Abstract

Taking into account the high prevalence of complications after radical surgical treatment of breast cancer, medical rehabilitation courses were developed and conducted in the early postoperative period (2–4 days after surgery) with the inclusion of physical factors: low-temperature argon plasma and general magnetotherapy, as well as physical therapy, biofeedback training on the support reaction (balance therapy) and individual classes with a medical psychologist. The study included 71 women who underwent surgery for breast cancer on 2–4 days after the surgery. The patients were divided into 2 groups, comparable in age, clinical and functional indicators, by simple randomization. At all stages of the study, the patients underwent clinical, functional and laboratory examinations, and questionnaires. In group1 (n = 36), 10 procedures of low-temperature argon plasma and general magnetotherapy were carried out in the early postoperative period against the background of standard therapy. In the 2nd group (n = 35,) the patients received low-temperature argon plasma. In addition to physiotherapy, all patients received a complex of physiotherapy exercises, balance therapy and classes from a medical psychologist. The results showed the disappearance of puffiness in the postoperative area and the upper limb, an increase in the volume and quality of movements, reduction in the manifestation of pain syndrome, as well as inflammation syndrome, acceleration of regeneration, prevention of the formation of rough scar tissue. The patients noted an improvement in general health, improved sleep. With further observation, the prolongation of the action of physical factors was noted. Thus, the combined effect of the studied factors makes it possible to prevent both early and late complications of the postoperative period and makes a positive effect on the restoration and maintenance of the quality of life, and the social adaptation of breast cancer patients.

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