Yu.S. Pokrovskaya1, T.Yu. Pokrovskaya2

1 Kazan State Medical University (Kazan, Russia)

2 Kazan National Research Technical University named after A. N. Tupolev (Kazan, Russia)

1 iu.pk@bk.ru, 2 vip89@mail.ru

Currently, the "gold standard" of breast cancer treatment is the surgical method. However, after this surgical intervention, women cannot return to their previous rhythm of life due to postoperative complications, which not only impair performance, but also negatively affect the emotional component of a woman.

The purpose of the work – to identify the importance of physical therapy for improving the effectiveness of physical rehabilitation and to determine the relationship between this treatment and the psychoemotional state of women after breast removal at the outpatient stage of recovery.

The significance of physical therapy classes for the course of the rehabilitation process after mastectomy is analyzed. It has been revealed that physical therapy helps to improve the psychoemotional state (anxiety, fatigue, low self-esteem, shyness), through regular exercise, there is a faster decrease in pain and discomfort, the amplitude of motor function increases, i.e. women return faster to their usual living conditions, to their daily lifestyle and to work.

The obtained results are proposed to be used in further medical practice for better physical rehabilitation and restoration of the psychological state of patients in the postoperative period and to increase the importance of an active lifestyle.

Pokrovskaya Yu.S., Pokrovskaya T.Yu. Physical rehabilitation of women of different age groups after mastectomy. Technologies
of Living Systems. 2025. V. 22. № 4. Р. 49-56. DOI: https://doi.org/10.18127/j20700997-202504-06 (In Russian).

1. Kaprin A.D., Starinskij V.V., SHahzadova A.O. Zlokachestvennye novoobrazovaniya v Rossii v 2023 godu (zabolevaemost' i smertnost'). M.: MNIOI im. P.A. Gercena, filial FGBU «NMIC radiologii» Minzdrava Rossii. 2024. (in Russian).
2. Kaprin A.D., Starinskiĭ V.V., Petrova G.V. Zlokachestvennye novoobrazovaniya v Rossii v 2017 godu (zabolevaemost' i smertnost'). M.: MNIOI im. P.A. Gercena, filial FGBU «NMIC radiologii» Minzdrava Rossii. 2018. (in Russian).
3. Gerasimenko M.Yu., Evstigneeva I.S., Perfil'eva O.M., Tumbinskaya L.V. Primenenie magnitnyh polej i flyuktuorizacii v rannem posleoperacionnom periode u pacientok posle radikal'noj mastektomii. Arhiv akusherstva i ginekologii im. V.F. Snegireva. 2019. T. 6. № 3. S. 157–162. DOI: 10.18821/2313-8726-2019-6-3-157-162 (in Russian).
4. Timchenko T.V., Sagidova K.M. Reabilitaciya zhenshchin pozhilogo vozrasta posle mastektomii v otdalyonnom posleoperacionnom periode. Kul'tura fizicheskaya i zdorov'e. 2021. T. 80. № 4. S. 182–184. DOI: 10.47438/1999-3455_2021_4_182 (in Russian).
5. Hall J.D., Farzaneh S., Babakhani Galangashi R. et al. Lymphoedema conditions disrupt endothelial barrier function in vitro. Journal of the Royal Society, Interface. 2022. V. 19. № 193. P. 20220223. DOI: 10.1098/ rsif.2022.0223
6. Perez C.S., Mestriner C., Ribeiro L.T.N. et al. Relationship between lymphedema after breast cancer treatment and biophysical characteristics of the affected tissue. PloS one. 2022. V. 17. № 4. P. e0264160. DOI: 10.1371/ journal.pone.0264160
7. Sokolov D.S. Samoeffektivnost' onkologicheskih bol'nyh, perenesshih mastektomiyu, v planirovanii fizicheskoj reabilitacii. Vestnik Sibirskogo gosudarstvennogo universiteta fizicheskoj kul'tury i sporta. 2024. T. 11. № 2. S. 96–101. (in Russian).
8. Josephine D.S.P. Evaluation of Lymphedema Prevention Protocol on Quality of Life among Breast Cancer Patients with Mastectomy. Asian Pacific journal of cancer prevention. 2019. V. 20. № 10. P. 3077–3084. DOI: 10.31557/APJCP.2019.20.10.3077
9. de Sire A., Losco L., Lippi L. et al. Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema:
   A Comprehensive Review. Medicina (Kaunas, Lithuania). 2022. V. 58. № 7. P. 954. DOI: 10.3390/medicina58070954
10. Hanson S.E., Lei X., Roubaud M.S. et al. Long-term Quality of Life in Patients With Breast Cancer After Breast Conservation vs Mastectomy and Reconstruction. JAMA surgery. 2022. V. 157. № 6. P. e220631. DOI: 10.1001/jamasurg.2022.0631
11. Hetagurova A.K., Miryusupova G.F. Organizaciya reabilitacii bol'nyh posle mastektomii. Problemy social'noj gigieny, zdravoohraneniya i istorii mediciny. 2018. T. 26. № 3. S. 160–163. DOI 10.18821/0869-866X-2018-26-3-160-163. (in Russian).
12. Karickiĭ A.P., CHulkova V.A., Pesterova E.V., Semiglazova T.YU. Reabilitaciya onkologicheskogo bol'nogo kak osnova povysheniya kachestva ego zhizni. Voprosy onkologii. 2015. T. 61. № 2. S. 180–184. (in Russian).
13. Kampova-Polevaya E.B., Portnoĭ S.M. Aktual'nye aspekty klinicheskoĭ mammologii M.: Avtorskaya akademiya. 2014. S. 485–486. (in Russian).
14. Denton S. Breast Cancer Nursing. Nelson Thones Ltd. 2002. P. 46-54.
15. Hetagurova A.K., Miryusupova G.F. Organizaciya reabilitacii bol'nyh posle mastektomii. Problemy social'noj gigieny, zdravoohraneniya i istorii mediciny. 2018. T. 26. № 3. S. 160–163. DOI 10.18821/0869-866X-2018-26-3-160-163 (in Russian).
16. Tuchik E.S., SHvedov N.S., Ivanenko T.A. Metod kinezioterapii u pacientok posle radikal'noĭ mastektomii. Zlokachestvennye opuholi. 2020. T. 10. № 3S1. S. 130–131. (in Russian).
17. Sokolov D.S. Kachestvo zhizni onkobol'nyh posle mastektomii v fizicheskoj reabilitacii (pilotnoe issledovanie). Izvestiya Tul'skogo gosudarstvennogo universiteta. Fizicheskaya kul'tura. Sport. 2024. № 11. S. 47–53. DOI: 10.24412/2305-8404-2024-11-47-53 (in Russian).
18. Sokolov D.S. Psihicheskoe sostoyanie pacientov, perenësshih mastektomiyu, v aspektah fizicheskoĭ reabilitacii. Kul'tura fizicheskaya i zdorov'e. 2024. T. 89. № 1. S. 408–412. DOI 10.47438/1999-3455_2024_1_408 (in Russian).
19. Sokolov D.S. Bezopasnost' i effektivnost' lechebnoj gimnastiki v fizicheskoj reabilitacii onkobol'nyh, perenesshih mastektomiyu. Fizicheskaya kul'tura i sport v XXI veke: aktual'nye problemy i puti resheniya: Sb. materialov IV-j Mezhdunarodnoj nauchno-prakt. konf. Volgograd, 23–24 oktyabrya 2024 goda. Volgograd: Volgogradskaya gosudarstvennaya akademiya fizicheskoj kul'tury. 2024.
    S. 375–379. (in Russian).
20. Chung C. et al. Systematic review of exercise effects on health outcomes in women with breast cancer. Asian Nurs. Res. 2013. V. 7. № 3. P. 149–159.
21. Kompleksnaya reabilitaciya posle hirurgicheskogo lecheniya raka molochnoj zhelezy v Centre reabilitacii CKB [Elektronnyj resurs]. Rezhim dostupa: https://www.cchp.ru/informatsiya/novosti/kompleksnaya-reabilitatsiya-posle-khirurgicheskogo-lecheniya-raka-molochnoy-zhelezy-v-tsentre-reabil/svobodnyj – (data obrashcheniya 18.02.2025). (in Russian).
22. Komarova L.E., Hasanov R.Sh., Gamirov R.R. i dr. Rannyaya diagnostika raka molochnoj zhelezy v ramkah populyacionnogo skrininga. Tekhnologii zhivyh sistem. 2012. № 9. S. 54–58. (in Russian).