scholarly journals The post-mastectomy syndrome: the secondary lympedema after the combined treatment of breast cancer (the literature review and own results)

2018 ◽  
Vol 20 (2) ◽  
pp. 45-49 ◽  
Author(s):  
A M Stepanova ◽  
A M Merzlyakova ◽  
M M Khulamhanova ◽  
O P Trofimova

The post-mastectomy syndrome and lymphedema after the combined treatment of breast cancer, significantly worsen the quality of life of patients, their psycho - emotional state. The treatment of this disease is always combined in nature, and involves elements of the Complex Decongestive Therapy, pneumatic compression, mild electrical stimulation and low-frequency magnetic therapy. The best results of therapy are achieved with early detection and treatment. Complex treatment of lymphedema does not affect the course of cancer.

2021 ◽  
Vol 11 (2) ◽  
pp. 250-267
Author(s):  
Marina Yu. Gerasimenko ◽  
Inna S. Evstigneeva ◽  
Tatiana N. Zaytseva ◽  
Irina P. Aksenenko

Background: Various methods of physical therapy are widely used in the rehabilitation of patients with cancer (magnetotherapy, pneumocompression, electrotherapy, laser therapy). The goal of such rehabilitation is to minimize side effects and complications after radical treatment. However, a staged approach to the appointment of physiotherapeutic factors in the early period after surgical treatment of breast cancer has not been developed enough. Aim: To develop a staged approach to the appointment of physiotherapeutic factors at different times after surgical treatment of breast cancer. Design: a randomized-placebo-controlled study. Location: the clinic named after professor Yu. N. Kasatkin of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, Moscow. Population: Examination and treatment of 78 patients aged 30-70 after surgery for breast cancer were performed. The main group of 39 patients underwent a 2-stage course of medical rehabilitation: the first course on days 2-4 after surgery and the second course after 1-1.5 months against the background of adjuvated radiation therapy. The control group of 39 patients underwent physiotherapy placebo procedures. Methods: All the patients underwent medical rehabilitation: individual exercise therapy, balance-therapy, sessions with a medical psychologist, course exposure to an alternating low-frequency electrostatic field and general magnetic therapy. Results: two-stage physical rehabilitation improves the quality of life, decreases swelling, increases the range of motion, decreases pain, decreases the number of postoperative complications, and shortens the duration of lymphorrhea. Conclusions: It is advisable to include general magnetic therapy procedures and exposure to an alternating low-frequency electrostatic field in combination with physiotherapy exercises, balance-therapy and individual lessons from a medical psychologist in rehabilitation courses. Clinical Rehabilitation Impact: Prescribing two courses of medical rehabilitation after breast cancer surgeries in the early stages (on days 2-4) and 1-1.5 months after surgery contributed to a decrease in pain and postoperative edema, and an increase in the range of motion in the shoulder joint, preventing severe lymphostasis and improving the quality of life.


2020 ◽  
Vol 19 ◽  
pp. 153473542092551
Author(s):  
Si-Yeon Song ◽  
Ji-Hye Park ◽  
Jin Sun Lee ◽  
Je Ryong Kim ◽  
Eun Hee Sohn ◽  
...  

Background: This study examined the effect of a portable low-frequency electrostimulation (ES) device on patients diagnosed with chemotherapy-induced peripheral neuropathy (CIPN) immediately after chemotherapy for breast cancer. Methods: A single-center, randomized, placebo-controlled trial was conducted. A total of 72 patients newly diagnosed with CIPN were enrolled and randomly placed into the ES (n = 36) or the sham ES group (SES; n = 36). Duloxetine or pregabalin was prescribed to all participants from the initial assessment. The devices for 14 days, at least twice a day, for at least 120 minutes. The primary outcomes were the overall intensities of the CIPN symptoms as assessed using Numerical Rating Scale (NRS). Secondary outcomes included Total Neuropathy Score (TNS), European Organization for Research and Treatment of Cancer Quality of Life (EORTC-QLQ), Chemotherapy-Induced Peripheral Neuropathy 20 (CIPN20), Functional Assessment of Cancer Therapy-Breast (FACT-B), and Instrument on Pattern Identification and Evaluation for CIPN (IPIE-CIPN). Results: No differences in NRS scores were found between the patients in the ES and the SES group ( P = 0.267). Patients in both groups showed significantly reduced CIPN intensities (ES P < .001; SES P < .001). No significant differences between the groups were found in TNS, EORTC-QLQ, CIPN20, and FACT-B. The general symptoms of CIPN diagnosed as cold arthralgia showed significance only in the ES group ( P = .006). Conclusion: Compared with a placebo, the effectiveness of the low-frequency ES device with pharmacological intervention was not significantly different, but a therapeutic effect was possible.


2016 ◽  
Vol 33 (S1) ◽  
pp. S559-S559
Author(s):  
V. Korostiy ◽  
S. Hmain

IntroductionAccording to studies done in recent years regarding the treatment of patients with recurrent depressive disorder, a shift of interest from studies evaluating the effectiveness of therapy to the study of remission is seen. According to the literature, complete remission occurs in only 40–50% of patients, in other cases there is residual symptoms.AimsEvaluating the effectiveness of art therapy in treatment in patients with recurrent depressive disorder on the quality of remission.MethodsThe study involved 135 patients: 60 male and 75 female patients aged from 18 to 30 years old. The main group of patients apart the combined treatment also participated in group art therapy with the use of drawing techniques, while the control group – statutory standard therapy. We used clinical, psychopathological, psychodiagnostic and statistical methods.ResultsThe results of the effectiveness of art therapy in complex treatment in patients with recurrent depressive disorder is detected primarily in reducing of the level of anxiety at the early stages of treatment, as well as in reducing of the severity of anhedonia and improving the quality of life in remission period.ConclusionThese results support the use of art therapy in treatment in patients with recurrent depressive disorder during period of active treatment, and after achieving clinical remission contributes to achieving and maintaining high-quality and stable remission with full restoration of quality of life and social functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 41 (S1) ◽  
pp. s777-s777 ◽  
Author(s):  
H. Kozhyna ◽  
V. Korostiy ◽  
S. Hmain ◽  
V. Mykhaylov

IntroductionAccording to studies done in recent years regarding the treatment of patients with melancholy in major depressive disorder, a shift of interest from studies evaluating the effectiveness of therapy to the study of remission is seen. Despite significant progress in the development of pharmacotherapy of depressive disorders, difficulty in achieving rapid reduction in depressive symptoms and stable remission in patients with melancholic depression necessitated the search for new approaches to the treatment of this pathology.AimsEvaluating the effectiveness of art therapy in treatment in patients with melancholy in major depressive disorder on the quality of remission.MethodsThe study involved 135 patients – 60 male and 75 female patients aged from 18 to 30 years old. The main group of patients apart the combined treatment also participated in group art therapy with the use of drawing techniques, while the control group – statutory standard therapy.ResultsThe results of the use of art therapy in complex treatment in patients with major depressive disorder is detected primarily in reducing of the level of anxiety at the early stages of treatment (60% of patients have noticed decreasing of melancholic state), as well as improving the quality of life in remission period.ConclusionThese results support the use of art therapy in treatment in patients with melancholy in major depressive disorder during period of active treatment, and after achieving clinical remission contributes to achieving and maintaining high-quality and stable remission with full restoration of quality of life and social functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 8 (01) ◽  
pp. 1-9
Author(s):  
Henri Setiawan ◽  
Heri Ariyanto ◽  
Reffi Nantia Khaerunnisa ◽  
Fidya Anisa Firdaus ◽  
Ade Fitriani

Yoga was a therapy that combined breathing, relaxation and meditation techniques and stretching exercises. The benefits of yoga in general could increase strength, flexibility, train balance, reduce pain, train breathing, smooth organ function, inner calm and improve quality of life. Several differences in the results of studies can influence the decisions of patients and health providers in planning appropriate interventions for breast cancer patients. This literature review aimed to explain the effectiveness of yoga on the quality of life of patients with breast cancer. The research data were identified from five journal databases including PubMed, JSTOR, Willey Online Library, Sage Journal and Taylor Francis Online by using the PIOS (Participant, Intervention, Outcomes and Study Design) method and MeSH term on the advanced search engine. Articles that became research data were articles published in 2007 to 2020 in the English version, open access and full text in the form of original articles or research articles. Of the 1,645 articles found, a screening process was carried out using PRISMA flowchart to eliminate articles that did not meet the criteria. In this literature review study, 9 articles were found that prove that the use of yoga interventions could improve the quality of life of patients. This study reinforced the findings of previous research which showed that yoga could be used effectively in the process of treating patients with breast cancer.


2017 ◽  
Vol 43 (2) ◽  
pp. 151-180 ◽  
Author(s):  
Concepción Fernández-Rodríguez ◽  
Erica Villoria-Fernández ◽  
Paula Fernández-García ◽  
Sonia González-Fernández ◽  
Marino Pérez-Álvarez

Research suggests that the progressive abandonment of activities in cancer patients are related to depression and worse quality of life. Behavioral activation (BA) encourages subjects to activate their sources of reinforcement and modify the avoidance responses. This study assesses the effectiveness of BA in improving quality of life and preventing emotional disorders during chemotherapy treatment. One sample of lung cancer patients and another of breast cancer patients were randomized into a BA experimental group (E.G.lung/4sess. n = 50; E.G.breast/6sess. n = 33) and a control group (C.G.lung/4sess. n = 40; C.G.breast/6sess. n = 35), respectively. In each session and in follow-ups (3/6/9 months), all participants completed different assessment scales. The results converge to show the effectiveness of BA, encouraging cancer patients to maintain rewarding activities which can activate their sources of day-to-day reinforcement and modify their experience avoidance patterns. BA appears to be a practical intervention which may improve social and role functioning and the emotional state of cancer patients during chemotherapy treatment.


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