Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2024 |
| Outros Autores: | , , , |
| 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/4470 |
Resumo: | Introduction: Breast cancer treatment can cause physical and psychological impairments. The current literature advocates that exercises with free range of motion allow patients good functional recovery of the shoulder without increasing the risk of complications, and that progressive resistance exercises are recommended. There is no evidence that procedures on the arm increase the risk of lymphedema. Objective: To evaluate the knowledge of unskilled oncology and women’s health physical therapists regarding the conduct adopted with patients post breast cancer surgery. Method: Prospective cross-sectional observational study carried out with a self-reported questionnaire on the physiotherapist’s performance in the postoperative period of breast cancer. Results: Forty-four professionals participated in the study, 50% of which had already assisted patients in the postoperative period of breast cancer, 47.7% believe that patients should perform active mobilization of the upper limbs in up to 90º of amplitude, not exceeding the shoulder line in surgeries without immediate reconstruction and 25% advised restriction to any type of load and/or resistance exercises pending medical approval. Most of the professionals investigated advised not to measure blood pressure in the ipsilateral limb to the surgery and not puncture peripheral venous access or collect exams on the limb. Conclusion: The conduct adopted by most of the resident and caring professionals investigated is based in outdated recommendations on limb movements, resistance exercises and prevention of lymphedema post breast cancer surgery. |
| id |
INCA-1_84e89ed6b3d384c70ce5c0662d080747 |
|---|---|
| oai_identifier_str |
oai:rbc.inca.gov.br:article/4470 |
| network_acronym_str |
INCA-1 |
| network_name_str |
Revista Brasileira de Cancerologia (Online) |
| repository_id_str |
|
| spelling |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast CancerConocimiento de Fisioterapeutas no especializados en Oncología de Mama sobre Ejercicios y Directrices en el Posoperatorio de Cáncer de MamaConhecimento de Fisioterapeutas não Especializados em Oncologia Mamária sobre Exercícios e Orientações no Pós-operatório do Câncer de Mamaneoplasias da mamamastectomiaterapia por exercícioespecialidade de fisioterapiabreast neoplasmsmastectomyexercise therapyphysical therapy specialtyneoplasias de la mamamastectomiaterapia por ejercicioespecialidad de fisioterapiaIntroduction: Breast cancer treatment can cause physical and psychological impairments. The current literature advocates that exercises with free range of motion allow patients good functional recovery of the shoulder without increasing the risk of complications, and that progressive resistance exercises are recommended. There is no evidence that procedures on the arm increase the risk of lymphedema. Objective: To evaluate the knowledge of unskilled oncology and women’s health physical therapists regarding the conduct adopted with patients post breast cancer surgery. Method: Prospective cross-sectional observational study carried out with a self-reported questionnaire on the physiotherapist’s performance in the postoperative period of breast cancer. Results: Forty-four professionals participated in the study, 50% of which had already assisted patients in the postoperative period of breast cancer, 47.7% believe that patients should perform active mobilization of the upper limbs in up to 90º of amplitude, not exceeding the shoulder line in surgeries without immediate reconstruction and 25% advised restriction to any type of load and/or resistance exercises pending medical approval. Most of the professionals investigated advised not to measure blood pressure in the ipsilateral limb to the surgery and not puncture peripheral venous access or collect exams on the limb. Conclusion: The conduct adopted by most of the resident and caring professionals investigated is based in outdated recommendations on limb movements, resistance exercises and prevention of lymphedema post breast cancer surgery. Introducción: El tratamiento del cáncer de mama puede generar una serie de deterioros físicos y psicológicos. La literatura actual respalda que los ejercicios de amplitud libre permiten a las pacientes una buena recuperación funcional del hombro sin aumentar el riesgo de complicaciones, y que se recomiendan ejercicios de resistencia progresivos. No hay evidencia de que los procedimientos en el brazo aumenten el riesgo de linfedema. Objetivo: Evaluar el conocimiento de fisioterapeutas no especialistas en las áreas de oncología y salud de la mujer, sobre la conducta realizada a pacientes en el posoperatorio de cáncer de mama. Método: Estudio observacional transversal, con datos recogidos a través de un cuestionario autocompletado, sobre el papel de los fisioterapeutas en pacientes en el posoperatorio de cáncer de mama. Resultados: Participaron del estudio 44 profesionales, el 50,0% de los cuales ya había atendido a pacientes posoperados de cáncer de mama, el 47,7% cree que los pacientes deben realizar movilizaciones activas de los miembros superiores en hasta 90º de amplitud, no superando la línea del hombro en las cirugías. sin reconstrucción inmediata, y el 25% recomendó restricción a cualquier tipo de carga y/o ejercicios de resistencia hasta aprobación médica. La mayoría de los profesionales que participan en la investigación aconsejan no medir la presión arterial en el miembro ipsilateral a la cirugía y no perforar el acceso venoso periférico ni realizar exámenes en el miembro. Conclusión: La conducta adoptada por la mayoría de los residentes y profesionales asistenciales analizados se basa en recomendaciones obsoletas sobre movimiento de extremidades, ejercicios de resistencia y prevención del linfedema tras la cirugía de cáncer de mama.Introdução: O tratamento do câncer de mama pode gerar uma gama de comprometimentos físicos e psicológicos. A literatura atual sustenta que exercícios de amplitude livre permitem às pacientes boa recuperação funcional do ombro sem aumentar risco de complicações, e que exercícios resistidos progressivos são recomendados. Não há comprovação de que procedimentos no braço aumentem o risco de linfedema. Objetivo: Avaliar o conhecimento dos profissionais fisioterapeutas não especialistas nas áreas de oncologia e saúde da mulher quanto à conduta realizada em pacientes no período pós-operatório de câncer de mama. Método: Estudo observacional transversal, com dados coletados por questionário autopreenchido, sobre a atuação do fisioterapeuta em pacientes no período pós-operatório de câncer de mama. Resultados: Participaram do estudo 44 profissionais, 50,0% dos quais já haviam atendido pacientes em pós-operatório de câncer de mama, 47,7% acreditam que pacientes devem realizar mobilização ativa de membros superiores em até 90º de amplitude, não ultrapassando a linha do ombro em cirurgias sem reconstrução imediata, e 25% orientaram restrição a qualquer tipo de carga e/ou exercícios resistidos até liberação médica. A maior parte dos profissionais participantes da pesquisa orienta a não aferição de pressão arterial no membro homolateral à cirurgia e não puncionar acesso venoso periférico ou coletar exames no membro. Conclusão: A conduta adotada pela maior parte dos profissionais residentes e assistenciais analisados se baseia em recomendações desatualizadas sobre movimentação de membros, exercícios resistidos e prevenção de linfedema após cirurgia de câncer de mama. INCA2024-01-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/447010.32635/2176-9745.RBC.2023v69n4.4470Revista Brasileira de Cancerologia; Vol. 69 No. 4 (2023): oct./nov./dec.; e-254470Revista Brasileira de Cancerologia; Vol. 69 Núm. 4 (2023): oct./nov./dic.; e-254470Revista Brasileira de Cancerologia; v. 69 n. 4 (2023): out./nov./dez.; e-2544702176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/4470/3333https://rbc.inca.gov.br/index.php/revista/article/view/4470/3368https://rbc.inca.gov.br/index.php/revista/article/view/4470/3342Copyright (c) 2024 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Lucena, Denise AraújoFacina, GilNazário, Afonso Celso PintoSanvido, Vanessa Monteiro Almeida Rizzi, Samantha Karlla Lopes de2024-03-01T20:06:01Zoai:rbc.inca.gov.br:article/4470Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2024-03-01T20:06:01Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
| dc.title.none.fl_str_mv |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer Conocimiento de Fisioterapeutas no especializados en Oncología de Mama sobre Ejercicios y Directrices en el Posoperatorio de Cáncer de Mama Conhecimento de Fisioterapeutas não Especializados em Oncologia Mamária sobre Exercícios e Orientações no Pós-operatório do Câncer de Mama |
| title |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer |
| spellingShingle |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer Lucena, Denise Araújo neoplasias da mama mastectomia terapia por exercício especialidade de fisioterapia breast neoplasms mastectomy exercise therapy physical therapy specialty neoplasias de la mama mastectomia terapia por ejercicio especialidad de fisioterapia |
| title_short |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer |
| title_full |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer |
| title_fullStr |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer |
| title_full_unstemmed |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer |
| title_sort |
Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer |
| author |
Lucena, Denise Araújo |
| author_facet |
Lucena, Denise Araújo Facina, Gil Nazário, Afonso Celso Pinto Sanvido, Vanessa Monteiro Almeida Rizzi, Samantha Karlla Lopes de |
| author_role |
author |
| author2 |
Facina, Gil Nazário, Afonso Celso Pinto Sanvido, Vanessa Monteiro Almeida Rizzi, Samantha Karlla Lopes de |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Lucena, Denise Araújo Facina, Gil Nazário, Afonso Celso Pinto Sanvido, Vanessa Monteiro Almeida Rizzi, Samantha Karlla Lopes de |
| dc.subject.por.fl_str_mv |
neoplasias da mama mastectomia terapia por exercício especialidade de fisioterapia breast neoplasms mastectomy exercise therapy physical therapy specialty neoplasias de la mama mastectomia terapia por ejercicio especialidad de fisioterapia |
| topic |
neoplasias da mama mastectomia terapia por exercício especialidade de fisioterapia breast neoplasms mastectomy exercise therapy physical therapy specialty neoplasias de la mama mastectomia terapia por ejercicio especialidad de fisioterapia |
| description |
Introduction: Breast cancer treatment can cause physical and psychological impairments. The current literature advocates that exercises with free range of motion allow patients good functional recovery of the shoulder without increasing the risk of complications, and that progressive resistance exercises are recommended. There is no evidence that procedures on the arm increase the risk of lymphedema. Objective: To evaluate the knowledge of unskilled oncology and women’s health physical therapists regarding the conduct adopted with patients post breast cancer surgery. Method: Prospective cross-sectional observational study carried out with a self-reported questionnaire on the physiotherapist’s performance in the postoperative period of breast cancer. Results: Forty-four professionals participated in the study, 50% of which had already assisted patients in the postoperative period of breast cancer, 47.7% believe that patients should perform active mobilization of the upper limbs in up to 90º of amplitude, not exceeding the shoulder line in surgeries without immediate reconstruction and 25% advised restriction to any type of load and/or resistance exercises pending medical approval. Most of the professionals investigated advised not to measure blood pressure in the ipsilateral limb to the surgery and not puncture peripheral venous access or collect exams on the limb. Conclusion: The conduct adopted by most of the resident and caring professionals investigated is based in outdated recommendations on limb movements, resistance exercises and prevention of lymphedema post breast cancer surgery. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024-01-12 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/4470 10.32635/2176-9745.RBC.2023v69n4.4470 |
| url |
https://rbc.inca.gov.br/index.php/revista/article/view/4470 |
| identifier_str_mv |
10.32635/2176-9745.RBC.2023v69n4.4470 |
| dc.language.iso.fl_str_mv |
por eng |
| language |
por eng |
| dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/4470/3333 https://rbc.inca.gov.br/index.php/revista/article/view/4470/3368 https://rbc.inca.gov.br/index.php/revista/article/view/4470/3342 |
| dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Copyright (c) 2024 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf application/pdf text/html |
| dc.publisher.none.fl_str_mv |
INCA |
| publisher.none.fl_str_mv |
INCA |
| dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 69 No. 4 (2023): oct./nov./dec.; e-254470 Revista Brasileira de Cancerologia; Vol. 69 Núm. 4 (2023): oct./nov./dic.; e-254470 Revista Brasileira de Cancerologia; v. 69 n. 4 (2023): out./nov./dez.; e-254470 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
| instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
| instacron_str |
INCA |
| institution |
INCA |
| reponame_str |
Revista Brasileira de Cancerologia (Online) |
| collection |
Revista Brasileira de Cancerologia (Online) |
| repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
| repository.mail.fl_str_mv |
rbc@inca.gov.br |
| _version_ |
1797042241997373440 |