Breast cancer patients with progressive rehabilitation parade
As much as possible to reduce the incidence of upper limb dysfunction, can effectively increase the quality of life of patients, of which a reasonable time after the exercise is to promote functional recovery of patients with upper limb essential to the important ways.
Significance: reducing lymphedema, and promote activities of the shoulder
Different methods of breast cancer surgery will bring a different breast cancer upper limb function, are mainly derived from the axillary lymph node dissection caused by the armpits to the medial arm of the lymphatic injury. Because lymphatic inevitably be damaged, poor lymphatic drainage, leading to the upper limbs of lymphedema. The long-term armpit effusion, mild infections, lymphatic residue will be further undermined, if repeated infection, or even cause subclavian vein occlusion or axillary, leading to the occurrence of severe edema. The upper limb lymphedema affects the upper limbs, shoulder to the activities restricted. At the same time, the shoulder caused by the activities restricted activities to reduce the upper, upper limb will increase the risk of lymphedema, the two form a vicious cycle. Of course, poor wound healing after surgery to functional training can not be normal, or patients not to exercise the upper limb, all affect the recovery of the upper limbs, shoulder lead to different levels of activities restricted.
To exercise after breast cancer, its significance lies in functional training can reduce the incidence of lymphedema, and promote activities of the increase in the shoulder.
Time: continuing more than six months, three months before is particularly important
The current general view is that breast cancer as soon as possible after a limb functional training. Armpit incision in the formation of scar tissue has not been working out, can prevent scar contracture around the armpit, muscle atrophy and joint stiffness, but also to avoid a contraction of scar tissue oppression axillary vein, the axillary vein returning to reduce disruption, and promote the activities of a limb Blood circulation, an increase of lymphatic return, a decrease of edema or reduce the promotion of edema, thereby improving the upper extremity function. Study, breast cancer after the duration of exercise should be more than six months, especially the first three months is particularly important. If a limb is not after exercise, then, because of scar tissue contraction will affect the activities of the shoulder, the scar tissue in a more stable state, even in training again, the effect is not ideal.
Method: after a gradual rehabilitation parade
In addition to walking, jogging, cycling and other aerobic exercise and regular dressing, Shutou, Paqiang the activities of daily living, such as training, domestic and foreign researchers also under the special circumstances of patients with breast cancer designed a series of rehabilitation parade, usually Conform to certain principles: that is, within 24 hours after shoulder brake to prevent postoperative bleeding, skin effusion; after the first day to the armpit of vacuum-assisted period (usually seven days or so) to refer to, Wrist, elbow-based movement, the shoulder to avoid substantial outreach campaigns, not to support limb to get up, flexion extension rate not too large; after the first eight days to two weeks after the general is still in hospital , To shoulder the main activities to prevent scar adhesions; after three months for the exercise of the critical moment, and this period of full training, can prevent long joint braking caused by intra-articular Adhesion to promote scar tissue under the loose connective tissue formation, and expand the scope of activities of the upper limb, to shorten the time the upper limb function.
Here’s Fudan University Cancer Hospital subsidiary of the gradual rehabilitation of breast cancer after gymnastics:
1. Parade early rehabilitation (after two weeks)
Section 1 (after 24 hours) Woquan Sports: grip-boxing.
Section II (after 48 hours) wrist movement: activities of the wrist from top to bottom, with internal and external rotation.
Section III (after the first three days) forearm movement: from top to bottom flexion and forearm.
Section IV (after the first five days) elbow movement: the elbow to the lumbar support, arm elevation placed opposite the front, on both sides to turn.
Section V (after 7 days) have elbow movement: contralateral hand side of the elbow, the elevation to the front.
Section VI (after 9 days)-shoulder movement: forward, the next rotating the shoulder.
Section VII (after the first 10 days) arm movement: to raise as much as possible with the arm parallel to the ground.
VIII (after the first 11 days) and neck movement: Chayao both hands, head and neck forward, after the left, right and two-way rotation.
IX (after the first 12 days) to the movement of: about rotating upper body, arms swinging around.
Section 10 (after the first 14 days) Taijian Sports: contralateral side wrist to grip abdominal ago, the elevation to the front-enemy, to Protrusion.
2. Medium-term rehabilitation parade (after three months)
The first quarter to show movement: hands on both sides to start around 45 ° in the hands syncline under cross-abdominal before, started to repeat.
Section II-side push-pull sports: contralateral grip to the front-side wrist flexor, pushed to the side, contralateral Rafah.
Section III Shuaishou Sports: double forearm forward-ju, arms behind by the previous downward swing, double forearm to the head facing forward on the back.
Section IV Kuoxiong Sports: two-handed chest-Tai Zhi Qu, forced both sides to begin to restore Ping Qu.
Section V lateral movement cite: two-handed side-ju, with wide shoulder and elbow flexion, returned to the side-ju.
Section VI on the movement cite: contralateral side wrist to grip abdominal ago, to pull the front-Qu, on the move excessive.
Section VII surround Sports: contralateral hand side wrist, from the front surrounded by side on the move upward, to the healthy side down around the turn.
VIII Fubei movement: hand-to shoulder, side upward move in the head on both sides, Gongbu, bend over, hands straight down.
To section IX of movement: hands arm cite the primary Chayao, backward rotation, with eyes the other hand mobile.
Section 10 finishing Sports: marking time, their hands before and after the swing.
3. Parade later recovered (after three months, and with swimming, table tennis and other sports)
Section 1 warm-up exercise: foot and shoulder with wide, double-arm with suction, from top to bottom to do around the movements of breath.
Section II Shuaitou Sports: about Shuaitou.
The rise of the third movement: bow, hands Taizhi chest, head and hands move to the top of the grip, with Dian feet before and after the action.
Section IV Shenbi Sports: about shifting the focus, followed up his arm, with the rise of action.
Section V-side lumbar Sports: Side Yao Ji, maxillary bow to the chest, rose slowly, shoulders back around.
Section VI to the lumbar Sports: about shifting the focus to the waist, bending his arm.
Section VII around the campaign: a double-arm Raohuan, about shifting the focus.
Breast cancer patients with active exercise, the body of rehabilitation, improving the quality of life of great significance.
