Tag: mastektomia

Wpływ terapii falą uderzeniową na nerwoból międzyżebrowo-ramienny po mastektomii: randomizowane kontrolowane badanie

Rehab Mohamed Ismail, Mohamed Mahmoud Abd El Khalek Khalaf, Hossam Abd El Kader El Fol, Noha M. Kamel

Rehab Mohamed Ismail, Mohamed Mahmoud Abd El Khalek Khalaf, Hossam Abd El Kader El Fol, Noha M. Kamel – Effect of extracorporeal shock wave therapy on intercostobrachial neuralgia post mastectomy: A randomized controlled trial –  Fizjoterapia Polska 2025; 25(1); 282-288

DOI: https://doi.org/10.56984/8ZG007DPNQ0

Streszczenie
Wprowadzenie. Nerwoból międzyżebrowo-ramienny to neuropatyczny, przewlekły ból, który może wystąpić jako konsekwencja chirurgicznego leczenia raka piersi. Negatywnie wpływa on na funkcjonowanie fizyczne oraz jakość życia pacjentek. Jednak leczenie bólu neuropatycznego za pomocą terapii falą uderzeniową (ESWT) pomaga minimalizować te problemy.
Cel. Celem badania było zbadanie wpływu ESWT u pacjentek z rozpoznanym nerwobólem międzyżebrowo-ramiennym po mastektomii.
Materiał i metody. Prospektywne, jednoślepe, randomizowane kontrolowane badanie zarejestrowane w bazie badań klinicznych (NCT06452615) obejmowało 52 kobiety w wieku 40–65 lat cierpiące na nerwoból międzyżebrowo-ramienny po zmodyfikowanej radykalnej mastektomii. Pacjentki zostały losowo przydzielone do grupy badawczej (ESWT), która otrzymywała dwie sesje ESWT tygodniowo oprócz standardowego leczenia farmakologicznego, oraz grupy kontrolnej, która otrzymywała jedynie standardowe leczenie. Terapia trwała osiem tygodni. Do oceny intensywności bólu, bólu neuropatycznego (pierwszorzędowy wynik) oraz zakresu ruchu (ROM) w stawie barkowym (drugorzędowy wynik) zastosowano skalę wzrokowo-analogową (VAS), kwestionariusz Douleur Neuropathique 4 (DN4) oraz goniometr. Pomiarów dokonano na początku badania (przed leczeniem) oraz po 4 i 8 tygodniach terapii w obu grupach.
Wyniki. Obie grupy wykazały istotne zmniejszenie wyników VAS i DN4, a zakres ruchu w zgięciu i odwiedzeniu znacznie się poprawił        (p < 0,001) w fazie post-I i II w porównaniu do wartości wyjściowych. Porównanie między grupami wykazało istotne zmniejszenie wyników VAS i DN4 (p < 0,05), a także znaczną poprawę ROM w zgięciu i odwiedzeniu (p < 0,01) w grupie ESWT w porównaniu do grupy kontrolnej w fazie post-I i II.
Wnioski. ESWT może skutecznie poprawiać stan pacjentek cierpiących na nerwoból międzyżebrowo-ramienny po mastektomii.
Słowa kluczowe
terapia falą uderzeniową, nerwoból międzyżebrowo-ramienny, mastektomia
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完整的消肿疗法对上肢淋巴水肿后腕管综合症的影响

Sara Abd Elmohsen Ali El-Sayed, Haidy Nady Ashem, Yasser Mohammed Ahmed Abdelgwad, Mona Selim Mohamed Faggal, Khadra Mohamed Ali

Sara Abd Elmohsen Ali El-Sayed, Haidy Nady Ashem, Yasser Mohammed Ahmed Abdelgwad, Mona Selim Mohamed Faggal, Khadra Mohamed Ali – Effect of complete decongestive therapy on carpal tunnel syndrome post upper limb lymphedema –  Fizjoterapia Polska 2024; 24(3); 256-262

DOI: https://doi.org/10.56984/8ZG020AG0O

摘要:
目的. 评估CDT对上肢淋巴水肿后腕管综合症的治疗效果。
方法. 对60名年龄在40至60岁之间的女性CTS患者进行了随机对照试验。患者被随机分为两组：A组接受CDT和标准药物治疗，B组接受药物治疗和绷带包扎。测量的结果包括疼痛（视觉模拟评分）、上肢体积、握力和神经传导研究。
结果. 两组在治疗后所有测量结果中均显示出显著改善。然而，A组（CDT）在疼痛减轻、上肢体积减少、握力增加和神经传导方面的改善显著优于B组（药物治疗和绷带包扎）。
结论. 与单纯的药物治疗和绷带包扎相比，CDT显著改善了上肢淋巴水肿后CTS患者的治疗效果。建议在这些患者的标准护理中实施CDT，以提高生活质量和功能性结果。

关键词:
淋巴水肿, 乳房切除术, 腕管综合症 (CTS)

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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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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
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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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