Tratamento do linfedema associado à drenagem linfática manual e seus efeitos sobre funcionalidade, dor e qualidade de vida: uma revisão sistemática

• Autor(a) principal: Dielle, Aline Rebouças
• Data de Publicação: 2018
• Outros Autores: Santana, Franciele de Jesus
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: http://ri.ufs.br/jspui/handle/riufs/8994
• topic: Mastectomia; Mamas; Câncer; Massagem terapêutica; Fisioterapia; Neoplasias de mama; Linfedema; Drenagem linfática manual; Mastectomy; Breast neoplasms; Lymphedema; Manual lymphatic drainage; Physiotherapy

Lymphedema is a chronic condition that interferes with the physical and emotional aspects of the lives of women with breast cancer who underwent mastectomy. Physiotherapeutic intervention, especially performed with manual lymphatic drainage (DLM), plays an important role in the control and resolution of dysfunctions associated with this condition. Therefore, the objective of this review is to systematically identify the efficacy of physical therapy protocols associated with manual lymphatic drainage and its effects on functionality, pain, and quality of life in mastectomized women who progressed with lymphedema. Following the guidelines for systematic reviews and meta-analyzes (PRISMA), we searched the databases Science Direct, Scopus, Web of Science, and Pubmed. Using the terms "mastectomy", "breast neoplasms", "lymphedema", "manual lymphatic drainage", 589 studies were initially obtained, reduced after analysis for 14 studies, randomized clinical trials published between the years of 2002 and 2017. They were evaluated and independently selected by two reviewers. Among the therapies for lymphedema control and resolution associated with Manual Lymphatic Drainage, the most frequent and most effective intervention in the fight against pain and improvement in the quality of life and functionality is the Complex Decongestive Therapy (CDT) protocol. The lymphedema phase, the sequence of treatments and the need for standardization in the approaches and research instruments used, demonstrate the need for further studies.