Tag: breast cancer

乳腺癌手术后的运动益处——叙述性综述

Mahalakshmi Venugopalan, Divya Varshini R, Ramamoorthy Veyilmuthu, C.K.V. Bhuvaneswari

Venugopalan, Divya Varshini R, Ramamoorthy Veyilmuthu, C.K.V. Bhuvaneswari – Exercise benefits following breast cancer surgery – a narrative review –  Fizjoterapia Polska 2024; 24(4); 392-395

DOI: https://doi.org/10.56984/8ZG01A8Z9Y3

摘要
乳腺癌是女性中最常见的癌症之一。乳腺癌手术后的治疗常会导致许多并发症。术后立即进行运动在预防术后并发症方面发挥了重要作用。预防并发症有助于提高女性的生活质量。尽管女性普遍认为在治疗后进行锻炼有一定难度，但运动带来的正面效果很多。本研究旨在分析运动，尤其是抗阻运动在预防继发性淋巴水肿（SL）中的各种效果，并强调运动在化疗期间和之后的益处。研究对PubMed、Clinical Key和Google Scholar上的文献进行了检索。研究显示，对于乳腺癌术后康复的女性，抗阻运动无论单独进行还是与有氧运动结合，均是安全且有效的。这些运动提升了上肢力量，增加了耐力，减少了脂肪组织，缩小了腰围和臀围，增加了瘦体重，改善了心血管健康，增强了自尊，减轻了抑郁。患有乳腺癌相关性淋巴水肿的女性在进行深呼吸与上肢运动结合的锻炼后，疼痛有显著改善。运动有助于减轻化疗的负面影响，并有助于克服与癌症相关的疲劳。建议将适度强度的上肢抗阻运动与常规的活动范围运动和有氧运动相结合，作为乳腺癌手术后女性的运动处方的一部分，从而帮助她们获得更好的生活质量。

关键词：乳腺癌, 淋巴水肿, 抗阻, 运动, 呼吸, 化疗

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肩胛骨和肩部强化练习对预防上肢淋巴水肿的影响

Mahalakshmi Venugopalan, Ramamoorthy Veyilmuthu, Divya Varshini R, C.K.V. Bhuvaneswari

Mahalakshmi Venugopalan, Ramamoorthy Veyilmuthu, Divya Varshini R, C.K.V. Bhuvaneswari – Effect of scapular and shoulder strengthening exercises on prevention of upper limb lymphedema – a pilot study –  Fizjoterapia Polska 2024; 24(4); 124-128

DOI: https://doi.org/10.56984/8ZG01A8M9N5

摘要

背景. 女性中最常见的癌症类型是乳腺癌。根据印度医学研究委员会（ICMR, 2019）发布的报告，全国每年约有15万新发乳腺癌病例，其中约7万人因乳腺癌去世。在乳腺癌手术过程中切除淋巴结可能导致术后出现继发性淋巴水肿（SL）。
目标. 本试点研究旨在通过强化肩胛骨和肩部肌肉力量、增加肩部活动范围，预防上肢淋巴水肿的发生，减少肩部疼痛和功能障碍，改善接受乳腺癌手术女性的生活质量。
方法. 本研究根据纳入和排除标准，共纳入了10名患者，平均年龄49.9 ± 8.6岁，平均体重指数（BMI）为28.4 ± 3.9。患者被随机分配至干预组（A组，n = 5）和常规组（B组，n = 5）。干预组在常规训练基础上进行了肩胛骨和肩部肌肉的强化练习，而常规组仅进行了常规训练，为期12周。
结果. 通过独立样本t检验对两组的各项结果变量的平均变化得分进行分析。
讨论. 上臂围度测量、肩部疼痛、功能障碍和生活质量在两组之间表现出显著差异（p < 0.05），而肩部活动范围、肌肉力量和臂部体积则没有显著差异，这表明这些参数的改善可能需要长期持续的锻炼。
结论. 长期强化锻炼将有助于改善乳腺癌手术后女性的肩部活动范围、臂部体积和肌肉力量。因此，建议将强化锻炼作为乳腺癌康复方案的一部分，以预防继发性淋巴水肿和其他术后并发症。

关键词
乳腺癌, 淋巴水肿预防, 肩部强化, 康复练习

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The prevalence of sleep disorders in women treated for breast cancer – a preliminary report

Anna Słupik, Katarzyna Zięba, Agnieszka Kwiatkowska, Hanna Tchórzewska, Dorota Szczęśniak, Dariusz Białoszewski

Anna Słupik, Katarzyna Zięba, Agnieszka Kwiatkowska, Hanna Tchórzewska, Dorota Szczęśniak, Dariusz Białoszewski – The prevalence of sleep disorders in women treated for breast cancer – a preliminary report. Fizjoterapia Polska 2007; 7(2), 179-184

Abstract

Background. Women treated for breast cancer tend to assess their sleep quality as poor. This paper presents the preliminary results of a study undertaken to assess the quality and type of sleep disorders in this group of patients. Material and methods. The study group consisted of 23 women aged 41-69 treated at the Centre of Oncology in Warsaw, Poland. The patients had undergone breast cancer surgery 4 weeks to 1 year before the beginning of the study. The control group involved 37 women without a history of cancer. The abridged version of the Pittsburgh Sleep Quality Index (PSQI) was employed. Results. Mean PSQI scores were 7.3 in the study group and 4.5 in the control group. The study group scored higher on five domains of the index (1, 2, 4, 5 and 6). There was no statistically significant relationship between sleep disorders and the patients’ age or the length of time since surgery. Conclusions. 1. Sleep disorders were more common in the study group, which can be attributed to the treatment and its side effects. 2. Sleep disorders can impair the quality of life and should therefore be treated. 3. Further studies of the effect of treatment on sleep quality of patients treated for breast cancer seem advisable.

Key words:

breast cancer, sleep disorder, quality of sleep

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Trunk muscle function in post-mastectomy women participating in water exercise

Iwona Malicka, Justyna Matyszczak, Bernadeta Vavric, Magdalena Zakrawacz, Katarzyna Pawłowska, Agnieszka Chwałczyńska, Roman Hawro

Iwona Malicka, Justyna Matyszczak, Bernadeta Vavric, Magdalena Zakrawacz, Katarzyna Pawłowska, Agnieszka Chwałczyńska, Roman Hawro – Trunk muscle function in post-mastectomy women participating in water exercise. Fizjoterapia Polska 2008; 8(2); 153-160

Abstract
Background. The aim of this study was to examine the effect of water exercise on muscular function in the sagittal plane in women following mastectomy. Material and method. The post-mastectomy women were divided into 2 groups. Group 1 consisted of 19 women participating in a programme of water exercise. The mean age was 60.2 years, with a mean height of 158 cm and mean weight of 76.2 kg. Group 2 (controls) consisted of 13 women participating in gym-based exercises. The mean age was 61.8 years, mean height was 155.6 cm and mean weight was 74.8 kg. All patients participated in two tests of trunk muscle function in the sagittal plane. A Biodex Multi Joint 3 system for isokinetic evaluations was used to measure peak torque, total work and power in the trunk muscles for the angular velocities of 60o/s and 120o/s. The examination was carried out twice: before and after the 6-month rehabilitation. Results. In Group I, a statistically, significant difference was found for the angular velocity of 60o/s in peak torque (extensors and flexors), total work and power (extensors only), and for the velocity of 120o/s there was a statistically significant increase in the peak torque of the extensor muscles. There were no statistically significant differences between the two tests in Group II.Conclusions. Regular water exercise helps to improve the strength and velocity of trunk muscles, with the extensors demonstrating a more pronounced effect.
Key words:
breast cancer, functional dynamometry, trunk, water exercises
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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
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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
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跑步机负重运动与电磁场对芳香化酶抑制剂继发骨质疏松症女性骨密度的影响：随机对照试验

Haidy Nadi Ashem, Amira Hussein Draz, Amr Almaz Abdel-aziem, Marwa Esmael Hasanin, Mohamed Abdelrahman

Haidy Nadi Ashem, Amira Hussein Draz, Amr Almaz Abdel-aziem, Marwa Esmael Hasanin, Mohamed Abdelrahman – Treadmill weight-bearing exercise versus electromagnetic field on bone mineral density in women with osteoporosis secondary to aromatase inhibitors: A randomized controlled trail. Fizjoterapia Polska 2019; 19(3); 138-143

摘要
背景和目的：对患乳癌的绝经后女性采芳香化酶抑制剂治疗与骨矿物质密度（BMD）降低有关，脉冲电磁场（PEMFs）和跑步机行走运动对骨质疏松症有正面效果。因此，本研究旨在评估以PEMFs和跑步机负重运动补充以芳香化剂治疗患骨质疏松症女性对腰椎BMD的影响。
方法。共45名以芳香化酶抑制剂补充治疗的骨质疏松症乳癌女患者被随机分成均等三组，对照组仅接受药物治疗（双膦酸盐、钙和维生素D），其他两组除了相同的药物治疗外还接受跑步机负重运动（跑步机运动组；30分钟/每次，3次/每周），和PEMFs（PEMFs组；30分钟/每次，3次/每周）。使用双能X射线（DEXA）干预治疗3个月前后评估脊椎骨的BMD。
结果。PEMFs组的后值明显高于跑步机运动组和对照组（分别为p= 0.002, 0.001），且跑步机运动组的后值明显高于对照组（p= 0.001），三组的后值均高于前值（p= 0.001）。
结论。跑步负重运动和PEMFs均可有效改善BMD，然而BMD 对PEMFs的回应要优于跑步机负重运动。

关键词：
骨矿物质密度、负重运动、脉冲电磁场、乳癌、芳香化酶抑制剂

 

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Possible applications of dynamic taping in women after the removal of lymph nodes because of breast cancer

Anna Lipińska, Magdalena Lipińska-Stańczak, Paweł Macek, Renata Szczepaniak, Sławomir Jandziś, Zbigniew Śliwiński

A. Lipińska, M. Lipińska-Stańczak, P. Macek, R. Szczepaniak, S. Jandziś, Z. Śliwiński: Possible applications of dynamic taping in women after the removal of lymph nodes because of breast cancer. FP 2015;15(4);16-31

Abstract
Introduction. In Poland and in the world breast cancer is the most frequent malignancy among women. Complications occurring after the applied therapy lower the quality of patients’ life. One of the many adverse effects of breast cancer treatment is lymphedema. Removal of lymph nodes and damage to lymphatic vessels make the transport of high-molecular proteins difficult, and at the same time, they have an influence on an increase in the colloid-osmotic pressure, water retention in the inter-tissue space, the loss of lymphatic vascular tone and reduction of the hydrostatic pressure. If not treated, lymphedema causes ailments in the form of recurrent inflammatory conditions of the skin, lymphatic vessels, which greatly reduces the patients’ psychophysical efficiency and promotes the development of lymphosarcoma of the upper limb on the side of mastectomy. One of the methods of lymphedema treatment is Kinesiology Taping. In Poland, the term dynamic taping is more and more frequently used. Application of this method causes that healing processes occur in the patient in a painless and natural way.
Aim. To present the possibilities of using lymphatic techniques of dynamic taping in women after mastectomy and to assess the impact of the applications on the secondary lymphedema.  The author decided to verify the main objective through the following research hypotheses:
1.Applications of dynamic taping reduce lymphedema in women after mastectomy.
2.Techniques of the Kinesiology Taping method influence the change of motion ranges in the joints of the upper limb.
Material and research methods. The study was performed in the Department of Rehabilitation of Holycross Cancer Centre in Kielce. The study group consisted of 73 patients after mastectomy diagnosed with secondary lymphedema of the upper limb. The volume of upper limbs was measured with the use of a measuring cylinder filled with water. Measurements of motion ranges in the joints of upper limbs were performed with the use of a goniometer.
Results and conclusions. Analysis of the results shows that the employed lymphatic applications reduce lymphedema, increase the range of motion in the joints of the upper limb on the operated side and promote healing processes, contributing to the improvement of physical efficiency and the quality of life.

Key words:
breast cancer, lymphedema, dynamic taping, Kinesiology Taping

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