Breast cancer rehabilitation

Czech version

Authors: MUDr. Líška Dávid ¹; Sc. M. Sebastian Rutkowski, PhD. ²
Authors‘ workplace: Katedra telesnej výchovy a športu, Filozofická fakulta, Univerzita Mateja Bela v Banskej Bystrici, Slovenská republika ¹; Department of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland ²
Published in: Klin Onkol 2021; 34(1): 14-19
Category: Review
doi: https://doi.org/10.48095/ccko202114

Overview

Breast cancer remains the most common cancer among women. Physical activity is crucial for the prevention of the disease. The diagnosis of breast cancer, the process of the disease and its treatment significantly reduces the level of physical activity, well-being and quality of life. The most widely used rehabilitation therapies include physical exercise, manual techniques for pain relief and physical therapy. One of the main goals of rehabilitation involves improving the quality of life. Rehabilitation for breast cancer includes three parts: preoperative, perioperative and postoperative parts. The main kinds of exercise include strength and aerobic training. An important element of comprehensive rehabilitation is focusing on the increase in the range of movement in the shoulder on the operated side. The literature also indicates an improvement in the quality of life and fatigue in rehabilitation of breast cancer patients.

Keywords:

breast cancer – rehabilitation – exercise – myofascial release – Quality of life

Sources

1. Kapila AK, Hamdi M, Patel A. Clinicians should actively promote exercise in survivors of breast cancer. Clin Breast Cancer 2018; 18 (5): e747–e749. doi: 10.1016/j.clbc.2018.06.008.

2. Volaklis KA, Halle M, Tokmakidis SP. Exercise in the prevention and rehabilitation of breast cancer. Wien Klin Wochenschr 2013; 125 (11–12): 297–301. doi: 10.1007/s00508-013-0365-8.

3. Musilová V, Vyhlídal T. Vliv onkologického onemocnění na taktilní systém dětí. Rehabil Fyz Lék 2020; 27 (1): 3–8.

4. Bencko V, Appelman C. Chronický stres jako rizikový faktor výskytu a progrese rakoviny? Prakt Lék 2019; 99 (1): 18–20.

5. Holánek M, Bílek O, Nenutil R et al. Effectiveness of neoadjuvant therapy with platinum-based agents for patients with BRCA1 and BRCA2 Germline mutations – a retrospective analysis of breast cancer patients treated at MMCI Brno. Klin Onkol 2019; 32 (Suppl 2): 2S31–2S35. doi: 10.14735/amko2019S31.

6. Machackova E, Claes KB, Mikova M et al. Twenty years of BRCA1 and BRCA2 molecular analysis at MMCI-current developments for the classification of variants. Klin Onkol 2019; 32 (Suppl 2): 2S51–2S71. doi: 10.14735/amko2019S51.

7. Palácová M. Breast cancer in BRCA1/2 mutation carriers –do we treat it differently? Focus on systemic therapy for BRCA1/2 associated breast cancer. Klin Onkol 2019; 32 (Suppl 2): 2S24–2S30. doi: 10.14735/amko2019S24.

8. Copáková L. Chyby a omyly v onkogenetike karcinómu prsníka a platné indikačné kritériá. Zdr Listy 2019; 7 (1): 28–32.

9. Foretová L, Navrátilová M, Svoboda M et al. Recommendations for preventive care for women with rare genetic cause of breast and ovarian cancer. Klin Onkol 2019; 32 (Suppl 2): 2S6–2S13. doi: 10.14735/amko2019S6.

10. Ghafouri-Fard S, Dianatpour A, Faramarzi S. Meta-analysis of BRCA1 polymorphisms and breast cancer susceptibility. Klin Onkol 2018; 31 (5): 330–338. doi: 10.14735/amko2018330.

11. Kleiblová P, Stolařová L, Křížová K et al. Germline CHEK2 gene mutations in hereditary breast cancer predisposition -mutation types and their biological and clinical relevance. Klin Onkol 2019; 32 (Suppl 2): 2S36–2S50. doi: 10.14735/amko2019S36.

12. Holčáková J. Vliv metylace DNA na vznik nádorových onemocnění. Klin Onkol 2018; 31 (2): 41–45. doi: 10.14735/amko20182S41.

13. Šupínová M, Janiczeková E, Kurčíková E. Hodnotenie kvality života pacientov v terminálnom štádiu ochorenia a ich príbuzných. Zdr Listy 2019; 7 (2): 74–80.

14. Lin Y-H, Pan P-J. The use of rehabilitation among patients with breast cancer: a retrospective longitudinal cohort study. BMC Health Serv Res 2012; 12: 282. doi: 10.1186/1472-6963-12-282.

15. Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C et al. Telehealth system: a randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer 2016; 122 (20): 3166–3174. doi: 10.1002/cncr.30172.

16. Hamouzová D, Srbová J, Navrátil V. Využití telerehabilitace jako doplněk k běžné rehabilitační péči. Prakt Lék 2018; 98 (6): 266–269.

17. Urban M, Kádě O, Pavlík V et al. Telemedicína v léčbě obezity. MMSL 2020; 89 (2): 74–79. doi: 10.31482/mmsl.2020.007.

18. Vosečková A, Truhlářová Z. Vliv pohybové aktivity na vybrané saluprotektivní faktory v procesech zdraví-nemoc. MMSL 2018; 87 (4): 148–157.

19. Lašák P, Pavlík V, Fajfrová J et al. Pravidelná pohybová aktivita v armádě České republiky. MMSL 2018; 87 (3): 126–133.

20. Sigmund E, Baďura P, Sigmundová D et al. Nadváha a obezita dětí ve vztahu k pohybové aktivitě a nadměrné tělesné hmotnosti jejich rodičů. Prakt Lék 2020; 100 (2): 83–87.

21. McTiernan A, Kooperberg C, White E et al. Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women’s Health Initiative Cohort Study. JAMA 2003; 290 (10): 1331–1336. doi: 10.1001/jama.290.10.1331.

22. Eliassen AH, Hankinson SE, Rosner B et al. Physical activity and risk of breast cancer among postmenopausal women. Arch Intern Med 2010; 170 (19): 1758–1764. doi: 10.1001/archinternmed.2010.363.

23. Jastrzebski D, Maksymiak M, Kostorz S et al. Pulmonary rehabilitation in advanced lung cancer patients during chemotherapy. Adv Exp Med Biol 2015; 861: 57–64. doi: 10.1007/5584_2015_134.

24. Kirkham AA, Bland KA, Sayyari S et al. Clinically relevant physical benefits of exercise interventions in breast cancer survivors. Curr Oncol Rep 2016; 18 (2): 12. doi: 10.1007/s11912-015-0496-3.

25. Rutkowska A, Jastrzebski D, Rutkowski S et al. Exercise training in patients with non-small cell lung cancer during in-hospital chemotherapy treatment: a randomized controlled trial. J Cardiopulm Rehabil Prev 2019; 39 (2): 127–133. doi: 10.1097/HCR.0000000000000 410.

26. Campbell KL, Pusic AL, Zucker DS et al. A prospective model of care for breast cancer rehabilitation: function. Cancer 2012; 118 (8 Suppl): 2300–2311. doi: 10.1002/cncr.27464.

27. De Groef A, Van Kampen M, Vervloesem N et al. Effect of myofascial techniques for treatment of persistent arm pain after breast cancer treatment: randomized controlled trial. Clin Rehabil 2018; 32 (4): 451–461. doi: 10.1177/0269215517730863.

28. Yamamoto D, Sinko S, Suga T et al. Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment. Gan To Kagaku Ryoho 2016; 43 (12): 1458–1460.

29. Testa A, Iannace C, Di Libero L. Strengths of early physical rehabilitation programs in surgical breast cancer patients: results of a randomized controlled study. Eur J Phys Rehabil Med 2014; 50 (3): 275–284.

30. Celko J, Guth A, MaSan J et al. Účinky pomalého bránicového dýchania. Rehabilitácia 2019; 56 (4): 275–287.

31. Wilson DJ. Exercise for the patient after breast cancer surgery. Semin Oncol Nurs 2017; 33 (1): 98–105. doi: 10.1016/j.soncn.2016.11.010.

32. Novák J. Význam chůze jako nejpřirozenější pohybové aktivity v životním stylu člověka. Prakt Lék 2018; 98 (4): 158–165.

33. Podsbradská R, Baniariová K, Peknik O et al. Využití chůze jako pohybové intervence v praxi. Rehabilitácia 2019; 56 (3): 222–229.

34. Vařeka I, Janura M, Vařeková R. Kineziologie chůze. Rehabil Fyz Lék 2018; 25 (2): 81–86.

35. Gúth A. Hydrokinezioterapia kedysi a dnes. Rehabilitácia 2018; 55 (1): 2.

36. Lipsett A, Barrett S, Haruna F et al. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: a systematic review and meta-analysis. Breast Edinb Scotl 2017; 32: 144–155. doi: 10.1016/j.breast.2017.02.002.

37. Meneses-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/s12885-015-1069-4.

38. Singh B, Spence RR, Steele ML et al. A systematic review and meta-analysis of the safety, feasibility, and effect of exercise in women with stage II+ breast cancer. Arch Phys Med Rehabil 2018; 99 (12): 2621–2636. doi: 10.1016/j.apmr.2018.03.026.

39. Olsson Möller U, Beck I, Rydén L et al. A comprehensive approach to rehabilitation interventions following breast cancer treatment – a systematic review of systematic reviews. BMC Cancer 2019; 19 (1): 472. doi: 10.1186/s12885-019-5648-7.

40. Gebruers N, Camberlin M, Theunissen F et al. The effect of training interventions on physical performance, quality of life, and fatigue in patients receiving breast cancer treatment: a systematic review. Support Care Cancer 2019; 27 (1): 109–122. doi: 10.1007/s00520-018-4490-9.

41. Schulz SV, Laszlo R, Otto S et al. Feasibility and effects of a combined adjuvant high-intensity interval/strength training in breast cancer patients: a single-center pilot study. Disabil Rehabil 2018; 40 (13): 1501–1508. doi: 10.1080/09638288.2017.1300688.

42. Pinto-Carral A, Molina AJ, de Pedro Á et al. Pilates for women with breast cancer: A systematic review and meta-analysis. Complement Ther Med 2018; 41: 130–140. doi: 10.1016/j.ctim.2018.09.011.

43. Espíndula RC, Nadas GB, da Rosa MI et al. Pilates for breast cancer: a systematic review and meta-analysis. Rev Assoc Medica Bras (1992) 2017; 63 (11): 1006–1012. doi: 10.1590/1806-9282.63.11.1006.

44. Kafková J, Zímová P, Motyková J et al. Péče o pacienty s lymfedémem v České republice – úvod do problematiky. Prakt Lék 2019; 99 (4): 172–174.

45. Rockson SG. Lymphedema after breast cancer treatment. N Engl J Med 2018; 379 (20): 1937–1944. doi: 10.1056/NEJMcp1803290.

46. Tichá K, Buchtelová E. Informovanost o riziku vzniku lymfedému u žen po operaci prsu. Zdr Listy 2019; 7 (3): 24–30.

47. Musilová E, Opálená Z. Využitie manuálnej lymfodrenáže v onkológii. Rehabil Fyz Lék 2019; 26 (1): 28–31.

48. Melgaard 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. 1143541.

49. Zhang L, Fan A, Yan J et al. Combining manual lymph drainage with physical exercise after modified radical mastectomy effectively prevents upper limb lymphedema. Lymphat Res Biol 2016; 14 (2): 104–108. doi: 10.1089/lrb.2015.0036.

50. Baumann FT, Reike A, Reimer V et al. Effects of physical exercise on breast cancer-related secondary lymphedema: a systematic review. Breast Cancer Res Treat 2018; 170 (1): 1–13. doi: 10.1007/s10549-018-4725-y.

51. Panchik D, Masco S, Zinnikas P et al. Effect of exercise on breast cancer-related lymphedema: what the lymphatic surgeon needs to know. J Reconstr Microsurg 2019; 35 (1): 37–45. doi: 10.1055/s-0038-1660832.

52. Dos Santos WD, Gentil P, de Moraes RF et al. Chronic effects of resistance training in breast cancer survivors. Biomed Res Int 2017; 2017: 8367803. doi: 10.1155/ 2017/8367803.

53. Cho Y, Do J, Jung S et al. Effects of a physical therapy program combined with manual lymphatic drainage on shoulder function, quality of life, lymphedema incidence, and pain in breast cancer patients with axillary web syndrome following axillary dissection. Support Care Cancer 2016; 24 (5): 2047–2057. doi: 10.1007/s00520-015-3005-1.

54. Nelson NL. Breast cancer-related lymphedema and resistance exercise: a systematic review. J Strength Cond Res 2016; 30 (9): 2656–2665. doi: 10.1519/JSC.0000 000000001355.

55. Luz RP, Simao Haddad CA, Rizzi SK et al. Complex therapy physical alone or associated with strengthening exercises in patients with lymphedema after breast cancer treatment: a controlled clinical trial. Asian Pac J Cancer Prev 2018; 19 (5): 1405–1410. doi: 10.22034/APJCP.2018. 19.5.1405.

56. Castro-Martín E, Ortiz-Comino L, Gallart-Aragón T et al. Myofascial induction effects on neck-shoulder pain in breast cancer survivors: randomized, single-blind, placebo-controlled crossover design. Arch Phys Med Rehabil 2017; 98 (5): 832–840. doi: 10.1016/j.apmr.2016.11.019.

57. Serra-Añó P, Inglés M, Bou-Catalá C et al. Effectiveness of myofascial release after breast cancer surgery in women undergoing conservative surgery and radiotherapy: a randomized controlled trial. Support Care Cancer 2019; 27 (7): 2633–2641. doi: 10.1007/s00520-018-4544-z.

58. Zick SM, Sen A, Wyatt GK et al. Investigation of 2 types of self-administered acupressure for persistent cancer-related fatigue in breast cancer survivors: a randomized clinical trial. JAMA Oncol 2016; 2 (11): 1470–1476. doi: 10.1001/jamaoncol.2016.1867.

59. Rangel J, Tomás MT, Fernandes B. Physical activity and physiotherapy: perception of women breast cancer survivors. Breast Cancer 2019; 26 (3): 333–338. doi: 10.1007/s12282-018-0928-7.

60. de Boer AG, Taskila TK, Tamminga SJ et al. Interventions to enhance return-to-work for cancer patients. [online]. Available from: https: //www.ncbi.nlm.nih.gov/pmc/articles/PMC6483290/.

61. Petruseviciene D, Surmaitiene D, Baltaduoniene D et al. Effect of community-based occupational therapy on health-related quality of life and engagement in meaningful activities of women with breast cancer. Occup Ther Int 2018; 2018: 6798697. doi: 10.1155/2018/6798697.

62. Leclerc A-F, Foidart-Dessalle M, Tomasella M et al. Multidisciplinary rehabilitation program after breast cancer: benefits on physical function, anthropometry and quality of life. Eur J Phys Rehabil Med 2017; 53 (5): 633–642. doi: 10.23736/S1973-9087.17.04551-8.

63. Şahin S, Uyanık M. The impact of occupation-based problem-solving strategies training in women with breast cancer. Health Qual Life Outcomes 2019; 17 (1): 104. doi: 10.1186/s12955-019-1170-5.