease of oedema lymphatic and normalization of muscular tension. Material and methods. Researches were conducted in Rehabilitation Ward of Swiętokrzyskie Oncology Centre in the period from November 2006 to February 2007. The group consisted of 25 women at the age of 40 to 70 years old (the average of their age 55,16 years) treated because of breast cancer with oedema lymphatic. Every woman taking part in the experiment was subjected to kinesiotaping therapy. The research of measurement of oedema lymphatic, the muscular strength of indicated muscular structures as well as the range of movement in a humeral joint, elbow joint, wristradial joint were carried out in four series: before the first application (research I), before every next (research II, III) and after the last application (research IV). In the break between researches a patient was obliged to follow rules referring to behaviour after mastectomy. Results. Assessment of the efficiency of an upper limb at women after mastectomy shows that a 20 – day cycle of improving with the use of lymphatic applications of the kinesiotaping method considerably reduced oedema lymphatic which 24%, increases range of motion 20 % and normalization of muscular tension brings satisfactory therapeutic effects. Conclusions. Lymphatic applications accelerate lymphatic and venous microcirculation, reduces the stasis of lymph in intercellular spaces. Decrease of oedema contributes to the improvement of movement range in all joints of an upper limb and normalization of muscular tension con-tributing to the increase of muscular strengt.
Key words:
Kinesio Taping Method, lymphatic applications, mastectomy, lymphoedema
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Assessment of quality of life of post-mastectomy women from ‘Amazons’ Post-Mastectomy Women’s Club

Waldemar Andrzejewski, Krzysztof Kassolik, Monika Ochrymowicz, Katarzyna Pawłowska

Waldemar Andrzejewski, Krzysztof Kassolik, Monika Ochrymowicz, Katarzyna Pawłowska – Assessment of quality of life of post-mastectomy women from ‘Amazons’ Post-Mastectomy Women’s Club. Fizjoterapia Polska 2008; 8(1); 51-64

Abstract
Background. Post-mastectomy women are pessimistic about their life owing to a number of adverse changes in the upper limb and shoulder girdle on the operated side and the possibility of mental disturbances caused by a fear of disability, cancer relapse or death. Following a radical mastectomy, women indeed lead a stressful life. The stress may by caused by uncertainty about the efficacy of the treatment, cancer relapse anxiety, physical disability (limitation of motor function, lymphedema, decrease in musclepower), breast loss (half-woman complex), personal, family =, professional, and postoperative sequelae-related problems. All the above-mentioned situations have a deleterious effect on the women’s psyche, which is dominated by fear of disability and death, anxiety, about their future life in society and family, meticulous analysis of their own medical case, distrust of medical staff, exaggerated sensitivity and reactions to the behaviour of those around them and everyday problems. The aim of this study was to assess the quality of life of post-mastectomy women.Material and method. The study group consisted of thirty women after mastectomy from the ‘Amazons’ Post-Mastectomy Women’s Club in Wroclaw. The patients filled in a sixty-question inquiry form. Conclusions. According to subjective evaluation, breast amputation was followed by different degrees of deterioration of the quality of life for the majority of the patients (82% of the study group). Mastectomy forced the women to give up active ways of spending their free time, which were replaced by passive pursuits, and to completely abandon some of their housework.
Key words:
mastectomy, quality of life, Post-Mastectomy Women’s Club – ‘Amazons’
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

The influence of systematic physiotherapy on upper limb function in post-mastectomy women

Ewa Puszczałowska-Lizis, Paweł Lizis

Ewa Puszczałowska-Lizis, Paweł Lizis – The influence of systematic physiotherapy on upper limb function in post-mastectomy women. Fizjoterapia Polska 2011; 11(1); 41-48

Abstract
The aim of this paper was to evaluate the effect of physiotherapy on upper limb function in post-mastectomy women. Thirty-three women attending the Amazons Post-Mastectomy Women’s Club at the Holy Cross Cancer Centre in Kielce were examined on two occasions at three months’ interval. The participants were divided into Group I of 15 patients regularly attending rehabilitation and Group II of 18 patients practicing rehabilitation occasionally. Bilateral measurement of the angular range of motion in the shoulder was the basic method of assessment. A shoulder range of motion of the upper limb on the operated side smaller by more than 10° in relation to the opposite limb was regarded as ROM limitation. Upper limb circumferences were also measured at 10 cm above and below the lateral humeral epicondyle and in the central metacarpus excluding the thumb to an accuracy of 1 mm. Circumferences of the upper limb on the operated side greater by more than 2 cm compared to the opposite limb were regarded as lymphoedema. Our evaluation of statistical significance of correlations between qualitative parameters (influence of rehabilitation on limitation of the shoulder range of motion and incidence of lymphoedema) relied on the non-parametric Chi-square test (χ²).There was a statistically significant correlation between regular rehabilitation practice and the shoulder range of motion and persistence of upper limb lymphoedema on the mastectomy side.Physiotherapy improves ROM and effectively prevents deterioration of upper limb lymphoedema in post-mastectomy women.
Key words:
breast cancer, mastectomy, shoulder joint, range of motion, lymphoedema
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Effect of Scapular Stabilization Exercises versus Mulligan Technique on Shoulder Kinematics and Postural Changes Post Mastectomy

Ahmed Abdallah Sary, Adel Abdel Hamid Nossier, Yasser Elkerm, Hany Mohamed Elgohary

Ahmed Abdallah Sary, Adel Abdel Hamid Nossier, Yasser Elkerm, Hany Mohamed Elgohary
– Effect of Scapular Stabilization Exercises versus Mulligan Technique on Shoulder Kinematics and Postural Changes Post Mastectomy. Fizjoterapia Polska 2021; 21(2); 198-203

Abstract
Objective. To evaluate the effects of scapular stabilization exercises versus Mulligan technique when compared with traditional physical therapy on post-mastectomy shoulder kinematics and body posture. Design. Randomized controlled trial. Participants. Female patients who were suffering from limitation in shoulder joint motion (abduction and flexion less than 120°), forward head posture and shoulders height asymmetry post mastectomy. Interventions: The participants were assigned randomly in 3 different groups: 1- Group (A) scapular stabilization exercises group includes 20 patients received strengthening, scapular stabilization and postural exercises plus a traditional rehabilitation program, 2- Group (B) Mulligan technique group includes 20 patients received Mulligan mobilization with movement for shoulder joint and cervical sustained natural apophyseal glides plus a traditional rehabilitation program. 3- Group (C) Control group includes 20 patients received traditional physical therapy only. Main Outcome Measures. Shoulder range of motion (ROM) procedures included measurement of flexion, and abduction active range of motion and posture assessment procedure of cervical angle and acromions’ horizontal alignment. They were evaluated at the beginning and after 6 weeks of training. Results. All groups showed significant difference in shoulder range of motion (flexion and abduction), there was high percent of clinical improvement in favor of group B compared to the other groups. There was significant increase of cervical angle at post treatment only in group A and no significant difference in group B and C. There was significant reduction in acromions’ horizontal alignment in group A and B only and the greatest improvement was in group A compared to group B and C and in group B compared to C. Conclusions. Both scapular stabilization exercises and Mulligan technique are considered successful treatment for shoulder AROM limitation post-mastectomy, while Mulligan technique is better. Regarding forward head position and asymmetrical scapular height post mastectomy, scapular stabilization is considered more effective for improving these postural deviations.
Key words:
scapular stabilization exercises, Mulligan technique, shoulder kinematic, postural changesmastectomy
Pobierz/Download/下載/Cкачиваете Besplatno preuzmi članak na engleskom jeziku

Long-term evaluation of selected parameters of shoulder girdle and quality of life in post-mastectomy women

Aneta Bac, Anna Jędrzejewska, Renata Woźniacka, Edward Golec

Aneta Bac, Anna Jędrzejewska, Renata Woźniacka, Edward Golec – Long-term evaluation of selected parameters of shoulder girdle and quality of life in post-mastectomy women. Fizjoterapia Polska 2011; 11(3); 261-272

Abstract
The purpose of the above study was to evaluate the quality of life and the type of late postoperative complications in women after breast cancer surgery. The research group consisted of 30 women who underwent treatment for breast cancer. The women were members of the “Amazons” Post-Mastectomy Women’s Club in Tarnów (50%) and in Kraków (50%). The questionnaire dealt with the quality of life and health and was based on the EORTC QLQ-30 questionnaire. The examination chart determined the range of active movement in the joints of the shoulder girdle, limb circumference, potential contracture of the pectoral muscles, measurement of muscle strength and hand strength. The quality of life in the examined women who underwent mastectomy did not change dramatically. In the research group, the range of movement in the shoulder joint on the side of the operated breast became limited in all directions and similarly, the strength of the analyzed muscles decreased. The upper limb lymphoedema was registered in half of the examined women. Pain and sleep disorders were the two postoperative complications that most strongly affected the quality of life in post-mastectomy women.
Key words:
breast cancer, Mastectomy, Quality of Life, shoulder girdle
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Comprehensive draining therapy in the treatment of lymphoedema in women after mastectomy

Marek Woszczak, Katarzyna Syrewicz, Iga Woźniak, Łukasz Goździewicz, Katarzyna Bogacz, Karolina Kossakowska

M. Woszczak, K. Syrewicz, I. Woźniak, Ł. Goździewicz, K. Bogacz, K. Kossakowska – Comprehensive draining therapy in the treatment of lymphoedema in women after mastectomy. Fizjoterapia Polska 2019; 19(4); 28-40

Abstract
Introduction. Breast cancer is one of the most dangerous malignancies tumor, and the incidence of this disease is still growing. As a result of treatment and related removal or impairment of lymph node structure, a frequent complication is lymphoedema. There are many methods of treatment, however, the most recommended and currently the most effective is a complex decongestive therapy.
Purpose of this study. The aim of the study was to evaluate the effectiveness of complex decongestive therapy, its influence on the reduction of lymphoedema and the improvement of mobility and strength of the upper limb.
Materials and methods. The study was conducted on a group of 60 women after unilateral mastectomy at the Świętokrzyski Oncology Center in Kielce. The examined patients were divided into two groups: research and control. In the study group consisting of 30 women, KFTU treatments were performed, while other rehabilitation procedures were performed. The therapeutic cycle lasted 10 days. At the beginning and at the end of the treatment, the change in pain severity was assessed on the VAS scale and the range of motion was measured using the goniometric method, the limb circumferences were measured with a centimeter tape and SUR was measured using a dynamometer.
Results. In both groups, after the end of the therapy, all parameters were improved, but in the research group where a complex decongestive therapy was used, the effect was more noticeable. In the study group there was a significant decrease in pain sensation, decreased limb circumference and visible improvement in strength and range of motion.
Conclusions.The use of both methods of treatment brings effects in the form of reduction of lymphatic edema, however, a complex decongestive therapy is a more effective method of improvement.

Key words:
mastectomy, comprehensive draining therapy, lymphoderma

 

 

Pobierz/Download/下載/Cкачиваете Besplatno preuzmi članak na engleskom jeziku

Porównanie obwodów kończyn górnych u kobiet po radykalnym leczeniu raka piersi korzystających i nie korzystających z wczesnej profesjonalnej rehabilitacji

Elżbieta Niedbała, Leszek Kołodziejski

E. Niedbała, L. Kołodziejski – Porównanie obwodów kończyn górnych u kobiet po radykalnym leczeniu raka piersi korzystających i nie korzystających z wczesnej profesjonalnej rehabilitacji. FP 2013; 13(4); 37-43

Streszczenie
Usunięcie układu chłonnego pachy podczas radykalnej amputacji piersi (RAP) utrudnia odpływ chłonki z kończyny górnej i może powodować obrzęk limfatyczny kończyny górnej (OLKG). Celem badania było porównanie obwodów kończyn górnych u kobiet po radykalnym leczeniu raka piersi (RP) korzystających i nie korzystających z wczesnej profesjonalnej rehabilitacji. Materiał i metody. Badaniem objęto 146 członkiń klubów Amazonka poddanych jednostronnej RAP sposobem Maddena w latach 2002-2009. 71 pacjentek z województwa małopolskiego (grupa M) operowano w Centrum Onkologii w Krakowie i 75 z województwa świętokrzyskiego (grupa Ś) operowano w Świętokrzyskim Centrum Onkologii w Kielcach. U wszystkich stosowano jednakowe standardowe postępowanie onkologiczne. Jedyną znaczącą różnicą między ośrodkami leczącymi był sposób prowadzenia wczesnej rehabilitacji chorych. W grupie M prowadziły ją przeszkolone pielęgniarki i wolontariuszki klubu Amazonka a chore kontynuowały samodzielnie ćwiczenia w domu. W grupie Ś zawodowi fizjoterapeuci prowadzili kompleksową rehabilitację w warunkach stacjonarnych. U wszystkich kobiet uzyskano dane dotyczące wieku, przebytego leczenia i rehabilitacji oraz wykonano pomiary obwodów obu kończyn górnych. Kobiety obu grup (M i Ś) porównano pod względem cech populacyjnych, przebytego leczenia oraz obwodów kończyn górnych i występowania OLKG.
Wyniki. Pomimo znaczącej różnicy w prowadzeniu wczesnego usprawniania pacjentki z M i Ś nie różniły się znacząco wielkością obwodów kończyn górnych oraz występowaniem i wielkością OLKG po stronie RAP.
Wnioski:
1. U kobiet po radykalnej amputacji piersi poddanych wczesnej profesjonalnej i nieprofesjonalnej rehabilitacji, w późnym okresie obserwacji obwody kończyn górnych były podobne.
2. W obu grupach (M i Ś) odsetek kobiet z OLKG był niski.

Słowa kluczowe:
mastektomia, obwody kończyn górnych, obrzęk limfatyczny

Artykuł dostępny tylko w j. polskim

Assessment of life quality of women after mastectomy with consideration to physiotherapy process

Mateusz Curyło, Katarzyna Cienkosz, Agata Curyło, Piotr Wróbel, Magdalena Wilk-Frańczuk, Jan W. Raczkowski

M. Curyło, K. Cienkosz, A. Curyło, P. Wróbel, M. Wilk-Frańczuk, J. W. Raczkowski – Assessment of life quality of women after mastectomy with consideration to physiotherapy process. FP 2016; 16(3); 80-87

DOI: https://doi.org/10.56984/8ZG13C49A

Abstract
Purpose of this study. Evaluation of the patient’s life quality after operational treatment of the breast cancer – mastectomy, and determination of any correlation between made rehabilitation and participation in a support group.
Material and methods. The research was conducted using a questionnaire that included open and closed questions, it had 25 questions concerning patient’s condition before and after operation.
Results. Most women use physiotherapy (88%) and support offered by Amazon Clubs (88%). The most popular form of rehabilitation appeared to be kinesiotherapy (94%) and massage (70%). It was observed that the upper limb at operated side had reduced efficiency, after operation as good it was assumed only by 16% of total. Most women stated that their emotional condition had not changed after operation (32%) or slightly worsen (24%). None of the women declared lack of acceptance for their condition after amputation. As many as 48% did not seen any influence of the mastectomy on the quality of life, and for 36% the change was negative.
Conclusions. It may not be clearly stated if bigger influence on the self assessment of the quality of life has directly only physiotherapy or the Amazon Club that builds so important psychosocial relations, it proves complexity of the rehabilitation treatment. It is required to combine oncologic treatment with physiotherapeutic procedures and activity of social organizations, as all these aspects have beneficial influence on the women’s self-esteem after mastectomy.

Key words:
cancer, mastectomy, mammary gland, rehabilitation, life quality

Pobierz/Download/下載/Cкачиваете 免費下載(僅限英文版)