Role of intraoperative nerve monitoring in postoperative muscle and nerve function of patients undergoing modified radical mastectomy.
This study aimed to postoperatively evaluate the effects of intraoperative neural monitoring (IONM) on muscles and nerves in patients who underwent modified radical mastectomy (MRM). In the 11 patients included in the study, nerves were determined and protected by nerve monitoring during the axillary dissection (IONM group). In another 11 patients, nerve monitoring was not performed; however, protection of the same nerves was attempted through careful nerve dissection (cautious nerve dissection [CND] group). The control group consisted of 22 healthy subjects. Muscle and nerve functions were blindly evaluated by an experienced physical therapy and rehabilitation specialist using electromyography (EMG) and ultrasonography (US) methods. The EMG values of the pectoralis major muscle were similar in the IONM and control groups (1.97 mV/1.98 mV, p = 0.97) but significantly lower in the CND group (1.57 mV, p
To determine the prevalence of mastectomy patients receiving physical therapy services and the duration the patients take to be reffered to a Physical therapist after surgery.
Conclusion Different techniques of breast reconstruction can result in different postoperative upper extremity complications. These data show specific areas where postoperative care and PT can be customized according to reconstruction type. Investigation is currently underway to determine the effect of PT on upper extremity function in these patients. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
Conclusions: The permanent disruption of the rectus abdominis had an immediate and significant impact on muscle activity and balance, which was restored by 13 weeks postoperation without specifically targeted stability rehabilitation.
ConclusionsWomen diagnosed no longer than five years back do not differ from those diagnosed further back in terms of copying with the loss of ability, self-esteem and emotional control.
Conclusion: Kinesiology taping effectively treats symptoms related to post–mastectomy lymphedema, and its use can provide an alternative treatment strategy to be used with patients who are noncompliant or have contraindications to traditional lymphedema treatment. Research is still limited, and future research is needed to determine whether and how KT can replace or complement these more conventional treatments.
Conclusions Women diagnosed no longer than five years back do not differ from those diagnosed further back in terms of copying with the loss of ability, self-esteem and emotional control.
As rates of bilateral mastectomy and immediate reconstruction rise, the aesthetic and psychosocial benefits of breast reconstruction are increasingly well understood. However, an understanding of functional outcome and its optimization is still lacking. This endpoint is critical to maximizing postoperative quality of life. All reconstructive modalities have possible functional consequences. Studies demonstrate that implant-based reconstruction impacts subjective movement, but patients’ day-to-day function may not be objectively hindered despite self-reported disability. For latissimus dorsi flap reconstruction, patie...
Discussion: A physical therapist must consider the linkage between past breast cancer–related intervention, presenting symptoms, and information related to anatomical and biomechanical alterations and disease- and intervention-related side effects in developing a safe and effective physical therapy plan of care.
The objective of this study was to evaluate the association between axillary web syndrome and the development of lymphoedema after 10 years of follow-up.MethodologyA prospective observational study in a hospital cohort of women diagnosed with breast cancer and treated at a referral centre for cancer. Patients were followed according to the routine of the hospital ’s physical therapy service. In addition, a review of medical records was conducted for the period between 5 and 10 years of follow-up. Data on patient characteristics, treatment, tumour and postoperative complications were collected.ResultsIn all...
Resumo O tema abordado neste artigo é a geração de trabalho e renda de mulheres mastectomizadas. Surgiu a partir da necessidade da reorientação das práticas de saúde desenvolvidas em um ambulatório de fisioterapia em mastologia oncológica de um município da baixada fluminense do Estado do Rio de Janeiro, baseada na Promoção da Saúde. Diante do dilema de que a maioria das mulheres possuía condições físicas para exercerem uma atividade laborativa, porém não eram absorvidas pelo mercado de traba...