Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy

Detalhes bibliográficos
Autor(a) principal: Bregagnol, Rafael Klegues
Data de Publicação: 2010
Outros Autores: Dias, Alexandre Simões
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/1523
Resumo: The aim of this study was to quantitatively identify physical and functional changes resulting from the surgical procedure of axillary dissection (DA) in women with the diagnosis of breast cancer. Study participants were 28 women who underwent DA. Range of motion (ROROM), articulation of shoulders, upper limbs perimetry, lung function test (PF) and respiratory muscles strength (MRS) in preoperative period (PRE), immediate postoperative period (POI) and late period (POTOT) were measured. Posture Review was held in preoperative and POTOT. There was decrease of shoulder ROROM for flexion and abduction in the operated side when comparing with PRE figures with POI (p<0.001, for both movements) and POTOT (p<0.001, for both movements). The non-operated side showed a significant difference for lower flexion and abduction between PRE and POI, (p=0.003 and p=0.001 respectively), returning to baseline in POTOT. There was change in perimetry only in the operated side in 15cm above the elbow, when comparing PRE (30.8±3.27) with POI (31.4±3.66) and remaining in POTOT (31.2±3.17). The PF and MRS only statistically differ between PRE and POI (FVC p<0.001, FEV1 p=0.006, MIP p<0.001, MEP p=0.013). There was no significant change in posture during the studied period. Patients who have breast cancer and undergo DA as a form of treatment have functional changes, especially during POI , in which the knowledge of health professionals is essential to minimize these changes and recover from them.
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spelling Functional Alteration in Women Undergoing Breast Surgery With Total Axillary LinfadenectomyAlteraciones Funcionales en Mujeres Sometidas a Cirugía de Mama con Linfadenectomía Axilar TotalAlterações Funcionais em Mulheres Submetidas à Cirurgia de Mama com Linfadenectomia Axilar TotalNeoplasias da MamaComplicações Pós-OperatóriasAmplitude de Movimento ArticularExcisão de LinfonodoMulheresAnálise QuantitativaBreast NeoplasmsPostoperative ComplicationsRange of Motion, ArticularLymph Node ExcisionWomenQuantitative AnalysisNeoplasias de la MamaComplicaciones PostoperatoriasRango del Movimiento ArticularExcisión del Ganglio LinfáticoMujeresAnálisis CuantitativoThe aim of this study was to quantitatively identify physical and functional changes resulting from the surgical procedure of axillary dissection (DA) in women with the diagnosis of breast cancer. Study participants were 28 women who underwent DA. Range of motion (ROROM), articulation of shoulders, upper limbs perimetry, lung function test (PF) and respiratory muscles strength (MRS) in preoperative period (PRE), immediate postoperative period (POI) and late period (POTOT) were measured. Posture Review was held in preoperative and POTOT. There was decrease of shoulder ROROM for flexion and abduction in the operated side when comparing with PRE figures with POI (p<0.001, for both movements) and POTOT (p<0.001, for both movements). The non-operated side showed a significant difference for lower flexion and abduction between PRE and POI, (p=0.003 and p=0.001 respectively), returning to baseline in POTOT. There was change in perimetry only in the operated side in 15cm above the elbow, when comparing PRE (30.8±3.27) with POI (31.4±3.66) and remaining in POTOT (31.2±3.17). The PF and MRS only statistically differ between PRE and POI (FVC p<0.001, FEV1 p=0.006, MIP p<0.001, MEP p=0.013). There was no significant change in posture during the studied period. Patients who have breast cancer and undergo DA as a form of treatment have functional changes, especially during POI , in which the knowledge of health professionals is essential to minimize these changes and recover from them.El propósito de este estudio fue identificar de forma cuantitativa las alteraciones físico-funcionales resultantes de una intervención quirúrgica de linfadenectomía axilar total (LATLATLAT) en mujeres con neoplasia mamaria. Participaron del estudio 28 mujeres que se sometieron a la LATLATLAT, en que fueron medidas: amplitud del movimiento (AD M) de la articulación de los hombros, la perimetría de los miembros superiores, la prueba de la función pulmonar (FP) y la fuerza de los músculos respiratorios (FMR) en los periodos preoperatorio (PRE ), postoperatorio inmediato (POI ) y tardío (POTOT). El análisis postural se realizó en los periodos PRE y POTOT. Hubo una disminución de la AD M del hombro de la flexión y abducción del lado operado al ser comparado con los valores del momento PRE con el POI (p<0,001 para ambos movimientos) y POTOT (p<0,001 para ambos movimientos). El lado no operado presentó una diferencia significativa inferior para la flexión y abducción entre el PRE con el POI , (p=0,003 e p=0,001, respectivamente), volviendo a los valores basales en el POTOT. Se observó una alteración en la perimetría sólo en el lado operado de 15cm por encima del olécranon, al ser comparado el PRE (30,8±3,27) con el POI (31,4±3,66), permaneciendo en el POTOT (31,2±3,17). La FP y la FMR difirieron estadísticamente entre el PRE y el POI (CVF p=0,006, VEF1 p<0,001, PImáx p<0,001, PEmáx p=0,013), y la postura no presentó una alteración significativa entre los periodos estudiados. Los pacientes que tienen cáncer de mama y realizan la LATLATLAT como forma de tratamiento presentan alteraciones funcionales articulares y de FP y FMR, sobre todo en el periodo POI , en que el conocimiento por parte de los profesionales de la salud es fundamental para reducir y recuperar estas alteraciones.O propósito deste estudo foi identificar de forma quantitativa as alterações físico-funcionais decorrentes do procedimento cirúrgico de linfadenectomia axilar total (LAT) em mulheres com neoplasia mamária. Participaram do estudo 28 mulheres que realizaram LAT, no qual foram mensurados: amplitude de movimento (ADM) da articulação dos ombros, perimetria dos membros superiores, teste de função pulmonar (FP) e força dos músculos respiratórios (FMR) nos períodos pré-operatório (PRÉ), pós-operatório imediato (POI) e tardio (POT). Análise postural foi realizada nos períodos PRÉ e POT. Houve diminuição da ADM de ombro para flexão e abdução do lado operado, quando comparados os valores do momento PRÉ com o POI (p<0,001 para ambos os movimentos) e POT(p<0,001 para ambos os movimentos). O lado não operado apresentou diferença significativa inferior para flexão e abdução entre o PRÉ com o POI, (p=0,003 e p=0,001, respectivamente), retornando a valores basais no POT. Observou-se alteração na perimetria apenas no lado operado em 15cm acima do olécrano, quando comparado o PRÉ(30,8±3,27) com o POI(31,4±3,66), permanecendo no POT(31,2±3,17). AFP e a FMR diferiram estatisticamente apenas entre o PRÉ e o POI(CVF p=0,006, VEF1 p<0,001, PImáx p<0,001, PEmáx p=0,013), e a postura não apresentou alteração significativa entre os períodos estudados. Pacientes que possuem câncer de mama e realizam a LATcomo forma de tratamento apresentam alterações funcionais articulares e da FP e FMRprincipalmente no período POI, no qual o conhecimento por parte dos profissionais da saúde é fundamental para minimizar e recuperar estas alterações.INCA2010-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/152310.32635/2176-9745.RBC.2010v56n1.1523Revista Brasileira de Cancerologia; Vol. 56 No. 1 (2010): Jan./Feb./Mar.; 25-33Revista Brasileira de Cancerologia; Vol. 56 Núm. 1 (2010): ene./feb.mar.; 25-33Revista Brasileira de Cancerologia; v. 56 n. 1 (2010): jan./fev./mar.; 25-332176-9745reponame: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/1523/918Bregagnol, Rafael KleguesDias, Alexandre Simõesinfo:eu-repo/semantics/openAccess2021-11-29T20:19:34Zoai:rbc.inca.gov.br:article/1523Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:19:34Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
Alteraciones Funcionales en Mujeres Sometidas a Cirugía de Mama con Linfadenectomía Axilar Total
Alterações Funcionais em Mulheres Submetidas à Cirurgia de Mama com Linfadenectomia Axilar Total
title Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
spellingShingle Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
Bregagnol, Rafael Klegues
Neoplasias da Mama
Complicações Pós-Operatórias
Amplitude de Movimento Articular
Excisão de Linfonodo
Mulheres
Análise Quantitativa
Breast Neoplasms
Postoperative Complications
Range of Motion, Articular
Lymph Node Excision
Women
Quantitative Analysis
Neoplasias de la Mama
Complicaciones Postoperatorias
Rango del Movimiento Articular
Excisión del Ganglio Linfático
Mujeres
Análisis Cuantitativo
title_short Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
title_full Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
title_fullStr Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
title_full_unstemmed Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
title_sort Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
author Bregagnol, Rafael Klegues
author_facet Bregagnol, Rafael Klegues
Dias, Alexandre Simões
author_role author
author2 Dias, Alexandre Simões
author2_role author
dc.contributor.author.fl_str_mv Bregagnol, Rafael Klegues
Dias, Alexandre Simões
dc.subject.por.fl_str_mv Neoplasias da Mama
Complicações Pós-Operatórias
Amplitude de Movimento Articular
Excisão de Linfonodo
Mulheres
Análise Quantitativa
Breast Neoplasms
Postoperative Complications
Range of Motion, Articular
Lymph Node Excision
Women
Quantitative Analysis
Neoplasias de la Mama
Complicaciones Postoperatorias
Rango del Movimiento Articular
Excisión del Ganglio Linfático
Mujeres
Análisis Cuantitativo
topic Neoplasias da Mama
Complicações Pós-Operatórias
Amplitude de Movimento Articular
Excisão de Linfonodo
Mulheres
Análise Quantitativa
Breast Neoplasms
Postoperative Complications
Range of Motion, Articular
Lymph Node Excision
Women
Quantitative Analysis
Neoplasias de la Mama
Complicaciones Postoperatorias
Rango del Movimiento Articular
Excisión del Ganglio Linfático
Mujeres
Análisis Cuantitativo
description The aim of this study was to quantitatively identify physical and functional changes resulting from the surgical procedure of axillary dissection (DA) in women with the diagnosis of breast cancer. Study participants were 28 women who underwent DA. Range of motion (ROROM), articulation of shoulders, upper limbs perimetry, lung function test (PF) and respiratory muscles strength (MRS) in preoperative period (PRE), immediate postoperative period (POI) and late period (POTOT) were measured. Posture Review was held in preoperative and POTOT. There was decrease of shoulder ROROM for flexion and abduction in the operated side when comparing with PRE figures with POI (p<0.001, for both movements) and POTOT (p<0.001, for both movements). The non-operated side showed a significant difference for lower flexion and abduction between PRE and POI, (p=0.003 and p=0.001 respectively), returning to baseline in POTOT. There was change in perimetry only in the operated side in 15cm above the elbow, when comparing PRE (30.8±3.27) with POI (31.4±3.66) and remaining in POTOT (31.2±3.17). The PF and MRS only statistically differ between PRE and POI (FVC p<0.001, FEV1 p=0.006, MIP p<0.001, MEP p=0.013). There was no significant change in posture during the studied period. Patients who have breast cancer and undergo DA as a form of treatment have functional changes, especially during POI , in which the knowledge of health professionals is essential to minimize these changes and recover from them.
publishDate 2010
dc.date.none.fl_str_mv 2010-03-31
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/1523
10.32635/2176-9745.RBC.2010v56n1.1523
url https://rbc.inca.gov.br/index.php/revista/article/view/1523
identifier_str_mv 10.32635/2176-9745.RBC.2010v56n1.1523
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/1523/918
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. 56 No. 1 (2010): Jan./Feb./Mar.; 25-33
Revista Brasileira de Cancerologia; Vol. 56 Núm. 1 (2010): ene./feb.mar.; 25-33
Revista Brasileira de Cancerologia; v. 56 n. 1 (2010): jan./fev./mar.; 25-33
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
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