Effectiveness of individualized physical rehabilitation programs for upper extremity disorders in women with post-mastectomy syndrome

  • Tetiana Odynets Assistant Professor. Department of Physical Rehabilitation. Khortytsia National Academy. Department of Theory of Sport and Physical Culture. Lviv State University of Physical Culture. Ukraine.
  • Yuriy Briskin Doctor of Science. Professor Department of Theory of Sport and Physical Culture. Lviv State University of Physical Culture. Zaporozhzhye. Ukraine.
  • Maryan Pityn Assistant Professor. Department of Physical Rehabilitation. Khortytsia National Academy. Department of Theory of Sport and Physical Culture. Lviv State University of Physical Culture. Ukraine.
DOI: https://doi.org/10.33155/j.ramd.2019.03.001
Keywords: Linfedema, Rango de movimiento, Cáncer de mama, Ejercicio Lymphedema, Range of motion, Breast cancer, Exercise Linfedema, Amplitude de movimento, Câncer de Mama, Exercício

Abstract

Objective: The aim of this study was to determine the effectiveness of individualized physical rehabilitation programs targeted at improving functional state of upper extremity in women with post-mastectomy syndrome.

Method: Eighty five women with late symptoms of post-mastectomy syndrome were enrolled in the study. The participants were randomly enrolled for the first individualized program (Main Group, n=45) and for the second individualized program (Comparison Group, n=40). The first program included aqua aerobics (aqua jogging, aqua building, aqua stretching), conditional swimming, and recreational aerobics; the second program included conditional swimming and Pilates exercises.

Results: It was found that most of the investigated anthropometry and goniometry parameters in both groups steadily improved during the year of rehabilitation. After 6 months of rehabilitation the average values of active range of flexion and abduction were statistically higher in women Main Group  compared with Comparison Group by 10 degrees (p<0.001) and 6.43 degrees (p<0.01), respectively. The severity of lymphedema in the Main Group was significantly lower at the area of forearm by 0.39 cm (p<0.05) compared with Comparison Group.

Conclusions: Findings have suggested that developed individualized physical rehabilitation programs could be considered as effective methods for improvement of the shoulder range of motion and decrease breast cancer-related lymphedema in patients with post-mastectomy syndrome.

Published
2019-03-04
Issue
Vol. 12 No. 4 (2019): December 2019
Section
Originals
Page/s
372-375
DOI
https://doi.org/10.33155/j.ramd.2019.03.001