The importance of physical assessment in post-mastectomy rehabilitation

Abstract

Abstract Introduction. The application of surgical, oncological and hormonal treatment causes the appearance of various dysfunctions at the somatic level: decreased joint mobility and muscle strength, lymphedema, pain, peripheral neuropathy, cardiovascular and gastrocecal conditions, and at the psychological level: insomnia, fear of relapse, anxiety and depression. Aim of the study. This study highlights the main methods of evaluating the sequelae of breast cancer treatment, which are of particular importance in physical recovery. As well, we want to spotlight the main physical activities that can be performed. Methods. In order to identify the adverse effects of the treatment as well as their assessment methods, we studied the national and international specialized literature. Results. The physical assessment of patients after mastectomy includes: assessment of functional level, manual muscle testing, active range of motion, evaluation of lymphedema, quality of life and pain assessment. Conclusions. Evaluation in physical therapy is of particular importance because it helps to create an appropriate recovery protocol, but also to appreciate the evolution of patients and the efficiency of the applied program.