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

Keywords: breast cancer, rehabilitation, shoulder joint, amplitude


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.


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Grushina TI. Reabilitaciia v onkologii: fizioterapiia [Rehabilitation in oncology: physical therapy], Moscow, Geotar–Media; 2006. (in Russian)

Strazhev SV, Frolkov VK, Bratik AV, Kolesnikova IV. Sravnitel'naia effektivnost' razlichnykh metodov vosstanovitel'noj mediciny v reabilitacii pacientok s posmastektomicheskim sindromom [Comparative effectiveness of different methods of recreation medicine in rehabilitation of patients with post mastectomy syndrome]. Klinicheskaia laboratornaia diagnostika, 2012; 2: 18–24. (in Russian)

Anderson RT, Kimmick GG, McCoy TP, Hopkins J, Levine E, Miller G, et al. A randomized trial of exercise on well–being and function following breast cancer surgery: the restore trial. J Cancer Surviv. 2012;6(2):172–81.

Arving C, Thormodsen I, Brekke G, Mella O.Early rehabilitation of cancer patients – a randomized controlled intervention study. BMC Cancer. 2013;13(1):9–14.

Lin YH, Pan PJ. The use of rehabilitation among patients with breast cancer: a retrospective longitudinal cohort study. BMC Health Serv Res. 2012;12(1):278–282.

Martin ML, Hernndez MA, Avenda C, Rodríguez F, Martínez H. Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema. BMC Cancer, 2015;9:11–18.

Pace do Amaral MT, Freire de Oliveira MM, Ferreira Nde O, Sarian LO, Gurgel MS. Manual therapy associated with upper limb exercises vs. exercises alone for shoulder rehabilitation in postoperative breast cancer. Physiother Theory Pract. 2012;28(4):299–306.

Hsiao PC, Liu JT, Lin CL, Chou W, Lu SR. Risk of breast cancer recurrence in patients receiving manual lymphatic drainage: a hospital-based cohort study. Ther Clin Risk Manag. 2015;27 (11):349–358.

Lu SR, Hong RB, Chou W, Hsiao PC. Role of physiotherapy and patient education in lymphedema control following breast cancer surgery. Ther Clin Risk Manag. 2015;11:319–327.1

Smoot B, Wampler M, Topp K. Breast Cancer Treatments and Complications: Implications for Rehabilitation. Rehabilitation Oncology.2009;27(3):1–16.

Pergolotti M, Deal AM, Williams GR, Bryant AL, Reeve BB, Muss HB. A randomized controlled trial of outpatient CAncer REhabilitation for older adults: The CARE Program. Contemporary Clinical Trials. 2015;44:89–94.

Li CZ, Zhang P, Li RW, Wu CT, Zhang XP, Zhu HC. Axillary lymph node dissection versus sentinel lymph node biopsy alone for early breast cancer with sentinel node metastasis: A meta-analysis. European Journal of Surgical Oncology (EJSO). 2015;41(8):958–66.

Baili P, Hoekstra-Weebers J, Van Hoof E, Bartsch HH, Travado L, Garami M, et al. Cancer rehabilitation indicators for Europe. European Journal of Cancer. 2013;49(6):1356–64.

Chung B-Y, Xu Y. Developing a Rehabilitation Model of Breast Cancer Patients Through Literature Review and Hospital Rehabilitation Programs. Asian Nursing Research. 2008;2(1):55–67.

De Groef A, Van Kampen M, Dieltjens E, Christiaens M-R, Neven P, Geraerts I, et al. Effectiveness of Postoperative Physical Therapy for Upper-Limb Impairments After Breast Cancer Treatment: A Systematic Review. Archives of Physical Medicine and Rehabilitation. 2015;96(6):1140–53.

Pidlyskyj K, Roddam H, Rawlinson G, Selfe J. Exploring aspects of physiotherapy care valued by breast cancer patients. Physiotherapy. 2014;100(2):156–61.

Johnsson A, Tenenbaum A, Westerlund H. Improvements in physical and mental health following a rehabilitation programme for breast cancer patients. European Journal of Oncology Nursing. 2011;15(1):12–5.

Gebruers N, Verbelen H, De Vrieze T, Coeck D, Tjalma W. Incidence and Time Path of Lymphedema in Sentinel Node Negative Breast Cancer Patients: A Systematic Review. Archives of Physical Medicine and Rehabilitation. 2015;96(6):1131–9.

Patricolo GE, Armstrong K, Riutta J, Lanni T. Lymphedema care for the breast cancer patient: An integrative approach. The Breast. 2015;24(1):82–5.

Techau M, Lunde A, Pedersen CG, Green A, Johannessen H, Nissen N. Non-participants and reasons for non-participation in a pragmatic trial of energy healing as cancer rehabilitation. European Journal of Integrative Medicine. 2014;6(3):268–76.

Tarumi S, Yokomise H, Gotoh M, Kasai Y, Matsuura N, Chang SS, et al. Pulmonary rehabilitation during induction chemoradiotherapy for lung cancer improves pulmonary function. The Journal of Thoracic and Cardiovascular Surgery. 2015;149(2):569–73.

Akinyemiju TF, Vin-Raviv N, Chavez-Yenter D, Zhao X, Budhwani H. Race/ethnicity and socio-economic differences in breast cancer surgery outcomes. Cancer Epidemiology. 2015;39(5):745–51.

Salhi B, Haenebalcke C, Perez-Bogerd S, Nguyen MD, Ninane V, Malfait TLA, et al. Rehabilitation in patients with radically treated respiratory cancer: A randomised controlled trial comparing two training modalities. Lung Cancer. 2015;89(2):167–74.

Sagen A, Kaaresen R, Sandvik L, Thune I, Risberg MA. Upper Limb Physical Function and Adverse Effects After Breast Cancer Surgery: A Prospective 2.5-Year Follow-Up Study and Preoperative Measures. Archives of Physical Medicine and Rehabilitation. 2014;95(5):875–81.

How to Cite
Briskin Y, Odinets T. Improvement of upper limb’s condition of women with post mastectomy syndrome with the help of problem-oriented program of physical rehabilitation. Pedagogics, psychology, medical-biological problems of physical training and sports. 2015;19(11):20-5.