Range of motion and upper limb function in postoperative mastectomy compared to quadrantectomy

Autor: M.D.L. Ferreira, L. Santana
Rok vydání: 2018
Předmět:
Zdroj: Annals of Physical and Rehabilitation Medicine. 61:e290
ISSN: 1877-0657
DOI: 10.1016/j.rehab.2018.05.678
Popis: Background Breast cancer is worldwide incident among women, whose surgery is frequent and associated with numerous functional changes. Objective To assess the range of motion and upper limb function postoperatively before and after physiotherapy intervention of women who underwent mastectomy and quadrantectomy. Methods This is interventional study, descriptive and exploratory, quantitative approach, with 64 women undergoing conservative surgery and mastectomy with follow-up at the gynecology outpatient clinic and referred for physical therapy at the Hospital das Clinicas, UNESP. Was performed goniometry of flexion/extension, abduction/adduction and internal rotation/side, measures performed before and three months after the therapy. Results The Chi2 test with 0.005 significance level showed that quadrantectomy or mastectomy, not differentiated in relation to the variables; schooling, family income, color, marital status, religion, breast affected, clinical staging, menarche, body mass index and contraceptive methods. There was no association between type of surgery and the median age (type 1: 55 [37–57] × 2 type: 54 [37–82], P = 0.331 by Mann–Whitney). Conclusion After physiotherapy, the flexion of the homo- and contralateral arm, as well as the homolateral abduction and homolateral extension increased significantly in both surgeries. The contralateral abduction was maintained in both surgeries. The physiotherapeutic intervention provided a significant improvement in the range of movements.
Databáze: OpenAIRE
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