Functional exercise guidance for postoperative breast cancer patients

  After breast cancer patients’ surgery, patients should be guided to perform postoperative rehabilitation functional exercise as early as possible, help and supervise patients to protect the skin of the limbs, not to scratch and avoid manipulating heavy objects on the limbs.  1. Some post-surgical patients, or due to insufficient execution of post-surgical functional exercise, do not achieve the expected goal, you can give detailed guidance according to the situation against the corresponding steps of post-surgical exercise. Specific methods are as follows: (1) Exercise time: the earlier the better. From the first day after surgery, daily, 3-5 times a day, 5-10 minutes each time to feel not tired is good.  (2) Do finger extension, fist clenching and wrist flexion on the first 1-2 days. Observe the limbs for amidships, pain, numbness, etc.  (3) Day 3-4 Do elbow bending exercises in addition to the above exercises. If the affected limb is weak, use the palm of the opposite hand to hold the affected wrist and lift the forearm, repeatedly.  (4) On day 5-7, start from the elbow and gradually develop to the shoulder, i.e., use the affected hand to touch the opposite shoulder and the ipsilateral auricle, and encourage the patient to brush his teeth, comb his hair, wash his face, etc.  (5) On day 8, do shoulder activities, such as shrugging the shoulder.  (6) On day 9-12, you can exercise to raise the affected upper limb. At first, hold the affected elbow with the palm of the opposite hand and slowly raise it until the shoulder is level. Then do finger climbing exercises. That is: legs slightly divided upright in front of the wall, the affected elbow bent, the palm of the hand is the same height as the shoulder, stick to the wall, fingers bent along the wall gradually climb up until the arm is completely straight, then the arm in the downward movement to the original position.  (7) After the 12th day, the full range of joint movements of the affected upper limb can be performed. Practice placing the palm of the affected hand behind the occiput and start in a low head position. Slowly raise the head and gradually lift the head and chest position. Then contact the following movements: a. Paddle round movement: take a rope, one end tied to the door handle or other objects, the other end held in the affected hand, cotton team object a drawing circle way to turn to do circular movement, there are small to large, slow to fast. Pulley exercise: in the higher than the head of the horizontal rod with a rope, hands hold one end, first with the healthy side of the hand will pull the rope down, so that the affected side of the elbow arm raised until it reaches a slight discomfort, and then raise the healthy side of the arm, so that the affected side of the arm naturally down. So repeatedly, to do pulley exercise.  2, exercise precautions: adhere to exercise, be planned, purposeful, gradual, not too hasty; if the postoperative period is not completely according to the norms to exercise, you can correspond to the above steps, press step by step to keep up. When exercising, pay attention to prevent strains and tears of irradiated skin, and pay attention to adjust the strength and progress according to the situation.  3, other precautions: do not perform intravenous infusion and puncture in the affected arm; avoid moving and lifting overweight objects on the affected limb; should not measure blood pressure on the affected side to avoid skin damage and prevent swelling.