Problem-oriented Program of Physical Rehabilitation of Women with Postmastectomy Syndrome at the Hospital Stage of Rehabilitation
Keywords:
postmastectomy syndrome, rehabilitation, women, programAbstract
The most frequent consequence of treatment of breast cancer is postmastectomy syndrome that combines abnor- malities of physical, functional and psycho-emotional state. Postmastectomy syndrome is characterized by considerable variability in symptoms which occur in different time periods of treatment of breast cancer. Objective: to develop and ground the problem-oriented program of physical rehabilitation of women with postmastectomy syndrome at the stationary stage of rehabilitation. Materials and methods of the study – theoretical analysis and generalization of scientific and methodical literature and internet sources. The study involved 50 women with early signs of postmastectomy syndrome who underwent radical mastectomy by Madden for breast cancer at the hopital stage of rehabilitation. Results: The developed problem-oriented program of physical rehabilitation included using of static and dynamic breathing exercises, lymphatic massage and self-massage, correction of posture, stretching exercises, medical provisions, post-isometric relaxation, elements of ergotherapy, manipulative interventions (breathing through pursed lips, controlled coughing, autologous drainage, manual pressure, manual vibration) and auto-training. The goals and selection of physical rehabilitation depended on individual characteristics of women, the nature of postoperative period, taking into account concomitant diseases. Correction of the mental condition of women and related psychosomatic disorders at a hospital stage of rehabilitation is carried out by means of training of the basic elements of autogenous training, visualization, muscle relaxation, and self-regulation of breathing. Conclusions: The developed program can be used in conditions of therapy and rehabilitation establishments when dealing with women of this nosology.References
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