Eficácia da terapia de exercícios para melhora da amplitude de movimento no pós-operatório do câncer de mama: uma revisão sistemática

Abstract

Introduction: Surgical procedures for the treatment of breast cancer and adjuvant therapies also generate malfunctions in the ipsilateral upper limb of the patient, such as limited range of motion (ROM). The reduction of ROM is one of the most reported by patients and, thus, results in limitations in their daily life activities. To address that, physical therapy proposes an adequate functional rehabilitation. Objective: To analyze the efficacy of exercise therapy for the improvement of ROM after surgery for breast cancer, considering the time of early intervention, the intensity and type of exercise. Methods: A literature search was conducted in the databases: MEDLINE, LILACS, PEDro and EMBASE. The quality of the trials was assessed using the PEDro scale scores. Results: We included 12 articles. The onset time of action ranging from the first day to 5 years after surgery. In 92% of the studies there were no differences between the groups. The intervention ranged between 5 and 90 minutes, 1-7 days per week. Study quality was assessed by the PEDro scale with an average of 5 points. Conclusion: Despite training protocols have been varied, the results of this attested systematic review that therapy exercise is beneficial for ROM top member, especially for flexion and abduction in post radical mastectomy patients. These results emphasize the importance of exercise therapy institution for these patients in order to maximize the ROM of the ipsilateral upper limb surgery.