Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus

Detalhes bibliográficos
Autor(a) principal: Dantas Silva, Maíra
Data de Publicação: 2013
Outros Autores: Tirolli Rett, Mariana, Carvalho Rabelo Mendonça, Andreza, Monteiro da Silva Júnior, Walderi, Miranda Prado, Vanessa, Melo DeSantana, Josimari
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/508
Resumo: Introduction: Complications after surgery for breast cancer can cause injury in range of motion of the shoulder and a negative impact considering the quality of life. Objective: To evaluate the range of motion and quality of life before and after ten sessions of physiotherapy in postoperative of breast cancer. Method: A clinical self-controlled trial was conducted involving 36 women. The range of motion was assessed by goniometry of homolateral and contralateral (control) shoulder. Quality of life was evaluated by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C-30 (EORTC QLQ-C30) and Breast Cancer Module (BR-23). The dependent and independent Student t test was used with p<0.05. Results: After the 10th sessionwe found a significant improvement in flexion (p<0.001), extension (p<0.001), abduction (p<0.001), adduction (p <0.010), medial rotation (p<0.011) and lateral rotation (p<0.020). When compared to the control member, such movements were similar except abduction that, although close to functional values, was still lower than the control limb (p<0.029). There was a significant improvement of physical function (p=0.004), pain reduction (p=0.046), financial difficulties (p=0.008) and symptoms in the arm (p=0.019). Conclusion: The physiotherapeutical approach improved the range of motion and quality of life in women after surgery for breast cancer. It is suggested that accompaniments for longer time may bring additional benefits.  
id INCA-1_93bb8816233ef68d36b65c8524ad6b4a
oai_identifier_str oai:rbc.inca.gov.br:article/508
network_acronym_str INCA-1
network_name_str Revista Brasileira de Cancerologia (Online)
repository_id_str
spelling Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy FocusCalidad de Vida y el Movimiento del Hombro en el postoperatorio del Cáncer de Mama: un Enfoque de la FisioterapiaQualidade de Vida e Movimento do Ombro no Pós-Operatório de Câncer de Mama: um Enfoque da FisioterapiaNeoplasias da Mama-cirurgiaMastectomiaFisioterapiaQualidade de VidaAmplitude de Movimento ArticularTerapia por ExercícioBreast Neoplasms-surgeryMastectomyPhysical Therapy SpecialtyQuality of LifeRange of Motion, ArticularExercise TherapyNeoplasias de la Mama-cirugíaMastectomíaFisioterapiaCalidad de VidaRango del Movimiento ArticularTerapia por EjercícioIntroduction: Complications after surgery for breast cancer can cause injury in range of motion of the shoulder and a negative impact considering the quality of life. Objective: To evaluate the range of motion and quality of life before and after ten sessions of physiotherapy in postoperative of breast cancer. Method: A clinical self-controlled trial was conducted involving 36 women. The range of motion was assessed by goniometry of homolateral and contralateral (control) shoulder. Quality of life was evaluated by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C-30 (EORTC QLQ-C30) and Breast Cancer Module (BR-23). The dependent and independent Student t test was used with p<0.05. Results: After the 10th sessionwe found a significant improvement in flexion (p<0.001), extension (p<0.001), abduction (p<0.001), adduction (p <0.010), medial rotation (p<0.011) and lateral rotation (p<0.020). When compared to the control member, such movements were similar except abduction that, although close to functional values, was still lower than the control limb (p<0.029). There was a significant improvement of physical function (p=0.004), pain reduction (p=0.046), financial difficulties (p=0.008) and symptoms in the arm (p=0.019). Conclusion: The physiotherapeutical approach improved the range of motion and quality of life in women after surgery for breast cancer. It is suggested that accompaniments for longer time may bring additional benefits.  Introducción: Las complicaciones tras la cirugía para el cancer de mama pueden determinar perjuicios en la amplitud del movimiento del hombro, e impacto negativo en las actividades del cotidiano, interfiriendo en la calidad de vida. Objetivo: Comparar la amplitud del movimiento y la calidad de vida antes y después de diez sesiones de fisioterapia en el postoperatorio del cáncer de mama. Método: Se ha realizado un ensayo clínico autocontrolado con 36 mujeres. La amplitud del movimiento fue evaluada por la goniometria del hombro homolateral y contralateral (control). La calidad de vida fue evaluada por la encuesta European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C-30 (EORTC QLQ-C30) y Breast Cancer Module (BR-23). Se ha utilizado la prueba t de Student dependiente e independiente, adoptándose p<0,05. Resultados: Después de la décima sesión, encontraron una mejoría significativa en la flexion (p<0,001), extension (p<0,001), abducción (p<0,001), aducción (p<0,010), rotación medial (p<0,011) y la rotación lateral (p<0,020). Cuando comparado con miembro control, esos movimientos estaban similares excepto la abducción, que aunque próximo a valores funcionales, aún era más pequeña que el miembro de control (p<0,029). En cuanto a la calidad de vida se encontró una mejora significativa en la función física (p=0,004), la reducción del dolor (p=0,046), dificultad financiera (p=0,008) y síntomas en el brazo (p=0,019). Conclusión: El abordaje fisioterapéutico ha mejorado la amplitud del movimiento y la calidad de vida de mujeres tras la cirugía para el cáncer de mama, pero seguimientos más largos pueden traer beneficios adicionales.  Introdução: As complicações apos a cirurgia para câncer de mama podem determinar prejuízos na amplitude de movimento do ombro e impacto negativo nas atividades do cotidiano, interferindo na qualidade de vida. Objetivo: Comparar a amplitude de movimento e a qualidade de vida antes e após dez sessões de fisioterapia no pós-operatório de cancer de mama. Método: Realizou-se um ensaio clínico autocontrolado, envolvendo 36 mulheres. A amplitude de movimento foi avaliada pela goniometria do ombro homolateral e contralateral (controle). A qualidade de vida foi avaliada pelos questionários European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C-30 (EORTC QLQ-C30) e Breast Cancer Module (BR-23). Utilizaram-se os testes t de Student dependente e independente, adotando-se p<0,05. Resultados: Após a décima sessão, encontrou-se melhora significativa da flexão (p<0,001), extensão (p<0,001), abdução (p<0,001), adução (p<0,010), rotação medial (p<0,011) e rotação lateral (p<0,020). Quando comparado com membro controle, esses movimentos estavam similares, exceto a abdução, que embora, próxima a valores funcionais, ainda estava menor do que o membro controle (p<0,029). Quanto a qualidade de vida, encontrou-se melhora significativa na função física (p=0,004), redução da dor (p=0,046), dificuldade financeira (p=0,008) e sintomas no braço (p=0,019). Conclusão: A abordagem fisioterapêutica melhorou a amplitude de movimento e a qualidade de vida de mulheres após a cirurgia para câncer de mama, mas acompanhamentos mais longos podem trazer beneficios adicionais.INCA2013-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/50810.32635/2176-9745.RBC.2013v59n3.508Revista Brasileira de Cancerologia; Vol. 59 No. 3 (2013): July/Aug./Sept.; 419-426Revista Brasileira de Cancerologia; Vol. 59 Núm. 3 (2013): jul./agosto/sept.; 419-426Revista Brasileira de Cancerologia; v. 59 n. 3 (2013): jul./ago./set. ; 419-4262176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/508/304Dantas Silva, Maíra Tirolli Rett, Mariana Carvalho Rabelo Mendonça, Andreza Monteiro da Silva Júnior, Walderi Miranda Prado, Vanessa Melo DeSantana, Josimari info:eu-repo/semantics/openAccess2021-11-29T20:11:16Zoai:rbc.inca.gov.br:article/508Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:11:16Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
Calidad de Vida y el Movimiento del Hombro en el postoperatorio del Cáncer de Mama: un Enfoque de la Fisioterapia
Qualidade de Vida e Movimento do Ombro no Pós-Operatório de Câncer de Mama: um Enfoque da Fisioterapia
title Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
spellingShingle Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
Dantas Silva, Maíra
Neoplasias da Mama-cirurgia
Mastectomia
Fisioterapia
Qualidade de Vida
Amplitude de Movimento Articular
Terapia por Exercício
Breast Neoplasms-surgery
Mastectomy
Physical Therapy Specialty
Quality of Life
Range of Motion, Articular
Exercise Therapy
Neoplasias de la Mama-cirugía
Mastectomía
Fisioterapia
Calidad de Vida
Rango del Movimiento Articular
Terapia por Ejercício
title_short Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
title_full Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
title_fullStr Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
title_full_unstemmed Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
title_sort Quality of Life and Shoulder Motion after Surgery for Breast Cancer: Physical Therapy Focus
author Dantas Silva, Maíra
author_facet Dantas Silva, Maíra
Tirolli Rett, Mariana
Carvalho Rabelo Mendonça, Andreza
Monteiro da Silva Júnior, Walderi
Miranda Prado, Vanessa
Melo DeSantana, Josimari
author_role author
author2 Tirolli Rett, Mariana
Carvalho Rabelo Mendonça, Andreza
Monteiro da Silva Júnior, Walderi
Miranda Prado, Vanessa
Melo DeSantana, Josimari
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Dantas Silva, Maíra
Tirolli Rett, Mariana
Carvalho Rabelo Mendonça, Andreza
Monteiro da Silva Júnior, Walderi
Miranda Prado, Vanessa
Melo DeSantana, Josimari
dc.subject.por.fl_str_mv Neoplasias da Mama-cirurgia
Mastectomia
Fisioterapia
Qualidade de Vida
Amplitude de Movimento Articular
Terapia por Exercício
Breast Neoplasms-surgery
Mastectomy
Physical Therapy Specialty
Quality of Life
Range of Motion, Articular
Exercise Therapy
Neoplasias de la Mama-cirugía
Mastectomía
Fisioterapia
Calidad de Vida
Rango del Movimiento Articular
Terapia por Ejercício
topic Neoplasias da Mama-cirurgia
Mastectomia
Fisioterapia
Qualidade de Vida
Amplitude de Movimento Articular
Terapia por Exercício
Breast Neoplasms-surgery
Mastectomy
Physical Therapy Specialty
Quality of Life
Range of Motion, Articular
Exercise Therapy
Neoplasias de la Mama-cirugía
Mastectomía
Fisioterapia
Calidad de Vida
Rango del Movimiento Articular
Terapia por Ejercício
description Introduction: Complications after surgery for breast cancer can cause injury in range of motion of the shoulder and a negative impact considering the quality of life. Objective: To evaluate the range of motion and quality of life before and after ten sessions of physiotherapy in postoperative of breast cancer. Method: A clinical self-controlled trial was conducted involving 36 women. The range of motion was assessed by goniometry of homolateral and contralateral (control) shoulder. Quality of life was evaluated by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C-30 (EORTC QLQ-C30) and Breast Cancer Module (BR-23). The dependent and independent Student t test was used with p<0.05. Results: After the 10th sessionwe found a significant improvement in flexion (p<0.001), extension (p<0.001), abduction (p<0.001), adduction (p <0.010), medial rotation (p<0.011) and lateral rotation (p<0.020). When compared to the control member, such movements were similar except abduction that, although close to functional values, was still lower than the control limb (p<0.029). There was a significant improvement of physical function (p=0.004), pain reduction (p=0.046), financial difficulties (p=0.008) and symptoms in the arm (p=0.019). Conclusion: The physiotherapeutical approach improved the range of motion and quality of life in women after surgery for breast cancer. It is suggested that accompaniments for longer time may bring additional benefits.  
publishDate 2013
dc.date.none.fl_str_mv 2013-09-30
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/508
10.32635/2176-9745.RBC.2013v59n3.508
url https://rbc.inca.gov.br/index.php/revista/article/view/508
identifier_str_mv 10.32635/2176-9745.RBC.2013v59n3.508
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/508/304
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 59 No. 3 (2013): July/Aug./Sept.; 419-426
Revista Brasileira de Cancerologia; Vol. 59 Núm. 3 (2013): jul./agosto/sept.; 419-426
Revista Brasileira de Cancerologia; v. 59 n. 3 (2013): jul./ago./set. ; 419-426
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_ 1797042244387078144

Registros relacionados