Analysis of Muscle Strength and Mobility of Patients with Hematologic Cancer Consulted at Physiotherapy in a High Complexity Oncology Clinic

• Autor(a) principal: Silva, Isabela Lima
• Data de Publicação: 2022
• Outros Autores: Ribeiro, Thaís Gontijo, Borges, Kalléria Waleska Correia
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2548
• topic: neoplasias hematológicas; força muscular; limitação da mobilidade; serviço hospitalar de fisioterapia; hematologic neoplasms; muscle strength; mobility limitation; physical therapy department, hospital; neoplasias hematológicas; fuerza muscular; limitación de la movilidad; servicio de fisioterapia en hospital

Introduction: Cancer is the name given to a set of more than 100 diseases characterized by abnormal and accelerated growth of cells, and can be considered solid or hematological. Hematological neoplasms lead to specific changes that can contribute to inactivity, mainly due to the high risk of bleeding, inducing functional losses, being important to perform physical therapy to prevent or minimize these losses. Objective: Analyze the muscle strength and mobility of patients with hematological cancer admitted to a reference hospital in the Federal District. Method: Retrospective, quantitative longitudinal study. The collection was performed with secondary data from electronic medical records and physical therapy monitoring spreadsheets from June to December 2020. Muscle strength was analyzed using manual dynamometry and also with the Medical Research Council scale (MRC) and mobility by the ICU Mobility Scale (IMS). Results: Of the 86 individuals screened, 43 were eligible for the study. No significant differences were noticed in muscle strength and mobility in an analysis from admission to hospital discharge. There was a moderate and significant association between MRC and IMS at admission (r=0.575 and p<0.001) and at discharge (r=0.481 and p=0.001). No significant associations between dynamometry and mobility were found. Conclusion: This study allowed the identification of the profile of onco-hematological patients in follow-up, suggesting that physiotherapy contributed to maintain the functionality of these patients.