The sequelae of mastectomy and quadrantectomy with respect to the reaching movement in breast cancer survivors: evidence for an integrated rehabilitation protocol during oncological care

Paolucci, Teresa; Bernetti, Andrea; Bai, Arianna V.; Segatori, Lucia; Monti, Massimo; Maggi, G; Ippolitoni, Giovanni; Tinelli, Laura; Santilli, Valter; Paoloni, Marco; Agostini, Francesco; Mangone, Massimiliano

doi:10.1007/s00520-020-05567-x

Cited by 33 publications

(28 citation statements)

References 48 publications

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“…The physiotherapists tailored the rehabilitation to the patients' functional problems. A previously validated rehabilitation protocol was considered [28,29].…”

Section: Rehabilitative Treatmentmentioning

confidence: 99%

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

Paolucci

Saggino

Agostini

et al. 2021

IJERPH

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Background: Breast cancer survivors report negative impacts of cancer, augmented by specific vulnerabilities to body changes, negative self-assessment, and quality-of-life concerns. The main objective of our work was to test the effect of a rehabilitation program on breast cancer patients by evaluating the change in their physical well-being during an outpatient rehabilitation setting and, subsequently, in a home rehabilitation setting, considering the individual personality profile. Methods: Patients who underwent total mastectomy with breast prostheses or tissue expanders were enrolled. Outcome assessments (Pain, Quality of Life, Personality traits for the Minnesota Multiphasic Personality Inventory-2) before treatment (T0), at the end of the rehabilitative treatment (T1 = 10 sessions 2/week, one hour/each), and after two months of follow-up (T2) were performed. Results: The data of 38 included patients were analyzed. The quadratic trend of the Visual Analogue Scale can be explained by the fact that patients have a strong reduction in the perceived pain immediately after rehabilitation in the clinic. This reduction remains constant for the home period of the rehabilitation. The personality profiles of all the participants were substantially valid. Only three patients obtained scores higher than 65 points. Conclusions: The study evidenced that in the initial phase of the rehabilitation, psychological traits such as anxiety, depression, and preoccupation could have a strong association especially with the autonomous functions and the perceived physical symptoms. However, during the therapeutic process, this association decreased and these decrements were higher when patients performed their rehabilitation at home, in a more familiar and comfortable setting.

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“…The physiotherapists tailored the rehabilitation to the patients' functional problems. A previously validated rehabilitation protocol was considered [28,29].…”

Section: Rehabilitative Treatmentmentioning

confidence: 99%

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

Paolucci

Saggino

Agostini

et al. 2021

IJERPH

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“…Breast surgery might lead to a significant physical and psychological impact in post-menopausal women, suffering range of motion limitation, pain and discomfort, a patient-tailored rehabilitation intervention is mandatory to prevent or resolve these complications. In the literature, several studies have shown that, regardless of surgery received, a low-intensity rehabilitation program is effective in recovering upper limb mobility and reducing disability and pain [7,8].…”

Section: Introductionmentioning

confidence: 99%

Early Denosumab for the prevention of osteoporotic fractures in breast cancer women undergoing aromatase inhibitors: A case-control retrospective study

Scaturro

Sire

Terrana

et al. 2022

BMR

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BACKGROUND: Aromatase inhibitors (AIs) might have a detrimental impact on bone health in breast cancer (BC) women. Denosumab has been shown to reduce the risk of fractures, but the appropriate time for starting is yet to be clearly defined. OBJECTIVE: To evaluate the effects of early treatment with Denosumab (⩽ 12 months after starting AIs) compared to a delayed treatment in BC women. METHODS: In this retrospective case-control study, we included medical records of BC post-menopausal women, treated with AIs therapy; they were divided as: study group (starting Denosumab ⩽ 12 months after AIs) and control group (> 12 months). At the baseline (T0) and at 18 months (T1), we evaluated the lumbar spine (LS) Tscore and femoral neck (FN) Tscore. Furthermore, at T1 we assessed the incident fragility fractures. RESULTS: Fifty-nine BC survivors (mean age: 61.5 ± 11.5 years) were included: 28 with Early Denosumab and 31 with Late Denosumab. At T1, the study group did not show any incident hip or vertebral fragility fracture, whereas the Late Denosumab group showed 2 incident hip fractures (6.5%) and 4 (12.9%) vertebral fragility fractures. Early Denosumab showed a significant positive effect on both LS (p= 0.044) and FN (p= 0.024) Tscore variations. CONCLUSION: Taken together, our findings suggest that an early start of Denosumab might be considered for the osteoporosis management in BC women undergoing AIs.

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“…AWS is also called Mondor disease, attributed to superficial sclerosing venous thrombophlebitis [3][4][5]-the pathophysiology is angiolymphatic and fibrotic in origin, with lymphatic and fibroblastic involvement, and the cord can be exacerbated by tightness of the surrounding tissue [4][5][6][7]. The cording usually lies in the region of the axillary cavity and can extend along the medial surface of the upper arm and the ipsilateral lateral chest wall in 20% of cases [8], resulting in mechanical limitations in shoulder abduction; it is not uncommon that the cord extends to the forearm, occasionally reaching the radial tuberosity of the wrist [9,10].…”

Section: Introductionmentioning

confidence: 99%

Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review

Agostini

Attanasi²,

Bernetti

et al. 2021

IJERPH

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Axillary web syndrome (AWS) is defined as a visible and palpable network of cords in the skin of the axillary cavity that are tensed by shoulder abduction following surgery for breast cancer, causing significant functional limits of the ipsilateral upper limb (UL) and pain. The purpose of this narrative review is to discuss rehabilitation approaches for greater efficacy with respect to pain and novel suggestions. AWS is a frequent complication of axillary lymphadenectomy that necessitates a thorough follow-up in the medium to long term. Physiotherapy is effective in the treatment of functional limb deficits, the management of pain, and the treatment of upper limb disability. The best management approach involves the use of soft tissue techniques to slow the natural course of the syndrome, in association with therapeutic exercises for functional recovery and muscle strengthening. AWS is linked secondary lymphedema, requiring integration with manual lymphatic drainage. The physiotherapy management of AWS is currently fragmented, and insufficient information is available on the nature of the disease. Thus, randomized and controlled studies that compare rehabilitation approaches in AWS are desirable, including the possibility of using mesotherapy in the treatment of axillary and upper limb pain.

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The sequelae of mastectomy and quadrantectomy with respect to the reaching movement in breast cancer survivors: evidence for an integrated rehabilitation protocol during oncological care

Cited by 33 publications

References 48 publications

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

Early Denosumab for the prevention of osteoporotic fractures in breast cancer women undergoing aromatase inhibitors: A case-control retrospective study

Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review

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