Friday, 18 April 2025

Psychosocial Relationship between Physical Exercise and Endocrine Therapy in Post-Mastectomy Patients Due to Breast Cancer | Chapter 2 | Disease and Health: Research Developments Vol. 9

Background: Psychological status influences a lot on physical functioning. Poor mental health, along with a stressful life, and lesser physical activity, can, to a larger extent, predispose to cancer. Regular physical activities can to a greater level of lowering the risk of breast cancer. While stressful living with anxiety can increase the risk of having breast cancer. An increasing prevalence of cancer was globally reported, especially in developing countries like India, and early identification is more productive and lessens the economic burden on the subject, family and society. Healthcare professionals who were involved as first contact healthcare experts, especially musculoskeletal experts like Physiotherapists, Physicians, and Orthopedic surgeons, should be made aware of physical screening and associated psychosocial factors that could have a potential link for breast cancers, especially among women. Females with greater stress in life, having a systemic illness like Hypertension, Diabetes, having Chronic Polyarthralgia be continuously examined with physical, laboratory and due investigations exclusively for breast cancer once every three months. Every minor deviation from normalcy or suspicion is treated as a red flag and referred to experts. These clinical symptoms, like limbs getting stiffer, continuous pain over the spine with progressive movement restriction, changes in voice, and physical functioning with fatigue, were noted in a 60-year-old woman divorcee. The study aims to evaluate the psychosocial impact on breast cancer and to analyze the effects of exercises on subjects treated with HRT post-mastectomy.

Methodology: Since the age of 30 years with a highly stressful life, living with medication for Hypertension, Diabetes mellitus was referred by a physiotherapist to a Gynecologist for her physiological changes as noted above on haematological and radiological examination revealed left ductal carcinoma of grade III was treated with left breast mastectomy and axillary clearance in 02/2019, she was later treated with physiotherapy, and again the influence of HRT on the musculoskeletal system was analysed with evidence.

Results: Physical inactivity with modern living can lead to many illnesses, including depression, with a 2-fold increased risk. Whereas subjects with good lifestyle habits were shown to reduce the risk for cancer.

Conclusion: The research attempts at the early identification of breast carcinoma by the physiotherapist. Physical therapist involved in oncology needs a greater influence on psychosocial, lifestyle, and clinical conditions linked with the risk of BC.  Further, post-mastectomy, the response to exercises with HRT was analysed using due scientific evidence. Furthermore, updated evidenced knowledge on HRT, the post-mastectomy effect of specific exercises, psychological support, and the limitation of each physiotherapy modality is paramount for patient benefit and professional betterment, as evidenced by this research. The findings of this research can be a newer chapter for once-physiotherapy to identify breast cancer clinically and update on exercise response with HRT. Limitations of this study are single experimental post Radical mastectomy and HRT Treatment.

 

Author (s) Details

 

Subramanian SS
Sree Balaji College of Physiotherapy, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

 

Suganthi S
Sree Balaji College of Physiotherapy, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

 

Lingammal M
Sree Balaji College of Physiotherapy, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

 


Please see the book here:- https://doi.org/10.9734/bpi/dhrd/v9/5028

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