ObjectiveBreast cancer treatment, including radical surgery, is also pursued as late as the 7th - 8th decade of women’s lives. Standard physical rehabilitation procedures offered to those women are predominantly focused on attenuating specific functional deficits of the upper limb and trunk. Seldom do they entail any regimens specifically aimed at recovering overall functionality, and reducing exposure to falls-risk.The study aimed to assess potential interrelationships between the self-reported falls, individual functional capabilities and appreciably reducing exposure to falls-risk in a group of post-menopausal, post-surgical breast cancer survivors.MethodsThe study recruited 102 women (aged 65–79; mean age 70.2), post-surgical breast cancer survivors. The subjects were stratified by age into three groups: Group 1 (65–69 years); Group 2 (70–74 years), and Group 3 (75–79 years). Individual functional capabilities were assessed with Eight-foot up & go test (8UG), chair stand test (CST), and 2-minute step test (2ST). Tinetti POMA test was applied to assess gait and balance disorders. Self-reported falls in the past year were ascertained through a questionnaire.ResultsAssessment of individual aerobic endurance (2ST) also demonstrated a clear deficit in the mean scores category in all respective age sub-groups, as compared against the reference values. The deficits ranged from 4.86 to 15.90 steps less than the normative values; the oldest subjects demonstrating the largest deficit. The aerobic endurance tests results significantly impacted the ultimate assessment of an individual falls-risk in the oldest group. The analysis of the number of falls sustained within the recent year indicated that 43.67% of the subjects fell victim of such incidents.ConclusionAn individual exposure to falls-risk was found to be appreciably more dependent upon individual aerobic endurance rather than overall strength of the lower part of the body in the breast cancer survivors over 75.
Lymphoedema is a serious problem in patients treated for malignant neoplasm. The removal of regional lymph nodeslymphadenectomy-is an inherent consequence of the surgical treatment of malignant neoplasm of breasts, genitals, prostate, skin cancer, salivary glands cancer and many others. The basic methods of conservative treatment of this chronic disease include complex methods of physiotherapy. The aim of this study is to present the rules of rehabilitation of patients treated for lymphoedema, which have been adopted by the team of the Department of Rehabilitation in the Holycross Cancer Centre in Kielce. This paper presents complex methods of physiotherapeutic management and discusses their availability and practical application in Polish health care institutions. Streszczenie Obrzęk limfatyczny stanowi poważny problem wśród pacjentów leczonych z powodu nowotworów złośliwych. Usunięcie regionalnych węzłów chłonnych-limfadenektomia, jest nieodłącznym skutkiem operacyjnego leczenia m.in. nowotworów złośliwych gruczołu piersiowego, narządów płciowych, prostaty, skóry, ślinianek. Do podstawowych sposobów leczenia zachowawczego tej przewlekłej choroby należą kompleksowe metody fizjoterapeutyczne. Celem pracy jest przedstawienie zasad usprawniania chorych leczonych z powodu obrzęków limfatycznych, jakie zostały przyjęte przez zespół Zakładu Rehabilitacji w Świętokrzyskim Centrum Onkologii w Kielcach. W pracy zaprezentowano kompleksowe metody postępowania fizjoterapeutycznego oraz omówiono ich dostępność i praktyczne zastosowanie w polskich placówkach służby zdrowia.
Around 40% of post-mastectomy women meet the requirements of general guideline recommendations of 150 minutes of moderate-intensity physical activity as a sufficient minimum for adults. However, Kyu et al. disagree with this concept in their systematic review of literature on energy expenditure, claiming it to be insufficient in breast cancer prevention. The aim of the present study is to determine which specific type of physical activity is most commonly pursued among postmastectomy women, as well as which type of exercise proves the most beneficial for those patients. One hundred and ten original papers were identified in all 4 research databases, out of which 8 were subjected to final evaluation. The exercise programs under evaluation comprised aerobic exercise (n = 4), muscle strengthening exercise (n = 2), and mixed aerobic and muscle strengthening activities (n = 2). Aerobic exercises were established as the most frequently pursued type of physical activity in post-mastectomy women. Presently, the task of credibly evaluating overall effectiveness of rehabilitation programs featuring different types of physical activities proves rather challenging, as there is still no consensus as to the actual methods of designing a set of uniformly structured evaluation tools to be applied by all investigators. StreszczenieOkoło 40% kobiet po mastektomii podejmuje wysiłek fizyczny o umiarkowanej intensywności trwający 150 minut w tygodniu. Kyu i wsp. stwierdzają w systematycznym przeglądzie literatury dotyczącym wydatku energetycznego, że normy te nie są wystarczające do zapobiegania nowotworowi piersi. Celem pracy była odpowiedź na pytanie, jaki typ aktywności fizycznej jest najczęściej stosowany przez kobiety po mastektomii oraz jaki typ treningu wydaje się przynosić najlepsze korzyści dla pacjentek. Znaleziono 110 oryginalnych prac w 4 bazach naukowych. Do ostatecznej analizy włączono 8 prac naukowych. Interwencje aktywności fizycznej u kobiet po mastektomii były wykonywane w programach aerobowych (n = 4), siłowych (n = 2) oraz mieszanych, aerobowo-siłowych (n = 2). Treningi aerobowe są najczęściej stosowaną formą aktywności fizycznej u kobiet po zakończonym leczeniu z powodu raka piersi. Brak spójnych narzędzi oceny efektywności programów zawierających różne typy aktywności fizycznej nie pozwala na jednoznaczne określenie, który z programów wydaje się najbardziej korzystny dla kobiet po zabiegach mastektomii.Medical Studies/Studia Medyczne 2018; 34/1 87 Effectiveness of specific types of structured physical activities in the rehabilitation of post-mastectomy women: a systematic review
The treatment of breast cancer requires intensive methods. Depending on the severity of the disease surgery, radiotherapy, chemotherapy, or endocrine therapy is applied. In most cases these methods are combined, thus increasing the chances of recovery, but also intensifying side effects. Until recently, physical activity was contraindicated in the treatment of malignant tumours. Currently, an increasing number of studies confirm the beneficial effect of physical activity on the physical and mental state of people after the treatment of malignant tumours. The paper presents selected studies showing the impact of physical activity on the physical fitness of women treated for breast cancer. The authors draw attention to the difficulty of comparing the results of physical activity due to the use of different questionnaires and different methods. Furthermore, the paper includes recommendations on forms of exercise indicated for cancer patients, as well as situations that require restrictions or constitute a contraindication for physical activity. StreszczenieLeczenie raka piersi wymaga zastosowania intensywnych metod. W zależności od stopnia zaawansowania choroby stosuje się leczenie operacyjne, radioterapię, chemioterapię, hormonoterapię. W większości przypadków metody te łączy się, co zwiększa szanse wyleczenia, ale także potęguje skutki uboczne. Jeszcze do niedawna wysiłek fizyczny był przeciwwskazany po leczeniu nowotworów złośliwych. Obecnie zwiększa się liczba badań, które potwierdzają korzystny wpływ aktywności fizycznej na stan fizyczny i psychiczny osób po leczeniu nowotworów złośliwych. W pracy przedstawiono wybrane badania ukazujące wpływ aktywności fizycznej na sprawność kobiet leczonych z powodu raka piersi. Autorzy zwracają uwagę na trudności związane z porównywaniem wyników aktywności fizycznej ze względu na stosowanie odmiennych kwestionariuszy i różnych metod. Przedstawione zostały również zalecenia dotyczące form ćwiczeń wskazanych dla pacjentów onkologicznych, a także sytuacje wymagające ograniczenia bądź będące przeciwwskazaniem do podejmowania aktywności fizycznej.
Introduction: It is estimated that 35-40% people over the age of 65 experience at least one fall per year; for those over the age of 80 this increases to 50%, and for residents of institutional care facilities, to 60%. Aim of the research: To evaluate the functional capacity and susceptibility to falling among women over 60 years of age, who had been treated for breast cancer. Material and methods: The study group comprised 173 women aged 61-85 years (mean: 68.75 years), all breast cancer survivors treated at the Holy Cross Cancer Centre in Kielce. Functional efficiency was measured using the Senior Fitness Test (SFT), and the falls-risk assessment was carried out using the POMA Tinetti test. An additional questionnaire was used to assess the anxiety associated with falls. The relationship between functional capacity and the falls-risk, and between the amount of medication used and the falls-risk, were also assessed. Results: In all SFT tests, the women had lower scores compared to the recommended standards. Medium and high falls-risk were reported in 27% of patients. Apart from an increase in falls-risk, the women reported poorer results in all physical fitness tests. An increase in the number of medications taken was associated with lower Tinetti test results. Conclusions: Women treated for breast cancer were exposed to a high falls-risk. The treatment management applied to women with breast cancer adversely affected their functional capacities. Furthermore, an increase in the amount of medication taken by post-mastectomy women resulted in a still higher exposure to falls-risk. Task-oriented, physical rehabilitation programmes should therefore promptly be introduced to address the problem of falls and resultant fractures among senior post-mastectomy women.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.