Early breast cancer treatment can cause shoulder dysfunction, which is a well-known and prevalent adverse effect (1). In individuals treated surgically for breast cancer, physiotherapy was found to enhance shoulder function considerably (1). Breast cancer is the most common type of cancer in women and the leading cause of death and morbidity (2). Every year, 1.67 million new instances of breast cancer are identified worldwide, with 458,000 fatalities (2). Although 89 percent of breast cancer survivors live for at least five years after treatment, side symptoms can continue for months or even years(2). The most common upper-limb side effects are pain and joint dysfunction, with prevalence rates ranging from 12% to 51% for pain and 1.5 percent to 50% for joint dysfunction. Surgery is the most common treatment for primary breast cancer. Shoulder exercises are commonly advised to reduce mobility and strength loss as well as prevent lymphedema. Several clinical services have been developed to help with shoulder range of motion rehabilitation and secondary lymphedema prevention(3) . The goal of this study was to see how additional postoperative physiotherapy affected shoulder function after the initial postoperative healing period, especially when given for a longer period. Patients who have had a mastectomy are always at risk of getting shoulder pain and adhesive capsulitis, and they must take precautions (3). Key words: Modified radical mastectomy, shoulder pain, breast cancer, lymph nodes, physiotherapy rehabilitation.
One of the most prevalent consequences following coronary artery bypass graft (CABG) surgery is pulmonary difficulties. However, not all patients are at the same risk of pulmonary complications after surgery (PPCs) (1). Postoperative pulmonary issues are the most common problems discovered and treated following abdominal or cardiothoracic surgery (PPCs) (1). Patients with a history of lung disease had a higher risk of problems after surgery, according to research. Treatment for coronary artery disease (CAD) aims to reduce or eliminate the disease's repercussions, as well as its morbidity and death (2). Treatment for coronary artery disease (CAD) tries to lessen or eliminate the illness's consequences, including morbidity and mortality(3). Atelectasis is a common complication of coronary artery bypass surgery. Atelectasis can be caused by general anaesthesia, diaphragmatic dysfunction, abdominal distension, chest wall changes, pleural effusions, and discomfort (4). Physiotherapists have typically employed different respiratory therapies after coronary artery bypass graft surgery (CABG) to reduce the occurrence of postoperative pulmonary issues (PPC) (5). Despite its widespread use, the effectiveness of any particular chest physical therapy is unknown. Every day, patients with coronary artery disease around the world undergo coronary artery bypass graft (CABG) surgery (6). Despite advances in anesthetic, cardiopulmonary bypass procedures, and pre-and postoperative care, CABG continues to be associated with a high prevalence of pulmonary complications (PPC). In the postoperative phase after CABG, respiratory physiotherapy is advised to improve lung function and prevent or treat pulmonary problems (7). Key words: Coronary artery bypass graft surgery, Postoperative pulmonary complications, Preoperative risk factors, Physiotherapy rehabilitation.
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