Postoperative rehabilitation of breast cancer

The incidence of breast cancer around the world radiate upward trend year after year, and began to tend to younger, our country is no exception. With the development of diagnostic and therapeutic techniques, the mortality rate of breast cancer have a certain downward trend in breast cancer survivors to become the most common malignant tumor, thus the function of patients after exercise and psychological rehabilitation seems particularly important.

1, breast cancer patients with postoperative functional exercise

Surgery remains the main method of treatment of breast cancer, breast cancer often occurs after limb dysfunction, mainly for the upper limb lymphedema, limited shoulder range of motion, muscle strength is low, rapid emergence of post-exercise fatigue and Fine motor dysfunction and so on, depending on the extent of surgical procedures and postoperative time, radiotherapy and chemotherapy and functional differences in training and so on. As much as possible to reduce the incidence of upper limb dysfunction, effectively increase the postoperative quality of life, of which a reasonable and timely postoperative functional exercise is to promote the recovery of upper limb function in patients with essential and vital way.

Different methods will give breast cancer, breast cancer surgery upper limb dysfunction brought about different effects, mainly due to axillary lymph node dissection is caused by the armpits to the upper arm medial lymphatic damage. Because lymphatic inevitably be damaged, poor lymphatic drainage, leading to the upper extremity lymphedema. The axillary long-term effusion, mild infections, lymphatic residue will be further damaged, if repeated infections, or even result in the subclavian or axillary vein obstruction, leading to the occurrence of severe edema. The upper extremity lymphedema will affect the upper extremity activities, the activities of limited shoulder. At the same time, the activities of limited shoulder caused by upper limb reduction in activity, will increase the risk of upper limb lymphedema, the two form a vicious circle. Of course, poor wound healing after surgery to make functional training can not be normal, or the patient did not dare to upper limb exercise, have affected the recovery of upper limb function, resulting in varying degrees of activity limitation shoulder. Functional exercises after breast cancer, its significance lies in functional training can reduce the incidence of lymphedema, the promotion of shoulder activity increases.

The timing of breast cancer after functional exercise

At present the general view is that breast cancer patients should be as soon as possible limb functional training. Incision in the armpit scar tissue has not been formed for exercise, can prevent scar contracture around the armpits, muscle atrophy and joint stiffness, but also to avoid contracture of the scar tissue pressure axillary vein, so that axillary venous return obstruction reduced, while the activities of promoting limb blood circulation, increased lymphatic flow, reducing the incidence of edema, or the promotion of edema, thus improving upper extremity function. Studies suggest that breast cancer surgery functional exercise duration should be more than 6 months, especially in the first 3 months, is particularly important. If the patients without limb functional training, then, due to scar tissue contraction will affect the shoulder joint of the activities in the scar tissue in a relatively stable state, even if further training, the effect is not satisfactory.