Kinesiotherapy to improve quality of life after breast cancer surgery
DOI:
https://doi.org/10.33233/fb.v22i3.4718Keywords:
Physical therapy; Quality of life; Mastectomy; Breast cancer; Exercise therapyAbstract
Introduction: Breast cancer is the most common health problem among the female population and its surgical treatment may cause physical limitations and impair quality of life (QOL). Kinesiotherapy becomes a possibility of treatment in order to reduce the complications of surgery. Objective: To compare QOL before and after 10 kinesiotherapy. Methods: Non-randomized clinical trial, involving women who underwent 10 physical therapy training after surgery to treat breast cancer. The kinesiotherapy protocol included stretching, active-free exercises and resistance exercises. To assess QOL, the European Organization for Cancer Research and Treatment (EORTC) generic instrument, the C-30 Quality of Life Questionnaire (QLQ-C30) and the Breast Cancer Module (BR-23) were applied. Results: 35 women were included, with the mastectomy on the left being the most performed procedure. In the generic questionnaire of the EORTC, QLQ-C30, an improvement was observed in the scores of the scale of physical function (p = 0.01), functional performance (p = 0.02), fatigue (p = 0.03), pain (p = 0.01) and insomnia (p = 0.02), and worsens only in diarrhea symptoms (p = 0.02). In BR-23, significant improvements were observed in the symptoms of the breast (p = 0.01) and the arm (p = 0.01). Conclusion: Kinesiotherapy has beneficial effects on QOL. After kinesiotherapy there was an improvement of several aspects of QOL. Longer follow-up and other assessment tools may show additional gains.
References
Estimativa 2020: Incidência de câncer no Brasil [Internet]. Rio de Janeiro: Instituto Nacional de Câncer (Brasil). 2020 [Cited 2020 Mar 12]. Available from: http://www.inca.gov.br
Huang J, Chagpar AB. Quality of life and body image as a function of time from mastectomy. Ann Surg Oncol 2018;25,3044-51. doi: 10.1245/s10434-018-6606-3
Bregagnol RK, Dias AS. Alterações funcionais em mulheres submetidas à cirurgia de mama com linfadenectomia axilar total. Rev Bras Cancerol [Internet].2010 [cited 2020 Mar 12];56(1):25-33. Available from: http://www1.inca.gov.br/rbc/n_56/v01/pdf/05_artigo_alteracoes_funcionais_linfadenectomia.pdf;
Silva MD, Rett MT, Mendonça ACR, Júnior WMS, Prado VM, DeSantana JM. Qualidade de vida e movimento do ombro no pós-operatório de câncer de mama: um enfoque da fisioterapia. Rev Bras Cancerol [Internet] 2013 [cited 2020 Mar 15];59(3):419-26. Available from: https://rbc.inca.gov.br/site/arquivos/n_59/v03/pdf/12-artigo-qualidade-vida-movimento-ombro-pos-operatorio-cancer-mama-enfoque-fisioterapia.pdf
Nascimento SL, Oliveira RR, Oliveira MMF, Amaral MTP. Complicações e condutas fisioterapêuticas após cirurgia por câncer de mama: estudo retrospectivo. Fisioter Pesqui 2012;19(3):248-55. doi: 10.1590/S1809-29502012000300010
Browne JP, Jeevan R, Gulliver-Clarke C, Pereira J, Caddy CM, van der Meulen JHP. The association between complications and quality of life after mastectomy and breast reconstruction for breast cancer. Cancer 2017;123(18):3460-67. doi: 10.1002/cncr.30788
Leclerc AF, Foidart-Dessalle M, Tomasella M, Coucke P, Devos M, Bruyère O, et al. Multidisciplinary rehabilitation program after breast cancer: benefits on physical function, anthropometry and quality of life. Eur J Phys Rehabil Med 2017;53(5):633-42. doi: 10.23736/S1973-9087.17.04551-8
Bonessi LEDB, Lima TS. A abordagem da fisioterapia na qualidade de vida de mulheres com câncer de mama [TCC]. Brasília: Centro Universitário do Planalto Central Apparecido dos Santos; 2019. 28f.
Pudkasam S, Polman R, Pitcher M, Fisher M, Chinlumprasert N, Stojanovska L, et al. Physical activity and breast cancer survivors: Importance of adherence, motivational interviewing and psychological health. Maturitas 2018;116:66-72. doi: 10.1016/j.maturitas.2018.07.010
Mendonça ACR, Rett MT, Garcez PA, Aquino MJV, Lima LV, De Santana JM. TENS effects on dysesthesia and quality of life after breast cancer surgery with axilectomy: randomized controlled trial. Fisioter Mov 2017;30;1:285-95. http://doi.org/10.1590/1980-5918.030.s01.ao28
Luz CM, Deitos J, Siqueira TC, Palú M, Heck APF. Management of axillary web syndrome after breast cancer: evidence-based practice. Rev Bras Ginecol Obstet 2017;39(11):632-9. doi: 10.1055/s-0037-1604181
The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Soc Sci Med 1995;41(10):1403-09. doi: 10.1016/0277-9536(95)00112-K
Pinto A, Faiz O, Davis R, Almoudaris A, Vincent C. Complicações cirúrgicas e seu impacto no bem-estar psicossocial dos pacientes: uma revisão sistemática e meta-análise. BMJ Open 2016;6:e007224. doi: 10.1016/0277-9536(95)00112-K;
Furmaniak AC, Menig M, Markes MH. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database of Systematic Reviews 2016;9:CD005001. doi: 10.1002/14651858.CD005001.pub3
Rett MT, Oliveira IA, Mendonça ACR, Biana CB, Moccellin AS, De Santana, JM. Physiotherapeutic approach and functional performance after breast cancer surgery. Fisioter Mov 2017;30(3):493-500. doi: 10.1590/1980-5918.030.003.ao07;
Ribeiro IL, Moreira RFC, Ferrari AV, Alburquerque-Sendín F, Camargo PR, Salvini TF. Effectiveness of early rehabilitation on range of motion, muscle strength and arm function after breast cancer surgery: a systematic review of randomized controlled trials. Clin Rehabil 2019;33(12):1876-86. doi: 10.1177/0269215519873026
Makluf ASD. Avaliação das propriedades psicométricas dos instrumentos Quality of life questionnaire (EORTC-QLQC30) e Breast cancer module (QLQ-BR23) para avaliação da qualidade de vida em mulheres operadas por câncer de mama [Tese]. Belo Horizonte: Universidade Federal de Minas Gerais; 2005.
Groef AD, Kampen MV, Dieltjens E, Christiaens MR, Neven P, Geraerts I, et al. Effectiveness of postoperative physical therapy for upper limb impairments following breast cancer treatment: a systematic review. Rev Arch Phys Med Rehabil 2015;96(6):1140-53. doi: 10.1016/j.apmr.2015.01.006
Serra-Añó P, Inglés M, Bou-Catalá C. Effectiveness of myofascial release after breast cancer surgery in women undergoing conservative surgery and radiotherapy: a randomized controlled trial. Support Care Cancer 2019;27:2633-41. doi: 10.1007/s00520-018-4544-z
Oliveira MMFd, Gurgel MSC, Amorim BJ, Ramos CD, Derchain S, Furlan-Santos N, et al. Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial. PloS One 2018;13(1):e0189176. doi: 10.1371/journal.pone.0189176
Luz RPC, Haddad CAS, Rizzi SKLA, Elias S, Nazario ACF, Facina G. Complex therapy physical alone or associated with strengthening exercises in patients with lymphedema after breast cancer treatment: a controlled clinical trial. Asian Pac J Cancer Prev 2018;19(5):1405-10. doi: 10.22034/APJCP.2018.19.5.1405
Gebruers N, Camberlin M, Theunissen F, Tjalma W, Verbelen H, Soom TV, et al. The effect of training interventions on physical performance, quality of life, and fatigue in patients receiving breast cancer treatment: a systematic review. Support Care Cancer 2019;27:109-122. doi: 10.1007/s00520-018-4490-9
Figueiredo SLS. Funcionalidade e qualidade de vida em pacientes submetidas a cirurgia de câncer de mama [Dissertação]. Belo Horizonte: Instituto de Ensino e Pesquisa Santa Casa de Belo Horizonte; 2013.18p.
Rett MT, Mendonça ACR, Santos RMV, Jesus GKS, Prado VM, Santana JM. Fisioterapia no pós-operatório de câncer de mama: um enfoque na qualidade de vida. Conscientiae Saúde 2013;12(3):392-7. http://doi.org/10.5585/conssaude.v12n3.4341
Teodózio CGC, Marchito LO, Fabro EAN, Macedo FO, Aguiar SS, Thuler LCS, et al. Shoulder amplitude movement does not influence postoperative wound complications after breast cancer surgery: a randomized clinical trial. Breast Cancer Res Treat 2020;184:97-105. doi: 10.1007/s10549-020-05826-9
Wilson DJ. Exercise for the patient after breast cancer surgery. Semin Oncol Nurs 2017;33(1):98-105. doi: 10.1016/j.soncn.2016.11.010
Maldonado AS, Ruiz AC, Fernández DMD, Simón AE, Quesada MM, Poza NM, et. al. Effects of a 12-week resistance and aerobic exercise program on muscular strength and quality of life in breast cancer survivors. Med 2019;98(44):e17625. doi: 10.1097/MD.0000000000017625
Published
Issue
Section
License
Copyright (c) 2021 Helena Yannael Bezerra Domingos, Sarah Santos Moreira, Mikael Santos Alves, Fernanda Bispo Oliveira, Caroline Bomfim Lemos da Cruz, Maiana Damares Santos Silva, Aline Silva Siqueira Martins, Mariana Tirolli Rett
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
