EFFECTIVENESS OF YOGA MEANS FOR REDUCING PAIN IN WOMEN WITH POSTMASTECTOMY SYNDROME AT INPATIENT STAGE OF REHABLITATION
DOI:
https://doi.org/10.24144/2077-6594.4.2019.193542Keywords:
pain, women, postmastectomy syndrome, visual-analogue scaleAbstract
Purpose: to determine the effectiveness of yoga means in reducing pain in women with postmastectomy syndrome at inpatient stage of rehabilitation.
Object and research methods. The object of the study was 50 women with postmastectomy syndrome, the average age of the patients was 59.47±0.73 years. According to the degree of tumor process I, II-a and II-b stages were diagnosed (Т1-2N0-1М0) in women; all patients underwent adjuvant radiation therapy. The following research methods were used in the manuscripts: analysis of literary sources and empirical data; self-assessment by the visual analogue scale and the McGill questionnaires; methods of mathematical statistics.
Research results: under the influence of the applied yoga means, women of the main group showed a decrease in the number of descriptors for the sensory subscale by 1.16 (p<0.001) points, in the comparison group – by 0.92 (p <0.01) points; an index of the number of descriptors – by 1.76 (p<0.001) and 0.96 (p<0.05) points; pain index – by 7.64 (p<0.001) and 7.28 (p<0.001) points, pain manifestations on a visual-analogue scale – by 2.35 (p<0.001) and 0.70 (p>0.05) points, respectively. Significant differences between the groups in the final indicators were observed according to the pain index and visual analogue scale, that were less by 1.68 (p<0.05) and 1.51 (p<0.05) points in women of the main group compared with a comparison group.
Conclusions: obtained results indicate that yoga is an effective means to reduce pain in women with postmastectomy syndrome and can be used at the inpatient stage of rehabilitation.
References
Banasik J., Williams H., Haberman M., Blank S.E., Bendel R. Effect of Iyengar yoga practice on fatigue and diurnal salivary cortisol concentration in breast cancer survivors. J Am Acad Nurse Pract. 2011.Vol. 23(3). P. 135–142.
Cramer H., Lange S., Klose P., Paul A., Dobos G. Can yoga improve fatigue in breast cancer patients? A systematic review. Acta Oncol. 2012. Vol. 51(4). P. 559–560.
Fisher M.I., Donahoe-Fillmore B., Leach L., O'Malley C., Paeplow C., Prescott T., Merriman H. Effects of yoga on arm volume among women with breast cancer related lymphedema: a pilot study. Bodyw Mov Ther. 2014. Vol.18(4). P. 559–565.
Odynets T., Briskin Y., Todorova V., Bondarenko O. Impact of different exercise interventions on anxiety and depression in breast cancer patients. Physiotherapy Quarterly. 2019. Vol. 27(4). P. 31-36.
Siedentopf F, Utz-Billing I, Gairing S, Schoenegg W, Kentenich H, Kollak I. Yoga for Patients with Early Breast Cancer and its Impact on Quality of Life – a Randomized Controlled Trial. Geburtshilfe Frauenheilkd. 2013. Vol.73(4). P. 311–317.
Harder H., Parlour L., Jenkins V. Randomised controlled trials of yoga interventions for women with breast cancer: a systematic literature review. Support Care Cancer. 2012. Vol. 20(12). P. 3055–3064.
Prystupa E., Odynets T., Briskin Y., Tyshchenko V. Effects of an individualised physical rehabilitation intervention enhanced by progressive muscular relaxation and visualisation exercises on psycho-emotional state in women after breast cancer surgery. Physiotherapy Practice and Research. 2019. Vo. 40(1). P. 21-27.
Levine A.S., Balk J.L. Pilot study of yoga for breast cancer survivors with poor quality of life. Complement Ther Clin Pract. 2012. Vol. 18(4). P. 241–245.
Martin A.C., Keats M.R. The impact of yoga on quality of life and psychological distress in caregivers for patients with cancer. Oncol Nurs Forum. 2014. Vol. 41(3). P. 257–264.
Jensen M.P., Chen C., Brugger A.M. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain. 2003. Vol. 4. P. 407-414.
Ngamkham S., Vincent C., Finnegan L., Holden J., Wang Z., Wilkie D. The McGill Pain Questionnaire as a Multidimensional Measure in People with Cancer: An Integrative Review. Pain Manag Nurs. 2012. Vol. 13(1). P. 27-51.
