Improvement of upper limb’s condition of women with post mastectomy syndrome with the help of problem-oriented program of physical rehabilitation

Abstract

Abstract. Purpose: to determine effectiveness of problem-oriented program of women's physical rehabilitation with post mastectomy syndrome in improvement of upper limb's functional state. Material: 50 women with early symptoms of post mastectomy syndrome at stationary rehabilitation stage, who underwent radical mastectomy by Madden were involved in the research. Testing of movement amplitude in shoulder joint, swelling of upper limb and muscular strength of hand's flexors was conducted on 2 nd day after surgery and at the end of stationary rehabilitation period (12-14 th day). Results: Main means of the authors' program were: general and special physical exercises; static and dynamic breathing exercises; breathing through preloaded lips, controlled coughing, autogenic drainage, manual pressing, manual vibration; post-isometric relaxation; elements of labor therapy; lymphatic drainage massage and self massage; topical talks; consultations; auto training. The trainings were conducted individually 2-3 times a day; 20-30 minutes every session. The patients' independent trainings included: fulfillment of therapeutic positions, self-massage, relaxation exercises and auto-training. Conclusions: application of problem-oriented physical rehabilitation program facilitates improvement of upper limb's functional potentials of women with post mastectomy syndrome.

The creation of programs of physical rehabilitation/therapy in musculoskeletal disorders

“…Окремі вчені створювали авторську програму з прицілом на досягнення мети і назвали її проблемноорієнтованою. За твердженням науковців «добиралися строго індивідуально засоби, форми і методи фізичної реабілітації, які найефективніше допоможуть вирішити завдання та досягти поставленої мети» [16]. З цитованого випливає, що заняття фактично проводилися не за однією, а різними програмами.…”

Impact of personality-oriented programs of physical rehabilitation on the heart rate variability in women with post-mastectomy syndrome

“…Previous research [23,24] has clearly shown that all patients who have undergone radical treatment for breast cancer have an extreme need for physical and psychological rehabilitation. However, the theoretical analysis of the available papers in the scientific literature suggests that the issues related to physical rehabilitation for patients with PMS have not been completely resolved.…”

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“…PMS is expressed in such symptoms as lymphostasis, weakening of muscular strength, restriction of movements' amplitude in shoulder joint, disordering of sensitivity, vegetative trophy disorders of upper limb and negative psycho-emotional effects. Advanced randomized researches (Carayol et al, 2012;Lin et al, 2012;Mehnert et al, 2011;Schmitz et al, 2012;Briskin & Odinets, 2015) clearly show that all of the patients, who underwent radical treatment for breast cancer, extremely needed physical and psychological rehabilitation, which adequate conducting not only contributes to a noticeable improvement in health and physical condition, but also significantly improves the quality of life. The stressful factors are the detecting of malignancy, the presence of public understanding of the absence of the recovery possibility, a high percentage of deaths, possible surgery, radiation and chemotherapy which are closely related to somatic discomfort (Smoot et al, 2009;Park et al, 2012;Rashid et al, 2012;).…”