Comparison of distant effects of early, stationary rehabilitation with domestic rehabilitation after instructing women subjected to radical breast amputation as a result of cancer
Journal Title: Rehabilitacja Medyczna - Year 2013, Vol 17, Issue 2
Abstract
Introduction: Radical breast amputation often results in decreased shoulder mobility on the operated side and a reduction in the muscular strength of the upper limb, which delays a return to daily activities and professional work.The objective of the research: A comparison of the distant effects of early, stationary rehabilitation with domestic rehabilitation after instructing women subjected to radical breast amputation as a result of cancer. Materials and methods: 146 women of the ‘Amazon’ Club aged 32-83 were tested following a one-sided breast amputation using Madden’s method (carried out between 2002-2009). 71 were operated on at the Oncological Centre in Krakow (the Małopolska group) and 75 at the Świętokrzyskie Oncological Centre in Kielce (the Świętokrzyska group). In the Małopolska group early postoperative rehabilitation was conducted by trained nurses and volunteers of the ‘Amazon’ Club, and the patients continued their exercises on their own at home. In the Świętokrzyska group a complex form of rehabilitation in stationary conditions was conducted by professional physiotherapists. Data from all the women was obtained including the patient’s age, past treatment and rehabilitation as well as their livelihood, the type of housework they do and their professional employment. Measurements of movements in the shoulder joint and palm muscle flexor strength were carried out. Both groups were compared in terms of anthropometric features, past treatment and the ability to perform housework and professional work.Results: The women in both groups obtained similar results of mobility in their upper extremity and hand flexor strength. The percentage of women who returned to housework and professional employment was similar. Conclusions: 1. In spite of the difference in the methods of early postoperative rehabilitation in both oncological centres, the patients in both provinces (M and Ś) did not differ significantly as far as mobility in their shoulder joints and hand flexor strength was concerned. 2. Regardless of the sort of early rehabilitation a similar percentage of women returned to their everyday tasks and professional forms of employment . 3. The results obtained suggest that the way in which rehabilitation is conductedis not a decisive factor determining the rehabilitation outcome for women treated surgically for breast cancer.
Authors and Affiliations
Elżbieta Niedbała, Leszek Kołodziejski
Keywords
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