Functional Alteration in Women Undergoing Breast Surgery With Total Axillary Linfadenectomy
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Data de Publicação: | 2010 |
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/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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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 |
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https://rbc.inca.gov.br/index.php/revista/article/view/1523/918 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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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) |
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rbc@inca.gov.br |
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