Testa A, Iannace C, Di Libero L
Victor Babes, University of Medicine and Pharmacy, Timisoara, Romania -
Eur J Phys Rehabil Med. 2014 Jun;50(3):275-84. Epub 2014 Feb 11.
In the immediate postoperative period surgical breast cancer patients can face many problems including functional limitation of the shoulder, edema, pain and depression. Although those symptoms can alleviate during the stages of the therapeutic route, most of the time concur significantly to the everyday life discomforts decreasing sharply the quality of life. Therefore, is essential to pay attention to the functional problems of breast cancer patients in order to ensure a quick and complete physical and psychosocial recovery.
Aim of this study, comparing 2 groups of patients, one that underwent to early physical rehabilitation program (EPRP) and one as a control group, is to evaluate: functional improvements of the glenohumeral joint mobility, antalgic effect of EPRP, improvements and/or worsening of quality of life.
Randomized controlled study.
Inpatient and outpatient clinic, Breast Unit, "San Giuseppe Moscati" Hospital, Avellino, Italy.
Seventy women planned for Madden's modified radical mastectomy or for segmental mastectomy with axillary dissection in the period from March 2010 to February 2011.
Patients were randomly assigned to treated and control group. All participants were evaluated before surgery and postoperatively at fifth day, first, sixth and twelfth month. Patients of the treated group, underwent first, to assisted cautious mobilization of hand, wrist and elbow and after drainage removal, to twenty physiotherapy sessions under the guide of a physiotherapist.
Within group statistical analysis evidenced that TG regained normal function at 1 year after surgery while CG was unable to do so for flexion, abduction and internal rotation movements. TG manifested general and statistically significative improvements in QoL. Improvements in the grade of pain perceived were observed starting from the first postoperative month.
Postoperative early physical rehabilitation programme in surgical breast cancer patients surgically treated significantly improves glenohumeral joint mobility, reduces pain and widely improves the quality of life.
Early rehabilitation plays a key role in the physical and psycho-social recovery for breast cancer patients surgically treated with axillary dissection.
在乳腺癌手术后的即刻阶段，患者可能面临许多问题，包括肩部功能受限、水肿、疼痛和抑郁。尽管这些症状在治疗过程中可能会有所缓解，但大多数情况下，它们会严重影响患者的日常生活舒适度，显著降低生活质量。因此，关注乳腺癌患者的功能问题对于确保其快速、全面的身体和心理社会康复至关重要。
本研究旨在比较两组患者，一组接受早期物理康复计划（EPRP），另一组作为对照组，以评估：盂肱关节活动度的功能改善、EPRP的止痛效果、生活质量的改善和/或恶化。
随机对照研究。
意大利阿韦利诺“圣朱塞佩·莫斯卡蒂”医院乳腺科住院部和门诊部。
2010年3月至2011年2月期间计划接受马登改良根治性乳房切除术或节段性乳房切除术并腋窝淋巴结清扫术的70名女性。
患者被随机分为治疗组和对照组。所有参与者在手术前以及术后第5天、第1个月、第6个月和第12个月接受评估。治疗组患者首先接受手部、腕部和肘部的辅助谨慎活动，在引流管拔除后，在物理治疗师的指导下进行20次物理治疗。
组内统计分析表明，治疗组在术后1年恢复了正常功能，而对照组在屈曲、外展和内旋运动方面未能恢复。治疗组在生活质量方面表现出总体且具有统计学意义的改善。从术后第一个月开始，观察到疼痛程度有所改善。
接受手术治疗的乳腺癌患者术后早期物理康复计划可显著改善盂肱关节活动度，减轻疼痛，并广泛提高生活质量。
早期康复在接受腋窝淋巴结清扫术的乳腺癌患者的身体和心理社会康复中起着关键作用。
