Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitationФизическая и реабилитационная медицина, медицинская реабилитация2658-68432949-1436Eco-Vector7132110.36425/rehab71321New methods and technologies, discussionsНовые методы и технологии, дискуссииResearch ArticleModern Aspects of the Rational Organization and Conduct of Medical Rehabilitation of Patients with Breast CancerСовременные аспекты рациональной организации и проведения медицинской реабилитации пациенток, перенесших рак молочной железыhttps://orcid.org/0000-0002-7603-84811678-6093AkhmedovVadim A.АхмедовВадим Адильевич
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

V_akhmedov@mail.ruLagutochkinaViktoria A.ЛагуточкинаВиктория Алексеевна
Russian Federation

Student

студентка

kommetta18@gmail.comFederal State Funded Educational Institution for Higher Education Omsk State Medical University of the Ministry of Public Health of the Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Омский государственный медицинский университет» Минздрава России15062021322232300406202117062021Copyright ©; 2021, Akhmedov V.A., Lagutochkina V.A.Copyright ©; 2021, Ахмедов В.А., Лагуточкина В.А.2021Akhmedov V.A., Lagutochkina V.A.Ахмедов В.А., Лагуточкина В.А.https://creativecommons.org/licenses/by/4.0https://journals.eco-vector.com/2658-6843/article/view/71321

Breast cancer is the most common female cancer worldwide. The side effects of chemotherapy require rational, correct and selective use of rehabilitation measures. The principle of individualization is one of the fundamental principles in the rehabilitation process. Currently, there are separate studies on the use of rehabilitation techniques in the treatment of patients who have had breast cancer. For a more detailed understanding by practitioners of the clinical possibilities and prospects for the use of various rehabilitation technologies In the presented review article, modern data on the goals and principles of rehabilitation programs for patients who have undergone breast cancer treatment using therapeutic physical culture, massage, physiotherapy, as well as alternative medicine and psychocorrection methods are disclosed.

Рак молочной железы является наиболее распространенным среди женских онкологических заболеваний в мире. Побочные эффекты химиотерапии требуют рационального, корректного и избирательного применения реабилитационных мероприятий. Принцип индивидуализации является одним из основополагающих в реабилитационном процессе. В настоящее время имеются отдельные исследования, посвященные применению реабилитационных методик в лечении пациенток, перенесших рак молочной железы. Для более детального понимания практическими врачами клинических возможностей и перспектив применения различных реабилитационных технологий в представленной обзорной статье раскрыты современные данные о целях и принципах программ реабилитации пациенток, перенесших лечение рака молочной железы с использованием лечебной физической культуры, массажа, физиотерапии, а также методов альтернативной медицины и психокоррекции.

breast cancerrehabilitationphysical therapymassagephysical therapyрак молочной железыреабилитацияфизиотерапиямассажлечебная физкультураBray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492.Frambes D, Sikorskii A, Tesnjak I, et al. Caregiver-reported health outcomes: effects of providing reflexology for symptom management to women with advanced breast cancer. Oncol Nurs Forum. 2017;44(5):596–605. doi: 10.1188/17.ONF.596-605Cooney MA, Culleton-Quinn E, Stokes E. Current knowledge of pain after breast cancer treatment: a systematic review. Pain Manag Nurs. 2013;14(2):110–123. doi: 10.1016/j.pmn.2010.09.002Hasenoehrl T, Keilani M, Palma S, Crevenna R. Resistance exercise and breast cancer related lymphedema — a systematic review update. Disability Rehabilitation. 2020; 42(1):26–35. doi: 10.1080/09638288.2018.1514663Kim S, Han J, Lee MY, Jang MK. The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews. J Clin Nurs. 2020;29(5-6):758–769. doi: 10.1111/jocn.15114Maass SW, Roorda C, Berendsen AJ, et al. The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: a systematic review. Maturitas. 2015;82(1):100–108. doi: 10.1016/j.maturitas.2015.04.010Fangel LM, Panobianco MS, Kebbe LM, et al. Quality of life and daily activities performance after breast cancer treatment. Acta Paul Enferm. 2013;26(1):93–100.Keesing S, Rosenwax L, McNamara B. The implications of women’s activity limitations and role disruptions during breast cancer survivorship. Womens Health (Lond). 2018; 14:1745505718756381. doi: 10.1177/1745505718756381Halbach SM, Ernstmann N, Kowalski C, et al. Unmet information needs and limited health literacy in newly diagnosed breast cancer patients over the course of cancer treatment. Patient Educ Couns. 2016;99(9):1511–1518. doi: 10.1016/j.pec.2016.06.028Amatya B, Khan F, Galea MP. Optimizing post-acute care in breast cancer survivors: a rehabilitation perspective. J Multidiscip Healthc. 2017;10:347–357. doi: 10.2147/JMDH.S117362Smith V, Devane D, Begley CM, Clarke M. Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Med Res Methodol. 2011;11(1):15. doi: 10.1186/1471-2288-11-15Блинова К.А., Лапочкина Н.П. Результаты медицинской реабилитации больных с постмастэктомическим синдромом в зависимости от иммуногистохимического типа опухоли // Исследования и практика в медицине. 2018. Т. 5, № 1. С. 21. [Blinova KA, Lapochkina NP. Results of medical rehabilitation of patients with post-mastectomy syndrome depending on the immunohistochemical type of tumor. Research’n Practical Medicine Journal. 2018;5(1):21. (In Russ).]Макарова Н.П., Ермолаев В.Л. Эволюция взглядов на лечение лимфедемы (обзор литературы) // Вестник Уральского государственного медицинского университета. 2016. № 1–2. С. 92–101. [Makarova NP, Ermolaev VL. Evolution of views on the treatment of lymphedema (literature review). Bulletin of the Ural State Medical University. 2016;(1–2):92–101. (In Russ).]Гайдарова А.Х., Котенко Н.В., Айрапетова Н.С., и др. Обзор современных методик реабилитации пациенток с отеком верхней конечности после мастэктомии по поводу рака молочной железы (научный обзор) // Физиотерапевт. 2016. № 2. С. 59–69. [Gaidarova AK, Kotenko NV, Airapetova NS, et al. Review of modern methods of rehabilitation of patients with edema of the upper limb after mastectomy for breast cancer (scientific review). Physiotherapist. 2016;(2):59–69. (In Russ).]Zhao G, Li C, Okoro CA, et al. Trends in modifiable lifestyle-related risk factors following diagnosis in breast cancer survivors. J Cancer Surviv. 2013;7(4):563–569. doi: 10.1007/s11764-013-0295-5Zhu G, Zhang X, Wang Y, et al. Effects of exercise intervention in breast cancer survivors: a meta-analysis of 33 randomized controlled trails. Onco Targets Ther. 2016;9:2153–2168. doi: 10.2147/OTT.S97864Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: a systematic review and meta-analysis. BMC Cancer. 2015;15:77. doi: 10.1186/s12885-015-1069-4De Groef A, Van Kampen M, Dieltjens E, et al. Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review. Arch Phys Med Rehabil. 2015;96(6):1140–1153. doi: 10.1016/j.apmr.2015.01.006Şener HÖ, Malkoç M, Ergin G, et al. Effects of clinical Pilates exercises on patients developing lymphedema after breast cancer treatment: a randomized clinical trial. J Breast Health. 2017;13(1):16–22.Alpozgen AZ, Ozdincler AR, Karanlik H, et al. Effectiveness of Pilates‐based exercises on upper extremity disorders related with breast cancer treatment. Eur J Cancer Care (Engl). 2017;26(6). doi: 10.1111/ecc.12532Cramer H, Lauche R, Klose P, et al. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev. 2017;1(1):CD010802. doi: 10.1002/14651858.CD010802.pub2Eyigor S, Uslu R, Apaydın S, et al. Can yoga have any effect on shoulder and arm pain and quality of life in patients with breast cancer? A randomized, controlled, single-blind trial. Complement Ther Clin Pract. 2018;32:40–45. doi: 10.1016/j.ctcp.2018.04.010Pan Y, Yang K, Wang Y, et al. Could yoga practice improve treatment‐related side effects and quality of life for women with breast cancer? A systematic review and meta‐analysis. Asia Pac J Clin Oncol. 2017;13(2):е79–е95. doi: 10.1111/ajco.12329Peppone LJ, Janelsins MC, Kamen C, et al. The effect of YOCAS©® yoga for musculoskeletal symptoms among breast cancer survivors on hormonal therapy. Breast Cancer Res Treat. 2015;150(3):597–604. doi: 10.1007/s10549-015-3351-1Porter LS, Carson JW, Olsen M, et al. Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. Support Care Cancer. 2019;27(11):4307–4316. doi: 10.1007/s00520-019-04710-7Zeng Y, Huang M, Cheng AS, et al. Meta-analysis of the effects of exercise intervention on quality of life in breast cancer survivors. Breast Cancer. 2014;21(3):262–274. doi: 10.1007/s12282-014-0521-7Dion L, Engen D, Lemaine V, et al. Effect of guided meditation and massage therapy for breast cancer patients undergoing autologous tissue reconstruction-a pilot study. Integrative Medicine Research. 2015;4(1):78. doi: 10.1016/j.imr.2015.04.110Drackley NL, Degnim AC, Jakub JW, et al. Effect of massage therapy for postsurgical mastectomy recipients. Clin J Oncol Nurs. 2012;16(2):121–124. doi: 10.1188/12.CJON.121-124Ucuzal M, Kanan N. Foot massage: effectiveness on postoperative pain in breast surgery patients. Pain Manag Nurs. 2014;15(2):458–465. doi: 10.1016/j.pmn.2012.03.001Макарова В.С., Выренков Ю.Е. Комплексная физическая противоотечная терапия в лечении лимфедем // Вестник лимфологии. 2014. № 1. С. 10–22. [Makarova VS, Vyrenkov YE. Complex physical decongestant therapy in the treatment of lymphedema. Bulletin of Lymphology. 2014;1:10–22. (In Russ).]Omar MT, El Morsy AM. Treatment of post-mastectomy lymphedema with laser therapy: double blind placebo control randomized study. J Surg Res. 2011;165(1):82–90. doi: 10.1016/j.jss.2010.03.050Луферова Н.Б., Кончугова Т.В., Гусакова Е.В. Теоретические аспекты современной магнитобиологии и магнитотерапии // Вопросы курортологии, физиотерапии и лечебной физической культуры. 2011. № 3. С. 52–56. [Luferova NB, Konchugova TV, Gusakova EV. Theoretical aspects of modern magnetobiology and magnetotherapy. Questions of balneology, physiotherapy and therapeutic physical culture. 2011;3:52–56. (In Russ).]Малинин А.А., Катаев С.И., Колобова Т.Л. Воздействие переменного электромагнитного поля и электрической стимуляции при вторичной лимфедеме в эксперименте // Вестник лимфологии. 2006. № 2. С. 26–29. [Malinin AA, Kataev SI, Kolobova TL. The effect of alternating electromagnetic field and electrical stimulation in secondary lymphedema in an experiment. Bulletin of Lymphology. 2006;(2):26–29. (In Russ).]Стражев С.В. Медицинская реабилитация больных с постмастэктомическим синдромом: Автореф. дис. … докт. мед. наук. Москва, 2012. 48 с. [Strazhev SV. Medical rehabilitation of patients with post-mastectomy syndrome [dissertation abstract]. Moscow; 2012. 48 p. (In Russ).]Stout NL, Binkley JM, Schmitz KH, et al. A prospective surveillance model for rehabilitation for women with breast cancer. Cancer. 2012;118(8 Suppl):2191–2200. doi: 10.1002/cncr.27476Rubinstein SM, van Middelkoop M, Kuijpers T, et al. A systematic review on the effectiveness of complementary and alternative medicine for chronic non-specific low-back pain. Eur Spine J. 2010;19(8):1213–1228. doi: 10.1007/s00586-010-1356-3Shao Y, Qi K, Zhou QH, Zhong DS. Intermittent pneumatic compression pump for breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials. Oncol Res Treat. 2014;37(4):170–174. doi: 10.1159/000360786Lindquist R, Tracy MF, Snyder M, et al. Complementary & alternative therapies in nursing. New York: Springer Publishing Company; 2018.Taradaj J, Halski T, Rosinczuk J, et al. The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment. Eur J Cancer Care (Engl). 2016;25(4): 647–660. doi: 10.1111/ecc.12331Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract. 2013;29(4):259–270. doi: 10.3109/09593985.2012.731675Melgaard D. What is the effect of treating secondary lymphedema after breast cancer with complete decongestive physiotherapy when the bandage is replaced with Kinesio Textape? A pilot study. Physiother Theory Pract. 2016;32(6):446–451. doi: 10.3109/09593985.2016.1143541Lukose N, Pavithran S, Anu K. Effect of foot reflexology as an add-on intervention on pain among women having undergone mastectomy. Nurs J India. 2016; 107(4):159–162.Tarrasch R, Carmel-Neiderman NN, Ben-Ami S, et al. The effect of reflexology on the pain-insomnia-fatigue disturbance cluster of breast cancer patients during adjuvant radiation therapy. J Altern Complement Med. 2018;24(1):62–68. doi: 10.1089/acm.2017.0023Li XM, Zhou KN, Yan H, et al. Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial. J Adv Nurs. 2012;68(5): 1145–1155. doi: 10.1111/j.1365-2648.2011.05824.xPalmer JB, Lane D, Mayo D, et al. Effects of music therapy on anesthesia requirements and anxiety in women undergoing ambulatory breast surgery for cancer diagnosis and treatment: a randomized controlled trial. J Clin Oncol. 2015; 33(28):3162–3168. doi: 10.1200/JCO.2014.59.6049Bao T, Li SQ, Dearing JL, et al. Acupuncture versus medication for pain management: A cross-sectional study of breast cancer survivors. Acupunct Med. 2018;36(2): 80–87. doi: 10.1136/acupmed-2017-011435Giron PS, Haddad CA, de Rizzi SK, et al. Effectiveness of acupuncture in rehabilitation of physical and functional disorders of women undergoing breast cancer surgery. Support Care Cancer. 2016;24(6):2491–2496. doi: 10.1007/s00520-015-3054-5Hershman DL, Unger JM, Greenlee H, et al. Effect of acupuncture vs sham acupuncture or waitlist control on joint pain related to aromatase inhibitors among women with early-stage breast cancer: a randomized clinical trial. JAMA. 2018;320(2):167–176. doi: 10.1001/jama.2018.8907Kim TH, Kang JW. Acupuncture for symptoms management in Korean breast cancer survivors: a prospective pilot study. Acupunct Med. 2019;37(3):164–174. doi: 10.1177/0964528419832610Quinlan-Woodward J, Gode A, Dusek JA, et al. Assessing the impact of acupuncture on pain, nausea, anxiety, and coping in women undergoing a mastectomy. Oncol Nurs Forum. 2016;43(6):725–732. doi: 10.1188/16.ONF.725-732Duijts SF, Faber MM, Oldenburg HS, et al. Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancer patients and survivors — a metaanalysis. Psychooncology. 2011;20(2):115–126. doi: 10.1002/pon.1728Bluethmann SM, Vernon SW, Gabriel KP, et al. Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat. 2015;149(2):331–342. doi: 10.1007/s10549-014-3255-5