Evaluation of a physiotherapeutic protocol applied to mastectomized patients
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , |
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/1973 |
Resumo: | Objective: The objective of this study was to assess a physiotherapeutic protocol applied to mastectomized patients (Madden's technique). Methods: 119 patients aged 29-79 years were assessed and submitted to Modified Radical Mastectomy by Madden's technique, at the Instituto de Mastologia e Ginecologia do Hospital Beneficência Portuguesa, São Paulo, from May 2001 to December 2002. Out of these 119 patients, only 44 were selected according to inclusion and exclusion criteria. Two groups were composed, one with 33 patients submitted to a physiotherapeutic protocol up to discharge, and another group with 11 patients who discontinued treatment. ROM and likely progression to lymphedema were assessed in both groups. Results: By the end of treatment, all patients submitted to the physiotherapeutic protocol presented no limitation and/or small limitation in ROM, varying from 150º to 180º, and only three of them developed lymphedema. When the group who discontinued treatment was reassessed, ROM limitation varied from 40º to 170º, and four patients developed lymphedema. Conclusion: This study showed the efficiency of the proposed protocol for post mastectomized patients. Early physiotherapeutic intervention applied at hospital, not only helps preventing post-surgical complications, but it also rehabilitates patients earlier for their activities of daily living (ADLs). Moreover, it benefits them by receiving collaboration and encouragement for treatment provided by a multidisciplinary team. |
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Evaluation of a physiotherapeutic protocol applied to mastectomized patientsAvaliação de protocolo de fisioterapia aplicado a pacientes mastectomizadas a MaddenNeoplasias mamáriasFisioterapiaMastectomia radical modificada de MaddenLinfedemaBreast neoplasmsPhysiotherapyModified radical mastectomy by Madden's techniqueLymphedemaObjective: The objective of this study was to assess a physiotherapeutic protocol applied to mastectomized patients (Madden's technique). Methods: 119 patients aged 29-79 years were assessed and submitted to Modified Radical Mastectomy by Madden's technique, at the Instituto de Mastologia e Ginecologia do Hospital Beneficência Portuguesa, São Paulo, from May 2001 to December 2002. Out of these 119 patients, only 44 were selected according to inclusion and exclusion criteria. Two groups were composed, one with 33 patients submitted to a physiotherapeutic protocol up to discharge, and another group with 11 patients who discontinued treatment. ROM and likely progression to lymphedema were assessed in both groups. Results: By the end of treatment, all patients submitted to the physiotherapeutic protocol presented no limitation and/or small limitation in ROM, varying from 150º to 180º, and only three of them developed lymphedema. When the group who discontinued treatment was reassessed, ROM limitation varied from 40º to 170º, and four patients developed lymphedema. Conclusion: This study showed the efficiency of the proposed protocol for post mastectomized patients. Early physiotherapeutic intervention applied at hospital, not only helps preventing post-surgical complications, but it also rehabilitates patients earlier for their activities of daily living (ADLs). Moreover, it benefits them by receiving collaboration and encouragement for treatment provided by a multidisciplinary team.Objetivo: Avaliação dos resultados da aplicação de um protocolo de fisioterapia aplicado em pacientes mastectomizadas (tipo Madden). Métodos: Foram avaliadas 119 pacientes, com idade entre 29 e 79 anos, submetidas a Mastectomia Modificada Radical Tipo Madden, no Instituto de Mastologia e Ginecologia do Hospital Beneficência Portuguesa - São Paulo, durante o período de maio/2001 a dezembro/2002. Destas 119 pacientes, apenas 44 foram selecionadas de acordo com critérios de inclusão e exclusão. Formaram-se 2 grupos, sendo um grupo com 33 pacientes que foram submetidas a um protocolo fisioterapêutico até a alta e um outro, com 11 pacientes que desistiram do tratamento. A amplitude de movimento (ADM) e uma possível evolução para linfedema foram avaliados em ambos os grupos. Resultados: Todas as pacientes submetidas ao protocolo fisioterapêutico, ao final do tratamento estavam sem limitação de ADM e/ou com pequena limitação, com uma faixa de variação de 150º a 180º, e apenas 3 evoluíram para linfedema. Em relação ao grupo desistente do tratamento, na reavaliação a limitação de ADM variou de 40º a 170º, sendo que 4 pacientes evoluíram para linfedema. Conclusão: O protocolo apresentado neste estudo mostrou-se eficaz para as pacientes pós-mastectomizadas. Conclui-se também que a intervenção precoce da fisioterapia, aplicada ainda no ambiente hospitalar, não só ajuda a prevenir as complicações pós-cirúrgicas, como também reabilita as pacientes mais cedo para as atividades da vida diária (AVDs), e ainda, permite a elas que possam se valer da colaboração e do incentivo da equipe multidisciplinar para o tratamento.INCA2005-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/197310.32635/2176-9745.RBC.2005v51n2.1973Revista Brasileira de Cancerologia; Vol. 51 No. 2 (2005): Apr/May/June; 143-148Revista Brasileira de Cancerologia; Vol. 51 Núm. 2 (2005): abr./mayo/jun.; 143-148Revista Brasileira de Cancerologia; v. 51 n. 2 (2005): abr./maio/jun.; 143-1482176-9745reponame: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/1973/1201Pereira, Carla Maria de AbreuVieira, Elidia Orie Rodrigues YamadaAlcântara, Paulo Sérgio Martinsinfo:eu-repo/semantics/openAccess2021-11-29T20:30:25Zoai:rbc.inca.gov.br:article/1973Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:30:25Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients Avaliação de protocolo de fisioterapia aplicado a pacientes mastectomizadas a Madden |
title |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients |
spellingShingle |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients Pereira, Carla Maria de Abreu Neoplasias mamárias Fisioterapia Mastectomia radical modificada de Madden Linfedema Breast neoplasms Physiotherapy Modified radical mastectomy by Madden's technique Lymphedema |
title_short |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients |
title_full |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients |
title_fullStr |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients |
title_full_unstemmed |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients |
title_sort |
Evaluation of a physiotherapeutic protocol applied to mastectomized patients |
author |
Pereira, Carla Maria de Abreu |
author_facet |
Pereira, Carla Maria de Abreu Vieira, Elidia Orie Rodrigues Yamada Alcântara, Paulo Sérgio Martins |
author_role |
author |
author2 |
Vieira, Elidia Orie Rodrigues Yamada Alcântara, Paulo Sérgio Martins |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pereira, Carla Maria de Abreu Vieira, Elidia Orie Rodrigues Yamada Alcântara, Paulo Sérgio Martins |
dc.subject.por.fl_str_mv |
Neoplasias mamárias Fisioterapia Mastectomia radical modificada de Madden Linfedema Breast neoplasms Physiotherapy Modified radical mastectomy by Madden's technique Lymphedema |
topic |
Neoplasias mamárias Fisioterapia Mastectomia radical modificada de Madden Linfedema Breast neoplasms Physiotherapy Modified radical mastectomy by Madden's technique Lymphedema |
description |
Objective: The objective of this study was to assess a physiotherapeutic protocol applied to mastectomized patients (Madden's technique). Methods: 119 patients aged 29-79 years were assessed and submitted to Modified Radical Mastectomy by Madden's technique, at the Instituto de Mastologia e Ginecologia do Hospital Beneficência Portuguesa, São Paulo, from May 2001 to December 2002. Out of these 119 patients, only 44 were selected according to inclusion and exclusion criteria. Two groups were composed, one with 33 patients submitted to a physiotherapeutic protocol up to discharge, and another group with 11 patients who discontinued treatment. ROM and likely progression to lymphedema were assessed in both groups. Results: By the end of treatment, all patients submitted to the physiotherapeutic protocol presented no limitation and/or small limitation in ROM, varying from 150º to 180º, and only three of them developed lymphedema. When the group who discontinued treatment was reassessed, ROM limitation varied from 40º to 170º, and four patients developed lymphedema. Conclusion: This study showed the efficiency of the proposed protocol for post mastectomized patients. Early physiotherapeutic intervention applied at hospital, not only helps preventing post-surgical complications, but it also rehabilitates patients earlier for their activities of daily living (ADLs). Moreover, it benefits them by receiving collaboration and encouragement for treatment provided by a multidisciplinary team. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-06-30 |
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/1973 10.32635/2176-9745.RBC.2005v51n2.1973 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1973 |
identifier_str_mv |
10.32635/2176-9745.RBC.2005v51n2.1973 |
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/1973/1201 |
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. 51 No. 2 (2005): Apr/May/June; 143-148 Revista Brasileira de Cancerologia; Vol. 51 Núm. 2 (2005): abr./mayo/jun.; 143-148 Revista Brasileira de Cancerologia; v. 51 n. 2 (2005): abr./maio/jun.; 143-148 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
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Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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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) |
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rbc@inca.gov.br |
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1797042242041413632 |