Background: After breast cancer treatment, many complications are seen in breast cancer survivors (BCS). In that musculoskeletal dysfunctions are common. These dysfunctions are one of the common sources of pain and disability. A recent study states that extreme pain after breast cancer treatment is often. Severe pain can be a source of a lot of limitations and psychological distress. Before the time assessment and rehabilitation can be inserted to reduce pain level, improve strength and mobility which will be helpful in minimize restrictions in daily living and improve quality of life (QOL). The objectives of the study were as follows: To determine the prevalence of myofascial dysfunctions in BCS. To study the association of myofascial dysfunctions and demographic variables in BCS. Methods: A total of 74 females who underwent breast cancer surgeries along with chemotherapy or radiotherapy or hormone therapy, were included based on inclusion criteria. Subjects were assessed for pectoralis tightness, postmastectomy pain syndrome (PMPS), rotator cuff diseases, adhesive capsulitis, lymphedema and axillary web syndrome (AWS) by using Visual Analogue Scale (VAS), Musculoskeletal Assessment and pectoral tightness test. Results: Primary outcomes used for the result were Musculoskeletal Assessment, Visual Analogue Scale, posture Assessment, pectoral tightness test. The most common type of myofascial dysfunctions were Pectoral tightness (p= 0.1344), post-mastectomy pain syndrome (p=0.0116), rotator cuff disease (p= 0.1344), adhesive capsulitis (p= 0.9388) and axillary web syndrome (p= 0.9193) and the result was extremely significant. Conclusion:The major postoperative myofascial dysfunctions above the age of 50 years are pectoralis tightness, rotator cuff, and then by adhesive capsulitis and that of below 50 years was adhesive capsulitis followed by lymphedema and the by rotator cuff disease.
Breast cancer patients are managed with various surgical procedures such as radical mastectomy (RC), modified radical mastectomy (MRM) and breast conserving surgery (BCS) (De GRoef A et al., 2016). Axillary lymph node dissection (ALND), another method is commonly employed as a procedure for diagnosing and treating positive lymph nodes.However, several consequences may develop after breast surgery, ALND, radiation and chemotherapy, such as axillary web syndrome, frozen shoulder, numbness,
Background: To study and analyse the spinal dysfunction in breast cancer survivors with lymphedema. Methods: This study was carried out by analysing total 116 breast cancer survivor women, who were having lymphedema. Out of 116 subjects, 39 undergone radical mastectomy (RM), 39 undergone modified radical mastectomy (MRM) and 38 undergone breast conserving surgery (BCS). Thesesubjects were assessed for spinal function bytaking range of motionusing goniometer, lymphedema measurement usinginch tape, spinal stability test and functional rating index. Results: The spinal range of motion wassignificantly reduced in patients suffering from lymphedema in breast cancer survivors. The strength and endurance were significantly reduced in abdominals, extensors and lateral muscles of spine. There wasmarked effect seen on quality of life of patients assessed by using functional rating index due to spinal dysfunction in lymphedema patients. Conclusion: This study showed that there is statistically significant spinal dysfunction caused due to lymphedema in breast cancer survivors.
Breast cancer survivors faced challenges even during before COVID-19 era. During the pandemic era of COVID-19, breast cancer survivors represent a vulnerable population to various health problems, Psych-social disturbances and long term morbid consequences. The Indian Health care system is not fully prepared to deliver appropriate and quality care to non-COVID patients. The structural barriers to care are results in a pitiable condition, particularly for survivors living in rural areas. We reviewed the literature on cancer survivorship, Indian resources available and the challenges faced by breast cancer survivors. The current guidelines, standard operating procedures (SOP), Health care policies by Indian central government, state public health departments, non-government organisations, cancer treatment and research centres were analysed by data abstraction sheet. Multiple health governing agencies displayed general recommendations to modify the delivery of health care to minimise patient exposure to the virus. Minimal and limited health care resources are available for Breast Cancer survivors. As this pandemic continues the scientific evidence are expected regarding more specific recommendations and guidelines for survivorship care. Immediate efforts are required for addressing the needs of breast cancer survivors at present the development and implementation of policies for survivorship care. It is essential to implement interventions and policy for breast cancer survivors to mitigate the effects of this pandemic.
Background: Breast surgery, Axillary Lymph Node Dissection (ALND), radiation and chemotherapy may develop several complications such as axillary web syndrome, frozen shoulder, numbness, shoulder pain and range of motion restriction, lymphostasis, and lymphedema. Up to 77% report sensory disturbance in the breast or arm after breast surgery. These short-and long-term consequences have dramatic impact on physical function and quality of life in this population. Aims: The aim of the study was to determine the effect of neural tissue mobilization on sensory-motor impairments in breast cancer survivors with lymphedema. Subjects and Methods: This study was carried out by analyzing total 100 breast cancer survivor women, with lymphedema aged between 30-65 years of age who had undergone breast surgery mostly lumpectomy along with chemotherapy or radiation therapy. Participants were divided into two groups by random allocation. One group underwent neurodynamic mobilization and the other group conventional physiotherapy.The treatment protocol was given for 6 weeks. Parameters such ROM, pain, lymphedema and sensory-motor impairments were assessed at the baseline before the treatment and 6 weeks after the treatment. Result:The result from this study shows that there is significant improvement (p<0.0001, t-value 4.69) in mTNS of patients undergoing neural tissue mobilization,whereas there was no significant improvement (p=0.05, t-value 1.951) seen in patients undergoing conventional physiotherapy. Conclusion: This study concludes that effect of neural tissue mobilization has significant impact on sensory motor impairments as compared to conventional treatment protocol in breast cancer survivors with lymphedema.Pain and ROM showed similar difference with both the treatment protocols. It was also observed that patients with mild and moderate lymphedema showed significant improvement as compared to patients with severe lymphedema.
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