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Análise dos efeitos de diferentes modalidades fisioterapêuticas no tratamento do linfedema: revisão da literatura
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| 26268 | 424.64 KB | Adobe PDF |
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Abstract(s)
Muitos pacientes após o tratamento do cancro da mama desenvolvem um linfedema no membro superior. A fisioterapia é um recurso terapêutico frequentemente utilizado no linfedema. Objetivo: O propósito deste estudo foi avaliar os efeitos de diferentes terapias no linfedema secundário do cancro da mama. Metodologia: Foi realizada uma pesquisa no motor de buscar B-on e na base de dado Pubmed para estudos controlados randomizados publicados entre 2000 e 2015, na língua inglesa e de livre acesso. Resultados: Nesta revisão foram incluídos 11 estudos randomizados envolvendo 622 indivíduos, com a classificação metodológica 7/11 na escala de PEDro, que analisaram dados sobre a eficácia terapêutica no tratamento do linfedema. Conclusões: Apesar de existir uma grande diversidade de terapêuticas, os trabalhos analisados mostram que as técnicas combinadas são as mais efetivas, sendo a terapia complexa descongestiva, incluindo drenagem linfática manual, exercícios e cuidados com a pele, o protocolo mais utilizado. Outras técnicas tais como laser, yoga, eletroterapia de baixa frequência e baixa intensidade e o kinesio taping também apresentam resultados satisfatórios.
Introduction: Many patients after treatment for breast cancer develop lymphedema in the upper limb. Physical therapy is a therapeutic resource that is use very often in lymphedema. Objective: The purpose of this study was to evaluate the effects of different therapies in secondary lymphedema from breast cancer Methodology: A search engine to seek B-on and data base Pubmed was conducted for randomized controlled trials published between 2000 and 2015, in English and of freely accessible. Results: In this review were included 11 randomized trials involving 622 individuals, with methodological classification in 7/11 the scale of PEDro, which analyzed data on therapeutic efficacy in the treatment of lymphedema. Conclusions: Although there is a wide range of therapies, the analyzed studies show that the combined techniques are the most efficacious, but the most widely used protocol is complex decongestive therapy, including manual lymphatic drainage, exercises and skin care. Other techniques such as laser, yoga, low frequency and low intensity electrical stimulation and kinesio taping also present satisfactory results.
Introduction: Many patients after treatment for breast cancer develop lymphedema in the upper limb. Physical therapy is a therapeutic resource that is use very often in lymphedema. Objective: The purpose of this study was to evaluate the effects of different therapies in secondary lymphedema from breast cancer Methodology: A search engine to seek B-on and data base Pubmed was conducted for randomized controlled trials published between 2000 and 2015, in English and of freely accessible. Results: In this review were included 11 randomized trials involving 622 individuals, with methodological classification in 7/11 the scale of PEDro, which analyzed data on therapeutic efficacy in the treatment of lymphedema. Conclusions: Although there is a wide range of therapies, the analyzed studies show that the combined techniques are the most efficacious, but the most widely used protocol is complex decongestive therapy, including manual lymphatic drainage, exercises and skin care. Other techniques such as laser, yoga, low frequency and low intensity electrical stimulation and kinesio taping also present satisfactory results.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Linfedema Fisioterapia Lymphedema Physical therapy Physiotherapy