Effectiveness of acupuncture in rehabilitation of physical and functional disorders of women undergoing breast cancer surgery

Abstract

There was no difference between groups. Both groups showed statistically significant improvement of the items assessed: pain, depression, upper limb function, and ADM, and there was no difference between them.

Acupuncture for Breast Cancer: A Systematic Review and Meta-Analysis of Patient-Reported Outcomes

“…Twelve articles came from the USA, seven from China, three from Australia, three from Sweden, two from United Kingdom and the remaining seven articles were from seven different countries. Nine articles ( 10 , 13 , 16 – 18 , 29 , 36 , 37 , 45 ) were centered on musculoskeletal symptoms, seven ( 11 , 12 , 32 , 43 , 44 , 47 , 49 ) on hot flashes, five ( 14 , 31 , 38 , 39 , 41 ) on cancer-related fatigue, four ( 19 , 40 , 42 , 48 ) on vasomotor symptoms, and the remaining six articles on peripheral neuropathy ( 15 , 33 ), cognitive impairment ( 28 , 30 ), chronic lymphedema ( 9 ), and physical and functional disorders ( 34 ), respectively. Patients enrolled in the eligible studies underwent acupuncture once or twice a week for 4 to 12 weeks, and each session lasted anywhere from 20 to 30 mins.…”

“…Treatment with acupuncture elicited a significant decline in the five subscales mean scores of the BPI-SF compared with control (13,15,33,37,45), and the meta-analyses results were presented in Figure 2A. In addition, the severity of pain in the acupuncture group also decreased significantly when compared with the control group as determined using the VAS measures (SMD -0.83, 95%CI, -1.16 to -0.51, P<0.00001, I 2 = 0) (Figure 2B) (10,29,34).…”

“…Six articles (16,19,31,34,37,41) reported depression using the HADS-Depression subscale, Center for Epidemiological Studies Depression (CESD), and Beck questionnaire, in which higher scores suggest worse levels of depression. These articles did not report any significant difference between the acupuncture and control group (SMD -0.17, 95%CI, -0.52 to 0.19, P=0.36, I2 = 40%) (Figure 6) (31,34,37). We conducted a descriptive analysis for the remaining articles describing the treatment-related depression and anxiety experienced by BC patients.…”

Tecnologias em saúde aplicadas na reabilitação de mulheres com câncer de mama: scoping review

“…Corroborando com a presente revisão, uma meta-análise de ensaios clínicos avaliou as repercussões da atividade física em mulheres sobreviventes do câncer de mama e identificou que os exercícios contribuem para a melhora das dores, fadiga e postura corporal, assim como atua na prevenção e melhora da depressão, gerando efeitos psicológicos positivos. 54 Outro estudo de revisão sobre os métodos de reabilitação utilizados em mulheres com câncer de mama apontou que o exercício foi o método mais eficaz na melhora de amplitude dos membros superiores, força muscular e cicatrização da ferida operatória, entretanto, inconclusivo no alívio da fadiga e linfedema. 15 Importante ressaltar que o exercício físico, pode ser associado a outras estratégias durante o processo de reabilitação, como as orientações pós-operatórias e ao emprego de equipamentos com o objetivo de aliviar os desconfortos e limitações decorrentes do procedimento cirúrgico.…”

Transcutaneous electroacupuncture alleviates postoperative ileus after gastrectomy: A randomized clinical trial

“…As a consequence, the postoperative pain score was < 4 on day 1, and there was no significant difference between the two groups; it gradually decreased to < 3 on days 2 and 3. Several studies have proved that acupuncture or EA reduces pain in patients undergoing thoracic[ 28 ], abdominal[ 6 ], inguinal hernia surgery[ 29 ], breast cancer[ 30 ], or kidney[ 31 ] surgery. The postoperative patients in our study had less pain because of PCEA or PCIA, most of the patients tolerated pain well, they could even sit up and stand on the morning of day 1 after operation, thus the pain-control availability of TEA was not validated.…”