Magnetotherapy and intermittent pneumocompression as a metod of rehabilitation of patient with brest cancer in different periods after radical mastectomy

Abstract

Objective to develop and compare the effectiveness of General magnetic therapy and intermittent pneumocompression in combination with physical therapy and balance therapy, classes with a medical psychologist in patients on day 2–4 and 1.5–2 months after surgical treatment for breast cancer (breast cancer).

Material and methods. 117 patients aged 25 to 70 years were examined and treated after surgical treatment for breast cancer. All patients underwent intermittent pneumocompression at different times after surgery (2–4 days and 1.5–2 months after surgery), followed by General magnetic therapy without interruption.

Results. It was found that this combination of methods of physical rehabilitation helped to reduce pain and postoperative edema, increase the volume of movements in the shoulder joint, prevent the development of severe lymphostasis and improve the quality of life.

Сonclusion. The contribution of General magnetic therapy to the complex of rehabilitation measures is primarily to increase the number of lymphatic collaterals, increase tissue oxygenation and anti-inflammatory effect. Intermittent pneumocompression contribute to the increase in the number of lymphatic collaterals, stimulates lymph flow.

Keywords

medical rehabilitation / General magnetic therapy / pneumocompression / breast cancer / surgical treatment of breast cancer / early postoperative period / late postoperative period

References

[1] Malignant neoplasms in Russia in 2017 (morbidity and mortality). Ed. AD Kaprina, VV Starinskogo, GV Petrovoj. Moscow; 2018. (in Russ).

[2] Злокачественные новообразования в России в 2017 году (заболеваемость и смертность) / Под ред. А.Д. Каприна, В.В. Старинского, Г.В. Петровой. М., 2018. 250 с.

[3] Gerasimenko MYu. Results and prospects of development of medical rehabilitation and balneology. Physiotherapy, Balneology and Rehabilitation. 2017;6(1):4-5. doi: 10.18821/1681-3456-2017-16-1-4-5. (in Russ).

[4] Герасименко М.Ю. Итоги и перспективы развития медицинской реабилитации и курортологии // Физиотерапия, бальнеология и реабилитация. 2017. № 16(1). С. 4–5. doi: 10.18821/1681-3456-2017-16-1-4-5.

[5] Semiglazova TYu, Klyuge VA, Kasparov BS, et al. International model of rehabilitation of cancer patients. Medicinskij sovet = Medical Council. 2018;10:108-116. doi: 10.21518/2079-701X-2018-10-108-116. (in Russ).

[6] Семиглазова Т.Ю., Клюге В.А., Каспаров Б.С., Кондратьева К.О. и др. Международная модель реабилитации онкологических больных // Медицинский совет. 2018. № 10. С. 108–116. doi: 10.21518/2079-701X-2018-10-108-116.

[7] Kizhaev EV, Borisov VI, Kizhaev YuE. Breast cancer: Clinic. Diagnostics. Treatment. Moscow: Printallogi; 2018. (in Russ).

[8] Кижаев Е.В., Борисов В.И., Кижаев Ю.Е. Рак молочной железы: Клиника. Диагностика. Лечение. М.: Принталлоги: 2018. 25 c.

[9] Yudin VA, Savkin ID. The treatment of lymphedema of the limbs (review). Rossijskij mediko-biologicheskij vestnik imeni akademika I.P. Pavlova. 2015;4:145-153. (in Russ).

[10] Юдин В.А., Савкин И.Д. Лечение лимфедемы конечностей (обзор литературы) // Российский медико-биологический вестник имени академика И.П. Павлова. 2015. № 4. С. 145–1534.

[11] Russian patent for invention No. 2687599/22.11.2018 Evstigneeva IS, Gerasimenko MYu, Kulikov AG, et al. Method of treatment of postmasectomy syndrome. (In Russ).

[12] Патент РФ на изобретение № 2687599/22.11.2018. Евстигнеева И.С., Герасименко М.Ю., Куликов А.Г. и др. Способ лечения постмасэктомического синдрома.

[13] Gerasimenko MYu, Evstigneeva IS, Kulikov AG, Strazhev SV. Application of the general magnetotherapy and faltering pneumocompression in the early postoperative period at patients after the radical mastectomy. Vestnik vosstanovitel'noj mediciny. 2018;6(88):85-90. (in Russ).

[14] Герасименко М.Ю., Евстигнеева И.С., Куликов А.Г., Стражев С.В. Применение общей магнитотерапии и прерывистой пневмокомпрессии в раннем послеоперационном периоде у пациенток после радикальной мастэктомии // Вестник восстановительной медицины. 2018. № 6(88). С. 85–90.

[15] Kir'yanova VV, Chaban AA, Makarov EA. Effect of abdominal decompression on the state of the microcirculatory bed in patients with reflex manifestations of osteochondrosis of the lumbosacral spine. Physiotherapy, Balneology and Rehabilitation. 2016;15(1):29-34. doi: 10.18821/1681-3456-2016-15-1-29-34. (in Russ).

[16] Кирьянова В.В., Чабан А.А., Макаров Е.А. Влияние абдоминальной декомпрессии на состояние микроциркуляторного русла у пациентов с рефлекторными проявлениями остеохондроза пояснично-крестцового отдела позвоночника // Физиотерапия, бальнеология и реабилитация. 2016. № 15(1). С. 29–34. doi: 10.18821/1681-3456-2016-15-1-29-34.

[17] Kruglova LS, Afanasieva EA, Kotenko KV, Korchazhkina NB. The use of physiotherapy methods in the rehabilitation of patients with cancer. Physiotherapy, Balneology and Rehabilitation. 2016;15(2):97-101. doi: 10.18821/1681-3456-2016-15-2-97-101. (in Russ).

[18] Круглова Л.С., Афанасьева Е.А., Котенко К.В., Корчажкина Н.Б. Использование физиотерапевтических методов в реабилитации больных с онкологической патологией // Физиотерапия, бальнеология и реабилитация. 2016. № 15(2). С. 97–101. doi: 10.18821/1681-3456-2016- 15-2-97-101.

[19] Epifanov VA, Korchazhkina NB. Medical rehabilitation in obstetrics and gynecology: Monography, Moscow: GEOTAR-Media; 2019. (in Russ).

[20] Епифанов В.А., Корчажкина Н.Б. Медицинская реабилитация в акушерстве и гинекологии: Монография. М.: ГЭОТАР-Медиа, 2019. 504 с.

RIGHTS & PERMISSIONS

Eco-Vector