Cinesioterapia na amplitude articular do ombro no pós-cirúrgico do câncer de mama
DOI:
https://doi.org/10.33233/fb.v8i3.1768Abstract
Oobjetivodesteestudofoiavaliaraeficáciadosexercíciosterapêuticosnaaquisiçãodeamplitudearticulardoombropós-tratamento cirúrgico docâncerdemama. Participaram dapesquisa12mulheressubmetidas amastectomia(sete) e quadrantectomia (cinco). A goniometria foi utilizadaparaavaliação deamplitudearticulardoombro,anteseapósaexecuçãodoprogramadeexercícios. A cinesioterapia foi realizadapordozesemanas,emsessõesde quarenta ecincominutos, duasvezesporsemana.Paraanálisedosresultadosfoi utilizadaporcentagememédia. Àprimeiraavaliação, todas aspacientesapresentaramlimitaçãoarticulardoombronaflexãoequasetodas naabdução.Apósoprogramade exercícios, osvaloresdaamplitudeaumentaramem9,6% naflexãodomembrocomprometido e 12,5% nomesmomovimentonoladosadioe, 15,4% naabduçãodomembrocomprometido e 11,1% no contralateral (p < 0,01). Houveaumentodosvaloresde ADMparaosmovimentosdeambosmembros. A cinesioterapiaespecíficamostrou-seeficazparaaumentaramplitudearticulardoombrono pós-cirúrgico docâncerdemama.
Palavras-chave: fisioterapia, câncer de mama, amplitude articular, ombroReferences
Pressman P. Surgical treatment and lymphedema. American Cancer Society. Cancer Supplement Dec 1998;83(12):2782-87.
Jinno H, Ikeda T, Matsui A, Katagawa Y, Katasjima M, Fujii H, Nakamura K, Kubo A. Sentinel lymph node biopsy in breast cancer using technetium 99 min colloids of different sizes. Biomed Pharmacother 2002;56 suppl 1:213-216.
Kwan W, Jackson J, Weir LM, Dingee C, Mcgregor G, Olivotto IA. Chronic arm morbidity after curative breast cancer treatment: prevalence and impact on quality of life. J Clin Oncol 2002;20 (20):4242-8.
Panobianco MS, Mamede MV. Complicações e intercorrências associadas ao edema de braço nos três primeiros meses pós-mastectomia. Rev Latinoam Enfermagem 2002;10(4):544-51.
Rietman JS, Dijkstra PU, Debreczeni R, Geertzen JHB, Robinson DPH, De Vries J. Impairments, disabilities and health related quality of life after treatment for breast cancer: a follow up study 2.7 years after surgery. Disabil Rehabil 2004; 26(2):78-84.
Kisner C, Colby LA. ExercÃcios terapêuticos: fundamentos e técnicas. 3a ed. São Paulo: Manole; 1998.
Hoppenfeld S. Propedêutica ortopédica. São Paulo: Atheneu; 1999.
Sasaki T, Lamari NM. Reabilitaçäo funcional precoce pós-mastectomia / Early functional rehabilitation after mastectomy. HB Cient 1997;4(2):121-7.
Gordon LG, Battistutta D, Scuffham P, Tweeddale M, Newman B. The impact of rehabilitation support services on health-related quality of life for women with breast cancer. Eur J Cancer 2004;40(7):951-62.
Petreseviciene D, Krisciunas A, Sameniene J. Efficiency of rehabilitation methods in the treatment of arm lymphedema after breast cancer surgery. Medicina (Kaunas) 2002;38(10):1003-8.
Karki A, Simonen R, Malkia E, Selfe J. Impairments, activity limitations and participation restrictions 6 and 12 months after breast cancer operation. J Rehabil Med 2005;37(3):180-8.
Haid A, Kuen T, Konstantiniuk P, Koberle-Wuhrer R, Knauer M, Kreienberg R, Zimmermann G. Shoulder-arm morbidity following axillary dissection and sentinel node only biopsy for breast cancer. Eur J Surg Oncol 2002;28(7):705-10.
McKenzie DC, Kalda AL. Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study. Clin Oncol 2003;21(3): 463-6.
Lauridsen MC, Christiansen P, Hessou I. The effect of physiotherapy on shoulder function in patients surgically treated for breast cancer: a randomized study. Acta Oncol 2005;44(5):423-4.
Leidnius M, Luvonen M, Viromen J, von Smitten K. The consequences of long time morbidity in node negative breast cancer patients with sentinel node biopsy or axillary clearance. J Sug Oncol 2005;92(1):23-31.
Silva E, Zurrida S. Câncer de mama: um guia para médicos. São Paulo: Atlântica; 2000.
Ryttou N, Blichert-toft, Madsen EL, Weber J. Influence of adjuvant irradiation on shoulder joint function after mastectomy for breast carcinoma. Acta Radiol Oncol 1983;22(1):29-33.
Wingate L, Croghan I, Natarajan N, Michalek AM, Jordan C. Rehabilitation of the mastectomy patient: a randomised, blind , prospective study. Arch Phys Med Rehabil 1989;70:21-4.
Sandel SL, Judge JO, Landry N, Faria L, Ouellette R, Majczak M. Dance and movement program improves quality-of-life measures in breast cancer survivors. Cancer Nurs 2005;28(4):301-9.
Campbell A, Mutrie N, White F, McGuire F, Kearney N. A pilot study of a supervised group exercise programme as a rehabilitation treatment for women with breast cancer receiving adjuvant treatment. Eur J Oncol Nurs 2005; 9(1):56-63.
Oldervoll LM, Kaasa S, Hjermstad MJ, Lund JA, Loge JH. Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients? Eur J Cancer 2004;40(7):951-62.
Turner J, Hayes S, Reul-Hirche H. Improving the physical status and quality of life of women treated for breast cancer: a pilot study of a structured exercise intervention. J Surg Oncol 2004;86(3):141-6.
Camargo MC, Marx A. Reabilitação fÃsica no câncer de mama. 1a ed. São Paulo: Roca; 2000.
Silva MPP, Derchain SFM, Rezende L, Cabello CM, Zangiacomi E. Movimento do ombro após cirurgia por carcinoma invasor da mama: estudo randomizado prospectivo controlado de exercÃcios livres versus limitados a 90º no pós-operatório. Rev Bras Ginecol Obstet 2004;26(2):125-30.
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