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Técnicas terapêuticas utilizadas nas complicações pós-mastectomia
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Abstract(s)
Após a mastectomia, a paciente poderá apresentar complicações tais como dor, linfedema, diminuição da força muscular e limitação da amplitude articular do ombro. O objetivo deste estudo é: 1) abordar as complicações mais frequentes após a mastectomia, como o linfedema, a diminuição da força muscular e a limitação da amplitude articular do ombro; e 2) verificar qual o tratamento fisioterapêutico mais eficaz na recuperação e na melhoria da qualidade de vida da mulher mastectomizada. A metodologia incluiu uma revisão da literatura nas bases de dados Medline, Pubmed, Scielo e EBSCO entre os anos de 1998 e 2010. Os resultados indicam que a estimulação eléctrica de alta voltagem é a técnica mais eficaz para o tratamento conservador do linfedema, e existiu eficácia na utilização de protocolos de exercícios para a limitação da amplitude articular do ombro. O linfedema e a limitação da amplitude articular do ombro são as complicações mais frequentes nas mulheres mastectomizadas. As pacientes submetidas ao tratamento fisioterapêutico precoce diminuem o seu tempo de recuperação e melhoria na qualidade de vida. Conclui-se que existem poucos estudos, de elevada evidência, sobre a eficácia das várias técnicas terapêuticas nas sequelas decorrentes dos diferentes tipos de mastectomias.
After mastectomy, the patient may present complications such as pain, lymphedema, reduction of muscle strength, and limitation of shoulder joint amplitude. The objective of this study is: 1) to address the most frequent complications after mastectomy, such as lymphedema, decreased muscle strength, and limitation of shoulder joint amplitude; and 2) to verify which physiotherapeutic treatment is more effective in the recovery and improvement of the quality of life of mastectomized women. The methodology included a review of the literature in databases Pubmed, Medline, Scielo, and EBSCO between the years 1998 and 2010. Results show that electrical high stimulation is the most effective technique for the conservative treatment of lymphedema, and there was effectiveness in the use of exercise protocols for the limitation of shoulder joint amplitude. Lymphedema and the limitation of shoulder joint amplitude are more frequent complications in mastectomized women. Patients submitted to early physical therapy treatment decrease their recovery time and improve the quality of life. In conclusion, there are few studies with high evidence on the effectiveness of various therapeutic techniques in consequences arising from different types of mastectomies.
After mastectomy, the patient may present complications such as pain, lymphedema, reduction of muscle strength, and limitation of shoulder joint amplitude. The objective of this study is: 1) to address the most frequent complications after mastectomy, such as lymphedema, decreased muscle strength, and limitation of shoulder joint amplitude; and 2) to verify which physiotherapeutic treatment is more effective in the recovery and improvement of the quality of life of mastectomized women. The methodology included a review of the literature in databases Pubmed, Medline, Scielo, and EBSCO between the years 1998 and 2010. Results show that electrical high stimulation is the most effective technique for the conservative treatment of lymphedema, and there was effectiveness in the use of exercise protocols for the limitation of shoulder joint amplitude. Lymphedema and the limitation of shoulder joint amplitude are more frequent complications in mastectomized women. Patients submitted to early physical therapy treatment decrease their recovery time and improve the quality of life. In conclusion, there are few studies with high evidence on the effectiveness of various therapeutic techniques in consequences arising from different types of mastectomies.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Cancro da mama Mastectomia Linfedema Amplitude articular do ombro Fisioterapia Breast cancer Mastectomy Lymphedema Shoulder joint amplitude Physiotherapy