Programa de exercícios para mulheres submetidas à cirurgia por câncer de mama

• Autor(a) principal: Petito, Eliana Louzada [UNIFESP]
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://repositorio.unifesp.br/handle/11600/9983
• topic: Breast neoplasm; Neoplasias da mama; Oncology nursing; Postoperative care; Rehabilitation; Oncology physiotherapy; Cuidados pós-operatórios; Enfermagem oncológica; Reabilitação; Fisioterapia oncológica

Post-operative exercises of breast cancer are considered essentials for recovery upper limb function, enabling the continuity of treatment and return to activities of daily living. However, there are differences in the literature about the onset, types of exercises and follow-up period. The aim of this research were: to establish an extramural, early exercise program for women in postoperative (PO) of breast cancer; evaluate the effectiveness of this program; verify the time necessary to recovery of range of motion (ROM) of PO homolateral shoulder; determine the influence of the variables: type of surgery, axillary dissection and age in the recovery of ROM; relate the beginning of the program with the incidence of seroma and dehiscence and measure the adherence of these women to the program. The results showed that the program was effective for the functional recovery of ROM, and the minimum time required for recovery was 75 days for women who underwent quadrantectomy, and 105 days for mastectomized women or with axillary dissection. There was no statistically significant difference between the seroma formation (p> 0.999) or dehiscence (p> 0.999) compared women who started the program in the 1st postoperative day (PO) with those that began after the drain removal, and the early start provided a fast recovery of ROM. Concluded that the extramural program, consisting of a set of nine exercise and started in the 1st PO enables that women with difficult to attend weekly in clinical sessions obtain the functional movement of upper limb, in a period of 75 to 105 days of PO, according to the type of surgery, without increase the incidence of the two postoperative complications analyzed.