Effects of manual therapy techniques in the treatment of pain in post mastectomy patients: systematic review.

Abstract

Introduction:Cancer is now the third leading cause of death in the world, surpassed only by cardiovascular accidents and deaths by external causes, among them stands mammary carcinoma. Mastectomy is in a procedure consisting of invasive breast removal due to some anatomical and functional changes previously diagnosed. With the growth of the disease and its high content in increasingly young women, Manual Therapy has been used as a new form of treatment. Objective: To show the effects of manual therapy in patients after mastectomy surgery. Method: This is a systematic review in which secondary and tertiary sources were used, and the databases PubMed, Medline, Lilacs and SciELO were used. It was adopted as inclusion criteria studies classified as: a randomized controlled trial, with publication period between 2009 and 2013. Were used as search terms: "Mastectomy", "Neck", "Shoulder Pain", "Musculoskeletal Manipulations" and "Functionality". Results: Among the 37 initially selected by electronic search in the databases of articles, 25 were excluded for the title did not meet the inclusion criteria. Of the 12 retained studies, 5 were excluded for duplicity. Seven studies were selected for a more thorough analysis through summary, 2 of them being excluded. The remaining 5 articles were evaluated from reading the text. It can be seen that the manual therapy techniques have significant results in the alleviation of muscle pain in patients submitted to surgery mastectomia. Conclusion: It can be seen that the manual therapy techniques have significant results in the alleviation of muscle pain in patients undergoing the mastectomy surgery. However, there is still a lack of studies of type randomized controlled trial on the effects of manual therapy in patients in the postoperative period of mastectomy. Keywords: Mastectomy; Neck, Musculoskeletal Manipulations Resumo Introdução: O câncer é hoje a terceira causa de óbitos no mundo, apenas superado pelos acidentes cardiovasculares e pelas mortes por causas externas, dentre eles destaca-se o carcinoma mamário. A mastectomia trata-se de um procedimento constituído da retirada invasiva da mama em virtude de alguma alteração anátomo-funcional previamente diagnosticada. Com o crescimento da doença e seu alto índice em mulheres cada vez mais jovens, a Terapia Manual vem sendo usada como uma nova forma de tratamento. Objetivo: Mostrar a efeitos da terapia manual em pacientes após cirurgia de mastectomia. Método: Trata-se de um estudo de revisão sistemática, no qual foram utilizadas fontes secundárias e terciarias, utilizando as bases de dados de Pubmed, Medline, Scielo e Lilacs. Foi adotado como critérios de inclusão estudos classificados como: ensaio clínico controlado randomizado, com período de publicação entre 2009 e 2013. Foram utilizados como termos de busca: "Mastectomia","Cervicalgia", "Dor de Ombro" ,"Manipulações Musculoesqueléticas" e "Funcionalidade". Resultados: Entre 37 dos artigos inicialmente selecionados pela busca eletrônica nas bases de dados, 25 foram e...

Advances in the surgical treatment of breast cancer and postoperative physiotherapy

“…Because of the progress of physiotherapy, this model is subject to adaptation, particularly in the scope of post-hospital treatment, in connection with the emergence of new opportunities of using specialised methods in the improvement of mobility, reduction of lymphoedema or pain, and many other dysfunctions in this group of patients [22][23][24].…”

“…At this stage of physiotherapy, the patient is mostly qualified to do self-supportive exercises in relief, to learn self-massage and individual exercises, in which manual therapy techniques, as well as specialised kinesitherapy methods are used [20,23,29].…”

Reconstrução mamária imediata versus não reconstrução pós-mastectomia: estudo sobre qualidade de vida, dor e funcionalidade

“…Despite this, some women opt for not reconstructing their breasts, usually because they are afraid of going through additional surgeries, they lack information or do not have the security needed to decide on this aspect in the space of time between diagnosis and surgery 8,9 . Numerous studies have shown the negative repercussions of breast CA treatment on pain, functionality and QoL 10,11 . Other studies indicate the improvement in the QoL of women who underwent breast reconstruction 5,12 , especially regarding the emotional aspect 13 , however, in our research, we did not find any studies that compare pain, functionality and QoL of women who underwent immediate breast reconstruction versus those who did not.…”

Effects of Kinesio Taping ® on range of motion and shoulder pain relief in mastectomy patients.

“…The surgery has been used for many years as the main therapeutic option, with aims to promote local control by removing malignant cells present in cancer, these surgeries can be classified as: radical mastectomy (Hasteld), modified radical mastectomy (Patey and Madden) and simple mastectomy (total mastectomy). (8,9) Mastectomy patients have limited range of motion (ROM). This decrease can be caused by lymphedema, muscle weakness, infection, pain, paresthesia, sensitivity changes, leading to a decreased function, and the movements of abduction and flexion of the most affected shoulder.…”

“…These changes in ROM put in risk the performance of activities of daily living (ADLs) in women with mastectomies, also occurring compensatory movements of the upper trapezius and levator scapulae in activities above his head, causing subacromial compression and resulting in pain shoulder. (8,9) In this way the Kinesio Taping  could be an adjunctive treatment in women undergoing mastectomy surgery.…”