INFLUENCE OF PHYSIOTHERAPY ON THE ELECTRICAL EXCITABILITY OF THE SHOULDER MUSCLES IN THE EARLY POSTOPERATIVE PERIOD AFTER RADICAL SURGICAL TREATMENT OF BREAST CANCER

BACKGROUND. Combined treatment of cancer patients includes a large number of aggressive therapies that lead to a complex of functional disorders. There are no publications on the influence of physical factors on the electrical excitability of the muscles of the shoulder girdle and upper limb from the side of surgery in the early period after surgical treatment of breast cancer.

AIMS.  To determine the physical factor that will most significantly affect the electrical excitability of the muscles of the shoulder girdle and upper limb on the side of the operation after radical surgical treatment of breast cancer.

MATERIAL AND METODS. A randomized, placebo-controlled study was conducted in 100 patients in the early postoperative period (2-4 days after surgery) for breast cancer. All patients underwent medical rehabilitation: individual physiotherapy exercises, balance therapy, sessions with a medical psychologist, physiotherapy treatment with a monofactor. Group 1 included 34 patients, the course of medical rehabilitation included fluctuorization, group 2 (n=33) included local magnetotherapy in the rehabilitation program, and group 3 (n=33) underwent general magnetotherapy procedures. Patients were examined for the excitability of the neuromuscular system using the ASEtM-01/6 "Elesculap Med TeCo" device.RESULTS. It was found that fluctuating currents turned out to be more effective in the early stages, which pathogenetically contribute to the restoration of conduction along the peripheral nerves and the activation and contractility of the muscle fiber. A delayed effect of local and general magnetic therapy on improving the contractility of the muscles of the upper limb and the conductivity of the peripheral nerve fiber was noted.

CONCLUSION.  The inclusion of monophysical factors in the course of standard medical treatment, a course of physical therapy, exercises on a stabiloplatform and individual psychotherapy in the early stages (on days 2-4) after surgery contributed to the improvement in the functioning of the upper limb and the restoration of the electrical excitability of the muscles and nerves of the operated limb.