Fisioterapia na prevenção e tratamento das complicações do membro superior em mulheres com câncer de mama
Barra lateral de artigos
Publicado:
Jun 28, 2022
Palavras-chave:
câncer de mama, Fisioterapia, Prevenção, Reabilitação, Complicações do membro superior
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Resumo
O câncer de mama é o que mais acomete a população feminina no Brasil e no mundo. Complicações do membro superior são comuns após o tratamento oncológico, inclusive em procedimentos conservadores. Estudos antigos já mostravam a eficácia da fisioterapia na reabilitação dessas complicações, contudo, atualmente a atenção fisioterapêutica deve ser iniciada a partir do diagnóstico da doença. A pré-reabilitação prepara a paciente para receber o tratamento oncológico e promove diminuição do tempo de reabilitação. A reabilitação diminuiu o cordão axilar em 57%, aumentou a amplitude de movimento (ADM) em 45º para flexão e 70º para abdução de ombro, a incidência de linfedema é de 11% e há diminuição de 3.4 pontos em relação a dor na Escala Visual Analógica (EVA). O fisioterapeuta deve atuar no câncer de mama no diagnóstico, prevenção e reabilitação pós-tratamento oncológico, promovendo funcionalidade e qualidade de vida para as pacientes com câncer de mama.
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Como Citar
1.
Pilger TL, Ortolani AJM, Reis FJC dos R. Fisioterapia na prevenção e tratamento das complicações do membro superior em mulheres com câncer de mama . Health Sci J [Internet]. 28º de junho de 2022 [citado 11º de maio de 2024];12(2):3-11. Disponível em: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1249
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8. Castaneda SA, Strasser J. Updates in the treatment of breast cancer with radiotherapy. Surg Oncol Clin N Am. 2017;26(3):371-82. https://doi.org/10.1016/j.soc.2017.01.013
9. Vugts G, Maaskant-Braat AJG, Nieuwenhuijzen GAP, Roumen RMH, Luiten EJT, Voogd AC. Patterns of care in the administration of neo-adjuvant chemotherapy for breast cancer. A population-based study. Breast J. 2016;22(3):316-21. https://doi.org/10.1111/tbj.12568
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11. Lee TS, Kilbreath SL, Refshauge KM, Herbert RD, Beith JM. Prognosis of the upper limb following surgery and radiation for breast cancer. Breast Cancer Res Treat. 2008;110(1):19-37. https://doi.org/10.1007/s10549-007-9710-9
12. Ashikaga T, Krag DN, Land SR, Julian TB, Anderson SJ, Brown AM, et al. Morbidity results from the NSABP B-32 trial comparing sentinel lymph node dissection versus axillary dissection. J Surg Oncol. 2010;102(2):111-8. https://doi.org/10.1002/jso.21535
13. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol. 2013;14(6):500-15. https://doi.org/10.1016/S1470-2045(13)70076-7
14. Shah C, Vicini FA. Breast cancer-related arm lymphedema: incidence rates, diagnostic techniques, optimal management and risk reduction strategies. Int J Radiat Oncol Biol Phys. 2011;81(4):907-14. https://doi.org/10.1016/j.ijrobp.2011.05.043
15. Shaitelman SF, Chiang YJ, Griffin KD, DeSnyder SM, Smith BD, Schaverien MV, et al. Radiation therapy targets and the risk of breast cancer-related lymphedema: a systematic review and network meta-analysis. Breast Cancer Res Treat. 2017;162(2):201-15. https://doi.org/10.1007/s10549-016-4089-0
16. Ugur S, Arıcı C, Yaprak M, Mescı A, Arıcı GA, Dolay K, et al. Risk factors of breast cancer-related lymphedema. Lymphat Res Biol. 2013;11(2):72-5. https://doi.org/10.1089/lrb.2013.0004
17. Soyder A, Taştaban E, Özbaş S, Boylu Ş, Özgün H. Frequency of early-stage lymphedema and risk factors in postoperative patients with breast cancer. J Breast Health. 2014;10(2):92-7. https://doi.org/10.5152/tjbh.2014.1973
18. Langford DJ, Schmidt B, Levine JD, Abrams G, Elboim C, Esserman L, et al. Preoperative breast pain predicts persistent breast pain and disability after breast cancer surgery. J Pain Symptom Manage. 2015;49(6):981-94. https://doi.org/10.1016/j.jpainsymman.2014.11.292
19. Gärtner R, Jensen MB, Nielsen J, Ewertz M, Kroman N, Kehlet H. Prevalence of and factors associated with persistent pain following breast cancer surgery. JAMA. 2009;302(18):1985-92. https://doi.org/10.1001/jama.2009.1568
20. Andersen KG, Kehlet H. Persistent pain after breast cancer treatment: a critical review of risk factors and strategies for prevention. J Pain. 2011;12(7):725-46. https://doi.org/10.1016/j.jpain.2010.12.005
21. Leysen L, Beckwée D, Nijs J, Pas R, Bilterys T, Vermeir S, et al. Risk factors of pain in breast cancer survivors: a systematic review and meta-analysis. Support Care Cancer. 2017;25(12):3607-43. https://doi.org/10.1007/s00520-017-3824-3
22. Santos MSMD, Panobianco MS, Mamede MV, Meirelles MCCC, Barros VME. [Tactile sensibility in arm of women subjected to the axillary lymph node dissection for breast cancer]. Rev Bras Ginecol Obstet. 2009;31(7):361-6. https://doi.org/10.1590/S0100-72032009000700007
23. Bezerra TS, Rett MT, Mendonça ACR, Santos DE, Prado VM, DeSantana JM. Hipoestesia, dor e incapacidade no membro superior após radioterapia adjuvante no tratamento para câncer de mama. Rev dor. dezembro de 2012;13:320-6. https://doi.org/10.1590/S1806-00132012000400003
24. Blomqvist L, Stark B, Engler N, Malm M. Evaluation of arm and shoulder mobility and strength after modified radical mastectomy and radiotherapy. Acta Oncol. 2004;43(3):280-3. https://doi.org/10.1080/02841860410026170
25. Pillai US, Kayal S, Cyriac S, Nisha Y, Dharanipragada K, Kamalanathan SK, et al. Late Effects of Breast Cancer Treatment and Outcome after Corrective Interventions. Asian Pac J Cancer Prev. 2019;20(9):2673-9.
https://doi.org/10.31557/APJCP.2019.20.9.2673
26. Bao T, Basal C, Seluzicki C, Li SQ, Seidman AD, Mao JJ. Long-term chemotherapy-induced peripheral neuropathy among breast cancer survivors: prevalence, risk factors, and fall risk. Breast Cancer Res Treat. 2016;159(2):327-33. https://doi.org/10.1007/s10549-016-3939-0
27. Fougo JL, Dinis-Ribeiro M, Araújo C, Dias T, Reis P, Giesteira L, et al. Impacto de la linfadenectomía sobre la recurrencia axilar y la morbilidad del miembro superior en pacientes con cáncer de mama y ganglio centinela negativo: Estudio prospectivo aleatorizado. Cir Esp. 2011;89(5):307-16. Spanish. https://doi.org/10.1016/j.ciresp.2011.01.011
28. Yang S, Park DH, Ahn SH, Kim J, Lee JW, Han JY, et al. Prevalence and risk factors of adhesive capsulitis of the shoulder after breast cancer treatment. Support Care Cancer. 2017;25(4):1317-22. https://doi.org/10.1007/s00520-016-3532-4
29. Silver JK, Baima J. Cancer prehabilitation: an opportunity to decrease treatment-related morbidity, increase cancer treatment options, and improve physical and psychological health outcomes. Am J Phys Med Rehabil. 2013;92(8):715-27. https://doi.org/10.1097/PHM.0b013e31829b4afe
30. Campbell KL, Pusic AL, Zucker DS, McNeely ML, Binkley JM, Cheville AL, et al. A prospective model of care for breast cancer rehabilitation: function. Cancer. 2012;118(8 Suppl):2300-11. https://doi.org/10.1002/cncr.27464
31. Nilsson H, Angerås U, Bock D, Börjesson M, Onerup A, Fagevik Olsen M, et al. Is preoperative physical activity related to post-surgery recovery? A cohort study of patients with breast cancer. BMJ Open. 2016;6(1):e007997. https://doi.org/10.1136/bmjopen-2015-007997
32. Torres Lacomba M, Yuste Sánchez MJ, Zapico Goñi A, Prieto Merino D, Mayoral del Moral O, Cerezo Téllez E, et al. Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial. BMJ. 2010;340:b5396. https://doi.org/10.1136/bmj.b5396
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