FUNCTIONAL RECOVERY OF SHOULDER JOINT IN WOMEN AFTER MASTECTOMY IN LONG-TERM REHABILITATION
https://doi.org/10.34822/2304-9448-2020-2-87-91
Abstract
The study aims to evaluate the functional status of the shoulder joint and assess the treatment effectiveness in the long-term rehabilitation of women that underwent a mastectomy. Material and methods. The group I included 35 patients who had myofascial release, local administration of Longidaza in scar tissue, and the Maitland and Kaltenborn concepts of manual therapy in addition to standard rehabilitation methods. The group II included 32 patients who followed standard rehabilitation methods such as physical therapy, magnetic therapy, manual lymphatic drainage, and hydrotherapy. Anthropometric measures were assessed before and after treatment in all patients. To assess the effectiveness of the treatment the American Shoulder and Elbow Surgeons (ASES) Assessment Form and the University of California-Los Angeles (UCLA) Shoulder Scale were also used. Results. Based on anthropometric results and evaluation of the shoulder joint functional status, it was found that the use of modified treatment, including the use of the Maitland and Kaltenborn concepts, myofascial release, as well as
local administration of Longidaza contributes to the effectiveness of physical rehabilitation. The effectiveness is associated with improved microcirculation, recovery of impaired pain sensitivity, muscle strengthing of the upper limb, softening of the fibrous tissue, a decrease in the pain intensity, and enhancement of shoulder flexibility. Physical rehabilitation of patients after a mastectomy is a necessary and effective stage of treatment.
About the Authors
V. T. Dolgikh
V. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Chief Researcher, Laboratory of Clinical Pathophysiology
of Critical States;
Е-mail: prof_dolgih@mail.ru
V. E. Karasev
Clinical Oncologic Dispensary, Omsk State Medical University, Omsk
Russian Federation
Candidate of Sciences (Medicine), Oncologist,
Russian Federation
Candidate of Sciences (Medicine), Oncologist,
Assistant Professor, Department of Oncology and Radiotherapy;
Е-mail: kobra919@yandex.ru
A. V. Ershov
V. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow City University, Moscow
Russian Federation
Doctor of Sciences (Medicine), Leading Researcher, Laboratory for Experimental Research, Professor of the Department of Phatophysiology, I. M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenovskiy University), Professor of the Sports Adaptation and Training Department;Е-mail: salavatprof@mail.ru
Russian Federation
Doctor of Sciences (Medicine), Leading Researcher, Laboratory for Experimental Research, Professor of the Department of Phatophysiology, I. M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenovskiy University), Professor of the Sports Adaptation and Training Department;Е-mail: salavatprof@mail.ru
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Review
For citations:
Dolgikh V.T., Karasev V.E., Ershov A.V. FUNCTIONAL RECOVERY OF SHOULDER JOINT IN WOMEN AFTER MASTECTOMY IN LONG-TERM REHABILITATION. Vestnik SurGU. Meditsina. 2020;(2 (44)):87-91. (In Russ.) https://doi.org/10.34822/2304-9448-2020-2-87-91
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