The use of physiotherapy in medical rehabilitation programs in the early postoperative period in patients after surgical treatment of breast cancer

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Abstract

The study included 70 patients in the early postoperative period (2–4 days), operated for breast cancer (breast cancer). Patients of group 1 (n = 24) underwent 10 procedures of shoulder girdle and upper limb muscle fluctuation on the side of surgery; patients of group 2 (n = 23) underwent 10 procedures of fluctuating currents and intermittent pneumocompression; and patients of group 3 (n = 23) in addition to fluctuation and intermittent pneumocompression, an expanded technique of low-frequency low-intensity magnetic therapy was performed. It has been proved that all patients have reduced postoperative edema, reduced pain, reduced the number of postoperative complications in the wound area (inflammation, infection, pain, suture divergence), shortened the duration of lymphorrhea. There is an increase in the volume and quality of movements, reduced sensitivity disorders in the upper limb. Thus, the inclusion in the medical rehabilitation program of patients who have undergone surgical treatment of breast cancer in the early postoperative period (from 2–3 days) of fluctuating currents, intermittent pneumocompression and low-frequency low-intensity magnetic therapy reduces the risk of postoperative complications and helps to reduce the recovery time.

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About the authors

Marina Yu. Gerasimenko

Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russia

Author for correspondence.
Email: mgerasimenko@list.ru
ORCID iD: 0000-0002-1741-7246
SPIN-code: 7625-6452

DSc, Prof.

Russian Federation, Moscow

Inna S. Evstigneeva

Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russia

Email: mgerasimenko@list.ru
ORCID iD: 0000-0001-9128-0965
SPIN-code: 5163-7726

PhD

Russian Federation, Moscow

Tatyana N. Zaitseva

Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russia

Email: mgerasimenko@list.ru
ORCID iD: 0000-0001-7123-1568
SPIN-code: 9416-4428

PhD

Russian Federation, Moscow

Chayana T. Salchak

National Medical Research Center “Treatment and Reabilitation” of the Ministry of Health of Russia

Email: mgerasimenko@list.ru
ORCID iD: 0000-0003-0542-8252

PhD

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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1. Fig. 1. Arrangement of electrodes in patients on the 1st-4th procedure

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2. Fig. 2. Location of electrodes in patients on the 5-8th procedure

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3. Fig. 3 Location of electrodes in patients on the 9-12th procedure

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4. Fig. 4. Comparative characteristics of the range of motion in the shoulder joint on the side of the operation in patients of three groups at the same time after surgical treatment of breast cancer (* p <0.05 for all indicators when comparing before and after treatment)

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5. Fig. 5. Reduction of the circumference of the upper limb from the side of surgical treatment in patients operated on for breast cancer after a course of medical rehabilitation

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