The effect of physiotherapy in patients with modified radical mastectomy

Mehta, Jigar; Vaghela, Nirav; Patel, Heta

doi:10.5455/njppp.2018.8.0829708082017

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…When to begin a rehabilitation program after breast surgery is disputed. In oncologic patients, muscle dysfunction and sarcopenia have been linked to poor performance increased mortality risk, and more adverse effects (Mehta et al, 2017). Early medical rehabilitation on the 2nd-4th day after surgery has been found to help reduce pain syndrome and postoperative edema, enhance shoulder joint motions, prevent severe lymphocytosis, and improve life quality in patients who have had a radical mastectomy (Blomqvist et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Physiotherapeutic approach in a patient with breast carcinoma – A case report

Bhojwani¹,

Patil²,

Dhage³

2022

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Breast carcinoma is one of the most serious illnesses in females and a significant because of mortality and morbidity. A variety of treatment programs has now been developed to help with the restoration of shoulder movement while also lowering the occurrence of subsequent lymphedema.Modified radical mastectomy has several advantages, including local cancer management and a lower chance of cancer recurrence, as well as the preservation of the chest muscles, which prevents deformity and allows patients to undergo breast reconstruction. Lymphedema can cause cosmetic issues, functional difficulties, and psychological anguish in breast cancer patients, all of which can reduce the quality of life. Females who receive quick breast reconstruction have a lower risk of depression and have a higher standard of life. For females who have had breast cancer, physiotherapy can assist to reduce pain, restore shoulder mobility, and enhance the quality of life.

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Section: Discussionmentioning

confidence: 99%

Physiotherapeutic approach in a patient with breast carcinoma – A case report

Bhojwani¹,

Patil²,

Dhage³

2022

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“…Applying extra physiotherapy to patients after or immediately after radiotherapy facilitates full-scale use of the shoulder [17][18][19] Scar tissue and tendon expansion lowers the strong connection of the skin to the underlying tissue and decreases muscle shortening. The strength of the shoulder is also increased [16][17][18][19][20] Few of the related studies were reviewed ( [21][22][23][24][25][26]…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Physical Therapy Rehabilitation Program for Women Following a Modified Radical Mastectomy: A Case Report

Gaur

Deshpande

Burhani

2021

JPRI

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Background: The most commonly identified cancer is breast cancer. In either the lobules or the breast ducts, the cancer normally grows. Infiltrating ductal carcinoma is the most common subtype. It may appear as a lump or mass; changes in the skin or nipple; breast rash or redness; or lymphadenopathy. Presenting Complains and Investigations: the patient presented with the complains of swelling and pain in the left breast in lower outer quadrant since 6 months, which was initially small in size and gradually increased and reached up this level 2x2 cm which placed in infra areolar region covering lower inner and outer quadrant. USG and cytology reports showed bilateral breast with axilla. Right breast was normal, enlarged lymph node in the right axilla measuring 15.2 x 4.6 mm with maintained hilum S/O reactive lymphadenopathy. In left breast there is E/O ill-defined taller than wider irregular hypoechoic lesion with spiculated margins, measuring approximately 15.9 x 12.4 mm in lower inner quadrant containing multiple foci of calcification within showing central vascularity OB doppler on elastography lesion is stiff, in left axilla there is E/O on enlarged USG lymph node present measuring 10.2 x 6.7 mm with maintained hilum S/O reactive lymphadenopathy. Impression of F/S/O malignant lesion in the left breast lymphadenopathy. Diagnosis: Left sided infiltrating ductal carcinoma. Therapeutic Intervention and Outcomes: Physical therapy intervention involved a variety of range of motion exercises, strengthening exercises, resistance conditioning, breathing exercises, lymphoedema treatment and scar management. This intensive outpatient program is a successful way to enhance the mobility of the shoulder and ROM during the initial 6-week treatment cycle after surgery. Shoulder range of motion was increased, patient was able to do basic activities of daily living like dressing, bathing, combing, etc. Edema was reduced. Conclusion: Shoulder stiffness after modified radical mastectomy is the commonest complication. Upper limb mobility exercises reduced the shoulder stiffness. Breathing exercises improved the respiration. Strengthening and general aerobic exercises helped the patient to get back on her normal routine.

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“…Recent data from Shaukat Khanum Memorial Cancer Hospital indicate that breast cancer accounts for 21.5% of all cancers and 45.9% of female cancers in Pakistan. Annually, around 40,000 women succumb to this disease in Pakistan, and 90,000 new cases are diagnosed, equating to approximately 109 deaths daily (1,2,3). Multiple risk factors contribute to the high incidence of breast cancer in Asia, including older age, family history, early menarche, late menopause, high body mass index (BMI), obesity, tobacco use, and high-fat diets.…”

Section: Introductionmentioning

confidence: 99%

Revitalizing Post-Mastectomy Lives: Unveiling the Impact of Aerobic and Mobility with Strengthening Exercises in Improving Shoulder Pain, ROM, and Strength

Amna khalid,

Tehreem Fatima,

Zunaira Afzal

et al. 2024

JHRR

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Background: Breast cancer is the most prevalent cancer among women globally, with Pakistan having one of the highest incidence rates in Asia. Post-mastectomy patients often suffer from shoulder pain, reduced range of motion (ROM), and muscle weakness, impacting their quality of life. This study investigates the efficacy of a comprehensive exercise regimen in alleviating these symptoms. Objective: To evaluate the impact of aerobic, mobility, and strengthening exercises on shoulder pain, ROM, and muscle strength in post-mastectomy patients undergoing chemotherapy. Methods: A six-month case-control study was conducted with 60 participants, aged 25-65, who had undergone radical mastectomy and were in the chemotherapy phase. Participants were randomly assigned to two groups: the case group (n=30), which underwent an eight-week program of aerobic, mobility, and strengthening exercises, and the control group (n=30), which performed only aerobic exercises. Data collection tools included the Visual Analogue Scale (VAS) for pain assessment, a Goniometer for ROM measurement, and Manual Muscle Testing (MMT) for muscle strength evaluation. Data analysis was conducted using SPSS version 25, with paired and independent t-tests applied to compare pre- and post-intervention scores. Results: The case group showed a significant reduction in VAS scores (mean difference = 2.93333, p<0.001) compared to the control group (mean difference = 0.40000, p=0.028). MMT results indicated significant improvements in muscle strength for the right deltoid (mean difference = -0.40000, p=0.009) and left pectoralis major (mean difference = -0.73333, p<0.001) in the case group. ROM improvements were significant for right shoulder extension (mean difference = -0.80000, p<0.001) and left shoulder external rotation (mean difference = -1.73333, p<0.001) in the case group. Conclusion: A comprehensive exercise regimen, including aerobic, mobility, and strengthening exercises, significantly improved shoulder pain, ROM, and muscle strength in post-mastectomy patients. These findings support the integration of multifactorial physiotherapy into rehabilitation protocols for breast cancer survivors to enhance their long-term health and quality of life. Keywords: Breast cancer, mastectomy, shoulder pain, range of motion, muscle strength, aerobic exercises, mobility exercises, strengthening exercises, rehabilitation, physiotherapy, post-mastectomy recovery.

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The effect of physiotherapy in patients with modified radical mastectomy

Cited by 3 publications

References 13 publications

Physiotherapeutic approach in a patient with breast carcinoma – A case report

Physiotherapeutic approach in a patient with breast carcinoma – A case report

The Efficacy of Physical Therapy Rehabilitation Program for Women Following a Modified Radical Mastectomy: A Case Report

Revitalizing Post-Mastectomy Lives: Unveiling the Impact of Aerobic and Mobility with Strengthening Exercises in Improving Shoulder Pain, ROM, and Strength

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