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    Wyświetlanie 1-12 z 12
    Tytuł:
    Evaluation of the Quality of Life of Women after Mastectomy
    Autorzy:
    Bolach, Bartosz
    Walowska, Jagoda
    Juskowiak, Ewa
    Stępień-Słodkowska, Marta
    Powiązania:
    https://bibliotekanauki.pl/articles/32443961.pdf
    Data publikacji:
    2024
    Wydawca:
    Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
    Tematy:
    rehabilitation
    mastectomy
    breast cancer
    quality of life
    mental health
    social function
    Opis:
    Purpose The most frequent cancer among women in Poland and worldwide is breast cancer. The aim of the study was to assess the quality of women's life after unilateral and bilateral breast amputation. Research process The study included 47 women - 24 women after bilateral amputation and 23 unilateral amputees. Two questionnaires were used: European Organization for Research and Treatment of Cancer - Quality of Life Questionnaire: general and breast cancer module to measure the quality of life of patients treated for cancer. Results From among the assessed areas of quality of life, the sphere of emotional functioning was significantly disturbed. The passage of time improved the quality of life of the surveyed women. Thanks to early detection and treatment survival time is extended, however the disease becomes a chronic disorder affecting the psychosomatic sphere that changes the quality of life of these women.
    Źródło:
    Central European Journal of Sport Sciences and Medicine; 2024, 45; 55-64
    2300-9705
    2353-2807
    Pojawia się w:
    Central European Journal of Sport Sciences and Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    „Będę się na nowo uczył mówić i połykać?”
    “Will I Learn to Speak and Swallow Again?”
    Autorzy:
    Halczy-Kowalik, Ludmiła
    Stecewicz, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/24367896.pdf
    Data publikacji:
    2023-09-25
    Wydawca:
    Polskie Towarzystwo Logopedyczne
    Tematy:
    rak języka
    zaburzenia połykania
    zaburzenia mowy
    rehabilitacja połykania
    rehabilitacja mowy
    zastępcze miejsca artykulacyjne
    tongue cancer
    swallowing disorders
    speech disorders
    swallowing rehabilitation
    speech rehabilitation
    substitute articulation sites
    Opis:
    Utrzymanie odżywiania drogą naturalną i zrozumiałej wymowy po radykalnym wycięciu raka języka wymaga zwykle odtworzenia wyciętego narządu, istotnego dla połykania i mowy. Niezależnie od sposobu rekonstrukcji pooperacyjna rehabilitacja jest ważną częścią leczenia. Obejmuje: określenie zaburzenia, weryfikację mechanizmów kompensacyjnych stosowanych samorzutnie przez chorych, wdrożenie manewrów połknięciowych pod kontrolą wideoradiologii, poszukiwanie wraz z chorym zastępczych miejsc artykulacyjnych.
    Maintaining nutrition naturally and understandable pronunciation after radical excision of tongue cancer usually requires the restoration of the excised organ, important for swallowing and speech. Regardless of the method of reconstruction, postoperative rehabilitation is an important part of treatment. It includes: determination of the disorder, verification of compensatory mechanisms used spontaneously by patients, implementation of swallowing maneuvers under the control of videoradiology, search for replacement articulation sites together with the patient.
    Źródło:
    Logopedia; 2023, 52, 1; 177-196
    0459-6935
    Pojawia się w:
    Logopedia
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Rehabilitation after anatomical resection of lung parenchyma with persistent air leakage
    Rehabilitacja po anatomicznej resekcji miąższu płuca z utrzymującym się przeciekiem powietrza
    Autorzy:
    Janczura, Mirosław
    Powiązania:
    https://bibliotekanauki.pl/articles/1790776.pdf
    Data publikacji:
    2020-11-10
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    lung cancer
    rehabilitation
    resection of the lung parenchyma
    rak płuca
    rehabilitacja
    resekcja miąższu płuca
    Opis:
    Anatomical resection of the lung parenchyma is the treatment of choice at an early stage of lung cancer. The inevitable result of these operations is the loss of the respiratory surface causing varying degrees of respiratory dysfunction, depending on the extent of the procedure and the operated side. Therefore, from the first hours after the operation, patients should undergo comprehensive rehabilitation, which is fundamental to minimize the risk of complications and improve respiratory function. Due to the popularization of the concept of enhanced recovery after surgery (ERAS), the importance of effective rehabilitation is increasing. One of the more common complications after anatomical resection of the lung parenchyma is persistent air leakage. There are no guidelines in the literature regarding rehabilitation in this group of patients. This paper describes the physiotherapy of patients after resection of the lung parenchyma complicated by persistent air leakage.
    Anatomiczna resekcja miąższu płuca jest leczeniem z wyboru we wczesnym stadium zaawansowania raka płuca. Nieuniknionym skutkiem tych operacji jest ubytek powierzchni wymiany gazowej powodujący różnego stopnia, w zależności od rozległości zabiegu oraz operowanej strony, zaburzenie czynności oddechowej. Dlatego od pierwszych godzin po operacji pacjenci powinni być poddawani kompleksowej rehabilitacji, która ma podstawowe znaczenie dla minimalizacji ryzyka powikłań oraz poprawy funkcji oddechowej. Ze względu na upowszechnianie się koncepcji kompleksowej opieki okołooperacyjnej (ang. Enhanced recovery after surgery – ERAS), znaczenie skutecznego postępowania rehabilitacyjnego jest coraz większe. Jednym z częstszych powikłań po anatomicznej resekcji miąższu płuca jest utrzymujący się po zabiegu przeciek powietrza. W piśmiennictwie brak jest wytycznych dotyczących postępowania rehabilitacyjnego w tej grupie pacjentów. W niniejszej pracy opisano fizjoterapię pacjentów po zabiegu resekcji miąższu płuca powikłanym utrzymującym się przeciekiem powietrza.
    Źródło:
    Medical Rehabilitation; 2020, 24(3); 35-37
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Development and implementation of work-related medical rehabilitation in cancer patients using organizational ethnography and action research methodology
    Autorzy:
    Schwarz, Betje
    Wienert, Julian
    Bethge, Matthias
    Powiązania:
    https://bibliotekanauki.pl/articles/2161998.pdf
    Data publikacji:
    2019-04-03
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    qualitative research
    cancer
    Action research
    return-to-work
    work-related medical rehabilitation
    organizational ethnography
    Opis:
    Objectives To develop a work-related medical rehabilitation (WMR) program for cancer patients based on the best available evidence, the expertise of rehabilitation professionals and the perspective of the patients, to ensure the fidelity of its implementation and to prepare its subsequent outcome evaluation. Material and Methods The implementation study was based on organizational ethnography and action research, and followed a multimethod, participatory and iterative approach to data collection and analysis. The authors carried out observations in 4 rehabilitation centers and conducted focus groups with rehabilitation professionals and patients. The obtained data were subjected to qualitative content analysis. All findings were discussed promptly with the rehabilitation centers at feedback meetings that contributed to the further development of the program. Results The following WMR modules were defined based on the findings: additional work-related diagnostics, multi-professional team meetings, an introductory session, work-related functional capacity training, work-related psychological groups and intensified social counseling. Process descriptions for the subsequent evaluation of the program via a cluster-randomized trial were also developed, containing, e.g., instructions for patient information and recruitment. Conclusions Implementation studies can help to prepare for valid trials as they facilitate ensuring the feasibility, acceptability and fidelity of program implementation and evaluation. Organizational ethnography and action research are suitable methods for carrying out such studies. Int J Occup Med Environ Health. 2019;32(2):217–28
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2019, 32, 2; 217-228
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Physiotherapy in women after breast cancer treatment – review
    Autorzy:
    Skutnik, K.
    Ustymowicz, W.
    Zubrewicz, K.
    Zińczuk, J.
    Kamińska, D.
    Pryczynicz, A.
    Powiązania:
    https://bibliotekanauki.pl/articles/1918836.pdf
    Data publikacji:
    2019
    Wydawca:
    Uniwersytet Medyczny w Białymstoku
    Tematy:
    breast cancer
    rehabilitation
    mastectomy
    physiotherapy
    Opis:
    Introduction: Breast cancer is the most common malignant tumor in women in the Polish region. Surgery is a basic method of breast cancer treatment. Surgery often carries a lot of unwanted changes as follows: limitation of mobility in the shoulder joint on the operated side, secondary lymphoedema, post mastectomy pain syndrome (PMPS), reduction of muscle strength or disorders in body posture. Therefore, the implementation of physiotherapeutic activities that are designed to prevent and eliminate postoperative complications seems very important. The main aim of this work was to present physiotherapeutic management in women after mastectomy based on the analysis of available literature. The physiotherapeutic process can be divided into three periods: early hospital, early ambulatory and the late ambulatory period. In the first period, active slow exercises, self-support of the upper limb on the operated side and breathing exercises on the thoracic track are used to prevent circulatory disorders, pulmonary complications, and edema. The early ambulatory period includes corrective exercises, general improvement exercises, stretching and learning of automatic massage of the upper limb of the operated side. The last period should be enriched by recreational methods of physical activity such as swimming, cycling or Nordic walking to maintain physical fitness, proper mobility of the shoulder girdle and improve the patient's psychophysical state. It is very important the patient regular continues the rehabilitation program after curing of breast cancer as well. In the case of secondary lymphoedema of the upper limb, comprehensive rehabilitation physiotherapy is used, consisting of manual lymphatic drainage, healing exercises, compression therapy, and skin care. Conclusions: Physiotherapy in women after breast cancer surgery is a complex and long-term process. Physiotherapeutic methods are effective in treating complications after surgery of breast cancer surgery. It is necessary to constantly update the physio-therapy knowledge in women after breast cancer surgery.
    Źródło:
    Progress in Health Sciences; 2019, 1; 162-168
    2083-1617
    Pojawia się w:
    Progress in Health Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The influence of acupuncture TENS currents on the proliferation of cancer cells tested in vitro
    Wpływ prądu TENS akupunkturowego na proliferację komórek nowotworowych w badaniach in vitro
    Autorzy:
    Pełczyńska, Marzena
    Milczarek, Magdalena
    Maciejewska, Magdalena
    Wietrzyk, Joanna
    Powiązania:
    https://bibliotekanauki.pl/articles/1790857.pdf
    Data publikacji:
    2019-12-02
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    proliferation of cancer cells
    in vitro assay
    electrotherapy
    physiotherapy
    cancer
    rehabilitation
    proliferacja komórek nowotworowych
    badania in vivo
    elektroterapia
    fizjoterapia
    rehabilitacja
    Opis:
    Introduction: Transcutaneous Electrical Nerve Stimulation (TENS) is a very popular, non-pharmacological antianalgetic method. Nonetheless, knowledge on using this method is very limited in the treatment of patients with cancer anamnesis. Unfortunately, there are not many results of research referring to the application of this method. It is much more difficult to exclude the possibility of proneoplastic activity regarding these methods than to confirm this action. Aim: The aim of the study was to evaluate the influence of TENS currents on the proliferation of cancer cells tested in vitro. Materials and methods: The following human cell lines were used - A549, ES-2, HT29, MCF-7. The cells were plated 24 h before treatment. Then, the cells were exposed to AL-TENS currents (0.1 mA, 1.0 mA and 10 mA), t imp. 200μs; f 2 Hz, constant; duration: 20 min. The in vitro cytotoxic effects were examined after 96 h in SRB assay. In the other experiment, there were three expositions – 24, 48 and 72 hours from the beginning of the experiment. Results: In this assay, the acceleration of cancer cell proliferation after single or triple-dose expositions to AL-TENS currents was not observed. Conclusions: The AL-TENS current after repeated doses did not accelerate proliferation of cancer cells in in vitro conditions.
    Wstęp: Przezskórna elektrostymulacja nerwów (TENS) jest szeroko stosowaną niefarmakologiczną metodą leczenia przeciwbólowego. Jednak wiedza na temat wpływu tej metody na proces nowotworowy jest fragmentaryczna. Dlatego też zastosowanie jej w leczeniu pacjentów po przebytej chorobie nowotworowej jest bardzo ograniczone. Niestety, w literaturze nie ma wielu wyników badań odnoszących się bezpośrednio do takich metod. Tym bardziej, że znacznie trudniej jest wykluczyć pronowotworową aktywność tych metod, niż ją potwierdzić. Cel pracy: Celem badań było sprawdzenie hipotezy o pobudzającym wpływie prądu TENS na proliferację komórek nowotworowych w warunkach in vitro. Materiał i metody: Badania przeprowadzono w oparciu o 96 godzinny test SRB proliferacji in vitro dla komórek linii nowotworowych: A549 (rak płuc); ES-2 (rak jajnika); HT29 (rak jelita grubego); MCF-7 (rak piersi). Komórki zostały poddane działaniu prądu TENS akupunkturowego o parametrach: 0,1 mA, 1 mA i 10 mA na dołek, czas impulsu 200μs, symetryczny, częstotliwość 2 Hz, stała, czas ekspozycji 20 min, w pojedynczej dawce po 24 godzinach lub w serii trzech ekspozycji po 24, 48 i 72 godzinach od początku eksperymentu. Wyniki: W wyniku przeprowadzonych badań uzyskano niewielkie zmiany proliferacji w badanych komórkach. Żadna ze zmian nie była statystycznie istotna, w szczególności nie obserwowano istotnego statystycznie przyspieszenia proliferacji. Wnioski: Ani pojedyncza ekspozycja na prąd TENS akupunkturowy, ani seria trzykrotnej ekspozycji nie powoduje istotnego przyspieszenia proliferacji komórek nowotworowych.
    Źródło:
    Medical Rehabilitation; 2019, 23(4); 42-46
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Aktywność fiyczna kobiet po mastektomii
    Physical activity in women after mastectomy
    Autorzy:
    Karczmarek-Borowska, Bożenna
    Czaja, Ewelina
    Golon, Kamila
    Powiązania:
    https://bibliotekanauki.pl/articles/437768.pdf
    Data publikacji:
    2015
    Wydawca:
    Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
    Tematy:
    rak piersi
    mastektomia
    rehabilitacja
    breast cancer
    mastectomy
    rehabilitation
    Opis:
    Wstęp. Aktywność fiyczna ma ogromne znaczenie w przebiegu leczenia jak i w rokowaniu chorych na raka piersi, może zapobiegać powikłaniom jak i przyczyniać się do poprawy jakości życia. Badania zostały przeprowadzone w Mieleckim Klubie Amazonek. Materiał i metoda. Badaniem objęto 60 kobiet w wieku od 30 do 68 roku życia (średnia wieku 53,6 lat). Do przeprowadzenia badania użyto ankiety własnego autorstwa oraz Międzynarodowego Kwestionariusza Aktywności Fizycznej (IPAQ). Najliczniejszą grupę wśród badanych stanowiły kobiety po 50 roku życia (58,3%). Większość badanej grupy stanowiły kobiety zamężne 58,3%. 70% badanych kobiet mieszkało w mieście. Najmniejszą grupę stanowiły kobiety z wykształ- ceniem podstawowym 15%, zaś największą stanowiły kobiety z wykształceniem średnim (58,3%). 56,7% badanej grupy stanowiły kobiety niepracujące. Wyniki. Dzięki aktywności fiycznej 76,7% badanych lepiej się czuje, ponadto 55% kobiet uważa, że ma więcej energii oraz lepszą kondycję. Połowa badanych uważa, że aktywność fiyczna ma istotne znaczenie w zapobieganiu raka piersi i innych chorób nowotworowych. Według dużej liczby badanych, aktywność fiyczna bardzo pomogła im w powrocie do zdrowia po zabiegu operacyjnym. Wnioski. Z przeprowadzonych badań wynika, że zdecydowanie bardziej aktywne były panie młodsze (poniżej 50 lat). Nieznacznie częściej średnia ogólna aktywność badanych była większa wśród pań mieszkających na wsi. Średnia aktywność zawodowa badanych zwiększała się wraz ze wzrostem poziomu ich wykształcenia. Średnia aktywność badanych pod względem przemieszczania się największa była wśród kobiet z wykształceniem średnim, nieco mniejsza wśród kobiet w wykształceniem wyższym i najmniejsza wśród kobiet z wykształceniem podstawowym.
    Introduction. Physical activity is very important in course of treatment as well as prognosis of patients with breast cancer and can prevent complications and help to improve the quality of life. The study was conducted in the Amazon Club in Mielec. Material and method. The study included 60 women aged 30 up to 68 (mean age 53.6 years). It was conducted by means of the author’s questionnaire and the International Physical Activity Questionnaire (IPAQ). The largest group among the respondents were women over 50 years of age (58.3%). The majority of the study group 58.3% were married women. 70% of the subjects were the residents of the city. The smallest group consisted of women with primary education - 15%, and most were women with secondary education (58.3%). 56.7% of the study group were women not professionally active. Results. Thanks to physical activity 76.7% of the respondents felt better, also 55% of the women noticed more energy and better wellbeing. A half of the respondents believed that physical activity is important in preventing breast cancer and other cancers. According to a large number of the respondents, physical activity really facilitated their regaining of health after surgery. Conclusions. The study showed that younger women (under 50 years) were more active. The women living in rural areas presented slightly higher mean general activity level. The average professional activity of the respondents increased with increasing level of their education. Mean activity of the subjects in terms of movement was the greatest among women with secondary education, slightly less among women with higher education and the smallest among women with primary education.
    Źródło:
    Medical Review; 2015, 3; 223-231
    2450-6761
    Pojawia się w:
    Medical Review
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The role of physical therapy in cancer treatment
    Autorzy:
    Sidor, M.
    Jeziorski, K.
    Powiązania:
    https://bibliotekanauki.pl/articles/2052454.pdf
    Data publikacji:
    2015
    Wydawca:
    Akademia Bialska Nauk Stosowanych im. Jana Pawła II w Białej Podlaskiej
    Tematy:
    oncology
    physical therapy
    cancer rehabilitation
    holistic care
    Opis:
    Cancer is a very important problem in both medical and social respects. In recent years, there has been a shift in approach to oncological prevention, diagnostics and treatment. As a result, oncology has become an interdisciplinary field. Factors relevant for successful oncological treatment are: sequence, type and scope of intervention, including diagnosis of the cancer, assessment of its progression, systemic treatment, surgery, radiotherapy, supportive therapy and rehabilitation. Rehabilitation addresses the realm of psychology (psychooncology), as well as somatic and social issues. Physical therapy is a notion inseparably related to medical rehabilitation and it encompasses a range of treatments which are based on the body’s reactivity to stimuli. The purpose of this article is to present the specific character, the methods and the role of physical therapy in oncology, as an increasingly popular strategy in medicine, which helps to improve performance and physical function in cancer patients. Physical therapy is essential in primary and secondary cancer prevention and it greatly contributes to improving the quality of life of patients and helps them recover quicker. Four basic kinds of intervention in oncological rehabilitation include: preventive interventions, restorative interventions, supportive interventions and palliative interventions. The main principle in rehabilitating a patient with an advanced cancer is progressing steadily but gradually. The primary and essential form of rehabilitation for cancer patients is movement exercise i.e. kinesiotherapy. Integration and cooperation during group exercise are also among the strategies that therapists seek to employ while working to improve the condition of patients diagnosed with cancer. Kinesiotherapy prevents pulmonary and thromboembolic complications in cancer patients. One method of physical therapy applied in cancer treatment is lymphatic drainage (massage), which improves circulation of lymph. To sum up, physical therapy plays an increasingly important role in holistic care of cancer patients. It is indispensable and should become a standard approach, as a method of reducing the risk of complications, helping in faster recovery and limiting the economic and social costs of treatment.
    Źródło:
    Health Problems of Civilization; 2015, 09, 1; 29-32
    2353-6942
    2354-0265
    Pojawia się w:
    Health Problems of Civilization
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Therapeutic rehabilitation of cancer patients. Why and what for?
    Autorzy:
    Ballyuzek, Marina F.
    Stepanov, Boris P.
    Ionova, Anna K.
    Mashkova, Maria V.
    Powiązania:
    https://bibliotekanauki.pl/articles/1065053.pdf
    Data publikacji:
    2015
    Wydawca:
    Medical Education
    Tematy:
    cancer disease
    cancer patients’ rehabilitation
    oncological rehabilitation in therapists’ practice
    paraneoplastic syndrome
    somatic disorders accompanying oncological pathology
    Opis:
    Types of oncological rehabilitation and its objectives are described. It includes information on many manifestations of oncological diseases that an internist has to deal with, which are conditioned not only by the oncological process itself, but by the cancer treatment conducted, as well as the attitude of doctors and patients to cancer pathology. The specific characteristics of the “cancer disease” are described, as well as a combination of somatic disorders which depends on the ongoing or arrested tumor development. It is necessary for doctors to observe the cancer patients before, during and after treatment for complication of cancer or treatment over the life span.
    Źródło:
    OncoReview; 2015, 5, 1; A27-A32
    2450-6125
    Pojawia się w:
    OncoReview
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Cardioncology in Russia: Start-Off and Prospects
    Autorzy:
    Ballyuzek, Marina F.
    Mashkova, Maria V.
    Powiązania:
    https://bibliotekanauki.pl/articles/1065791.pdf
    Data publikacji:
    2014
    Wydawca:
    Medical Education
    Tematy:
    cardiac rehabilitation of cancer patients
    cardioncology in Russia
    cardiotoxicity
    systemic cardiovascular reactions to the tumor
    Opis:
    The progress in improving the survival of cancer patients in Russia, as well as throughout the world, means that in the next years it is going to be an increase in the number of disabled people who has achieved remission, or who faces the consequences of high-dose polychemotherapy and/or radiotherapy between courses of cancer treatment. Until recently, the two main socially significant medical problems in Russia, cancer and cardiac, have been rarely united into one. Publications on this topic appeared only in specialized cancer journals and were unknown by a wide range of cardiologists and internists, therefore the involvement of these specialists in the study of theoretical and practical aspects of the management of patients with malignant tumors was limited. Creation of the International Society of Cardioncology (ICOS) contributed to the development of an interest in this interdisciplinary field of modern medicine. However, even today cardiac problems of cancer patients in Russia mostly are limited to the cardiotoxicity studying, but, according to the position of the authors a great attention should be paid to the systemic reactions, including cardiovascular reactions of the organism to the tumor, as well as to the therapeutic issues and cardiac rehabilitation of cancer patients.
    Źródło:
    OncoReview; 2014, 4, 2; A49-53
    2450-6125
    Pojawia się w:
    OncoReview
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Educational programme of Early Breast Cancer Detection in 40-year-old female inhabitants from Cracow, as an element of a preventive treatment of complications requiring oncological rehabilitation
    Program Edukacyjny Wczesnego Wykrywania Raka Piersi u 40-letnich mieszkanek miasta Krakowa jako element profilaktyki powikłań wymagających rehabilitacji onkologicznej
    Autorzy:
    Łabuzek, Monika
    Kołodziejski, Leszek S
    Powiązania:
    https://bibliotekanauki.pl/articles/1966255.pdf
    Data publikacji:
    2014
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    breast cancer
    Education
    Mammography screening
    prevention
    Rehabilitation
    Opis:
    Introduction: Breast cancer is the most common malignant tumour among women in Poland, with a dynamically increasing incidence rate. At present, one-half of breast cancer cases are diagnosed at the stage of high locoregional advancement, which leads to common radical mastectomies. These procedures are the cause of the most serious complications, i.e. restricted mobility of the glenohumeral joint and lymphoedema of the upper limb, which usually require rehabilitation.Objective: An evaluation of the attendance and effectiveness of detecting suspicious breast lesions in 40-year-old female inhabitants of Kraków who were personally invited to take part in the Educational Programme of Early Breast Cancer Detection (EPEBCD). This study assumes that increasing the level of oncological education amongst women should result in high attendance in screening, which would lead to detection of breast cancer at earlier stages. In these cases, effective methods of breast-conserving therapy are used, which carry a minimal risk of complications that require rehabilitation.Material and methods: The subject of the analysis was a group of 19,773 female inhabitants of Kraków who took part in the EPEBCD between 2003 and 2008. The group consisted of 4723 women aged 40 years who were personally invited to take part in the Programme, and 15,010 other women who volunteered for the research. The percentage of suspicious lesions discovered in physical and mammographic examinations in both groups was analysed. In the statistical analysis, the stratum weight was examined, using a two-tailed test and the STATISTICA 6.0 program. The significance level α < 0.05 was assumed.Results: The attendance rate of 40-year old women who were sent personal invitations was similar in each year (2003 to 2008) and, on average, accounted for 24.4%, which was half of the assumed attendance. It demonstrates that the level of oncological education among young women is low. Breast cancer awareness increased with age and resulted in voluntary participation of older women in screening programmes. The percentage of suspicious changes detected by a physical examination among the 40-year-old women invited personally (Group 1; 0.49%) did not differ significantly from the “before screening” group (Group 2, aged 41 to 49; 0.47%) and even from the “screening” group (Group 3, aged 50 to 69; 0.45%). Only in the “after screening” group of the oldest women (Group 4, over 69), the percentage (1.57%) was significantly higher (p < 0.001). The percentage of suspicious changes detected by mammography did not differ significantly in the group of 40-year-old women (Group 1; 3.58%) and in the “before screening” group (Group 2; 4.11%; Groups 1 and 2, p > 0.05). Significant differences were only found in the “before screening” Group 2 and “after screening” Group 4 (p < 0.001). The percentage of suspicious changes identified by mammography did indeed increase with age, though this was only a marginal increase, at the level of tenths of a percent. Only in the oldest group (Group 4), this percentage (5.16%) was significantly higher than in the other research groups.Conclusions: The much higher percentage of suspicious breast lesions discovered by mammography in comparison with those discovered in a physical examination demonstrates a low level of breast cancer advancement in most cases, which can be treated by means of breast-conserving therapy. Dissemination of educational and screening programmes will help to increase the percentage of early detected breast cancer cases which, after breast-conserving therapy, will not constitute a risk of serious complications requiring rehabilitation.
    Źródło:
    Medical Rehabilitation; 2014, 18(1); 5-14
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Problems associated with physiotherapeutic management of patients after breast cancer surgery
    Problemy postępowania fizjoterapeutycznego po operacyjnym leczeniu chorych na raka piersi
    Autorzy:
    Kołodziejski, Leszek
    Niedbała, Elżbieta
    Powiązania:
    https://bibliotekanauki.pl/articles/1942907.pdf
    Data publikacji:
    2008
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    breast cancer
    Treatmen
    complex physical therapy
    Rehabilitation
    rak piersi
    leczenie
    kompleksowa fizjoterapia
    rehabilitacja
    Opis:
    Breast cancer (BC) is the most frequent malignant neoplasm in women in Poland and its treatment majorly depends on the degree of disease progression. Surgery is the main radical therapy of BC. In most cases, this therapy involves mastectomy with excision of the lymphatic system of the axilla. Breast-saving treatment is used in patients at early stages of breast cancer. This treatment involves excision of the primary tumour within the broders of the unchanged tissue and of the axillary lymphatic system followed by breast irradiation. The majority of early and late complications of surgery are due to the axillary lymphadenopathy, the sequel of surgical therapy. Early inpatient rehabilitation is initiated on the day of the surgery and aims at prevention of the following states: hypo-ventilation and inflammatory pulmonary complications, thrombo-embolioc complications, early post-operation oedema, restrictions in movements in the shoulder joint and acute psychotic syndromes. It also prepares the patient for every-day activities, anti-oedema preventive care and teaches performance of physical exercises. Late rehabilitation conducted at home, as outpatient care or during balneological treatment is a continuation of the early rehabilitation. It involves improvement of shoulder functioning, prevention of incorrect posture, anti-oedema care and providing psychological support. Regular motor exercises improve functioning of the extremity ipsilateral to the side of breast surgery, prevent incorrect posture and the associated ailments. The majority of problems are associated with the therapy of late lymphoedema of the upper limb. Physiotherapeutic management results in measurable effects: amelioration of spontaneous lymph outflow, reduction of oedema size, improvement in limb agility reduction of ailments; it is, however, not always sufficient. Effectiveness of various management approaches is still a subject of discussion.
    Źródło:
    Medical Rehabilitation; 2008, 12(2); 24-30
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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