The effectiveness of exercise in limiting secondary lymphedema after mastectomy

Postgraduate Thesis uoadl:2894472 230 Read counter

Unit:
Κατεύθυνση Φυσική Αποκατάσταση-Χειροθεραπεία
Library of the School of Health Sciences
Deposit date:
2020-01-14
Year:
2020
Author:
Folia Marina
Supervisors info:
Κουτσιλιέρης Μιχαήλ, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Φιλίππου Αναστάσιος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μπίλλη Ευδοκία, Επίκουρος Καθηγήτρια, Τμήμα Φυσικοθεραπείας, Πανεπιστήμιο Πατρών
Original Title:
Η αποτελεσματικότητα της άσκησης στον περιορισμό του δευτερογενούς λεμφοιδήματος μετά από μαστεκτομή
Languages:
Greek
Translated title:
The effectiveness of exercise in limiting secondary lymphedema after mastectomy
Summary:
Breast cancer is the most common type of cancer, affecting women of childbearing age and postmenopausal women by 30%. Its etiology is related with a number of predisposing factors that increase the risk of developing it such as age, smoking and exposure to ultraviolet radiation. Every year, large sums of money raised for breast cancer, are made available to research laboratories in order to find new, less invasive techniques, so as to preserve the anatomy and the physiology of breast and armpit and also to achieve a better aesthetic result.
Secondary lymphedema, is a consequence of breast removal surgery (partial or total mastectomy), and is appeared as a complication with serious social, mental and emotional impacts. In 50% of cases, lymphedema develops within the first two years after surgery while in the other 50% the time of onset remains unknown. Also, there is a chance lymphedema will never develop. Lymphedema is managed with Complete Decongestive Therapy (CDT), which includes Manual Lymph Drainage (MLD), compression bandages, skin care and finally appropriate physiotherapy.
Therapeutic exercise is a complementary intervention to Complete Decongestive Therapy with very significant effects on upper extremity function, edema reduction, cancer symptoms reduction and patient’s quality of life improvement. With regard to edema reduction, it seems that aerobic exercise, resistance exercise, flexibility exercises and/ or muscle stretching are particularly helpful. In particular, aerobic exercise helps to improve cardiopulmonary and cardiovascular function. Resistance exercise strengthens muscles, plays an auxiliary role to function of the vessels and helps to promote lymph fluid to the heart. Finally, muscle stretching, combined with deep diaphragmatic breathing, aims at orthosomy, restoring shoulder function, achieving flexibility and improving the overall circulation of body fluids.
Main subject category:
Health Sciences
Keywords:
Breast cancer, Secondary lymphedema, Exercise, Limition, Effectiveness
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
81
Number of pages:
150
File:
File access is restricted only to the intranet of UoA.

Folia Marina master.pdf
6 MB
File access is restricted only to the intranet of UoA.