Physiotherapy after breast surgery

Czech version

Authors: Pavla Formanová
Authors‘ workplace: Klinika rehabilitačního lékařství 3. LF UK a FN Královské Vinohrady, Praha
Published in: Prakt Gyn 2016; 20(1): 31-34
Category: Oncogynecology: Review Article

Overview

The treatment of breast cancer is not only in the hands of surgeons and oncologists, but it also involves the irreplaceable follow-up care of rehabilitation doctors and physiotherapists. The comprehensive goal of the treatment is to achieve recovery in the shortest possible time, specifically through early prevention of all kinds of complications, including those developing in the locomotive organs. The rehabilitation following breast surgery consists of hospitalization and post-hospitalization stages. The stage of hospitalization rehabilitation is primarily focused on the prevention of postoperative complications – breathing, thromboembolic. The post-hospitalization stage is mainly aimed at the prevention of development of secondary reflexive changes in locomotive organs and the prevention of secondary lymphedema. The most efficient prevention to prevent lymphedema from developing is the complete decongestive therapy complemented with systemic enzyme therapy. Interventions in the area of rehabilitation and physical medicine may be very beneficial for patients after breast cancer, since they mediate prevention of symptoms that erode the quality of life (locomotor activity limitations, loss of self-reliance in daily activities and more), and subsequently lead to oncology patients developing depression and the associated decrease in immunity.

Key words:
complete decongestive therapy – concatenation functional disorders – prevention of postoperative complications – prevention of secondary reflexive changes – rehabilitation – secondary lymphomedema – systemic enzyme therapy

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