Tag: mastectomy

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
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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
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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
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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’
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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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进行乳房切除术后妇女的淋巴水肿全疏通治疗

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

摘要
简介。乳癌为最危险的恶性肿瘤之一，该疾病的发病率持续增加中。因治疗和与之相关的淋巴结结构去除或破坏后的最常见并发症为淋巴水肿，改善状况的方法之一为实施综合疏通治疗（KTU）。
研究目的。该研究的目的在评估综合疏通治疗疗效，及其对淋巴水肿和活动性与紧握力的影响。
材料与方法。该实验在克尔采的圣十字肿瘤中心进行，对象为进行单侧乳房切除术后的60名妇女，她们被分入实验组和对照组两组。实验组中的30名女性接受KTU疗程，而另一组则接受改善治疗。疗程持续10天，在改善治疗前后以测角术测量运动范围，并以厘米胶带评估四肢周长并使用测力计测量SUR。
结果。疗程结束后两组的研究参数均获改善，然而实施综合疏通治疗的组效果更为明显，实验组的四肢周长缩小且紧握力及活动范围均有改善。
结论。所使用的两种治疗方法都能有效减少淋巴水肿，然而综合疏通治疗KTU为更有效的治疗方法。

关键词：
乳房切除术、综合疏通治疗、淋巴水肿

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Comparison of circumference of women’s upper limbs after radical breast amputation subjected and not subjected to early professional rehabilitation

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

Abstract

Removing the lymphatic system of the armpit during the radical mastectomy hinders the outflow of lymph from the upper limb. Aim of the work. The aim of this report is to compare the circumference of women’s upper limbs post-surgical breast cancer undergone to early professional and unprofessional rehabilitation. Material and methods. A group of 146 members of Amazon Club subjected to radical breast amputation by Maddens methods between 2002-2009, have been evaluated. 71 patients from Malopolska (M group) were operated on in the Oncological Centre of Krakow (OCK) and 75 from Świętokrzyskie (Ś group) were operated on in the Świętokrzyskie Oncological Centre in Kielce (SCO). For all the patients the same, standard oncological procedures were used. The only significant difference between the medical centres was the method of conducting early post operative rehabilitation. In the M group it was conducted by trained nurses and volunteers of Amazon Club and the patients continued their exercises on their own at home. In Ś group a complex rehabilitation in the stationary conditions was conducted by professional physiotherapists. Data of all the women have been obtained including the patients’ age, past treatment and rehabilitation or the circumference of upper limbs were done. Women from both groups (M i S) were compared regarding antropometric features, past treatment and circumference of upper limbs and development of lymphedema. Results. In spite of the considerable difference in the method of early postoperative rehabilitation the patients from M i S did not differ significantly as regards circumference of their upper limbs, occurrence and volume lymphedema on the operated side.
Conclusions:
1. At women after radical mastectomy subjected to the early professional and unprofessional rehabilitation, in the late period of observation, the circumference of their upper limbs were the similar.
2. In both groups M i S the percentage of women with lymphedema was low.

Key words:
mastectomy, circumference upper limbs, lymphedema

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

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