Physical activity and physiotherapy: perception of women breast cancer survivors

Rangel, Jackeline; Tomás, Ma Teresa; Fernandes, Beatriz

doi:10.1007/s12282-018-0928-7

Cited by 15 publications

(17 citation statements)

References 17 publications

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“…A fisioterapia no pós-operatório de câncer de mama tem sido indispensável para a prevenção e recuperação de complicações físico-funcionais, mostrando importante melhora da capacidade funcional do ombro após a realização dos exercícios ativos com amplitude livre e respeitando a intensidade de dor [7,9,[11][12][13]15,16].…”

Section: Discussionunclassified

“…Vale ressaltar que apesar do início do tratamento deste estudo ter variado entre 5 e 9 semanas não impossibilitou em um bom desfecho. Contudo, para as mulheres no menacme, as quais possuem um estilo de vida com maiores demandas laborais, familiares e sociais, a recuperação funcional é essencial e importante que o início da fisioterapia seja o mais precoce possível, como encontrado na literatura [15,16,24,26].…”

Section: Discussionunclassified

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Desempenho funcional do membro superior após cirurgia para câncer de mama de mulheres no menacme

Moreira¹,

Domingos²,

Alves³

et al. 2021

Fisioter Bras

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Introdução: Após a cirurgia para câncer de mama, algumas complicações podem levar a restrições da amplitude de movimento (ADM), dor e impacto negativo na realização das tarefas de vida diária. Neste contexto, a fisioterapia é importante na recuperação da funcionalidade. Objetivo: Avaliar o efeito da fisioterapia na amplitude de movimento, na intensidade de dor e no desempenho funcional do membro superior após a cirurgia para câncer de mama de mulheres no menacme. Métodos: Ensaio clínico não controlado, considerando mulheres que realizaram cirurgia para câncer de mama associada a linfonodectomia axilar. Foram avaliados a ADM pela fleximetria, intensidade de dor pela escala visual analógica (EVA) e o desempenho funcional pelo questionário “deficiência do ombro braço e mão” (DASH). Resultados: Após as 10 sessões de fisioterapia, foi observado aumento significativo da ADM de todos os movimentos, diminuição da intensidade de dor de 4,09 ± 2,51) para 2,54 ± 2,18, (p = 0,04), e dos escores do DASH de 35,31 ± 17,23 para 17,75 ± 13,09, (p = 0,001), indicando significativa melhora do desempenho funcional. Conclusão: A abordagem fisioterapêutica foi satisfatória em melhorar a ADM, intensidade de dor e o desempenho funcional em mulheres na pré-menopausa. Contudo, acompanhamento por mais longo prazo e incrementar os exercícios podem trazer melhora adicional.

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Section: Discussionunclassified

Desempenho funcional do membro superior após cirurgia para câncer de mama de mulheres no menacme

Moreira¹,

Domingos²,

Alves³

et al. 2021

Fisioter Bras

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“…Statistics also showed that, compared with inactivity, adults achieved 150–300 min of moderate-intensity exercise (or 75–150 min of vigorous-intensity exercise) per week could reduce 25–30% risk in breast cancer ( Kushi et al, 2012 ). Currently, increasing studies have investigated whether exercise is beneficial for breast cancer during and after cancer treatment ( Dieli-Conwright et al, 2018 ; Odynets et al, 2019 ; Rangel et al, 2019 ). However, the results are inconsistent and the relationship between exercise and breast cancer remains to be understood.…”

Section: Introductionmentioning

confidence: 99%

Effect of Exercise on Breast Cancer: A Systematic Review and Meta-analysis of Animal Experiments

Xiao

Zhang

et al. 2022

Front. Mol. Biosci.

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Objective: Exercise is reported to be beneficial for breast cancer. However, the results seem inconsistent. We conducted this systematic review and meta-analysis of animal experimental studies to fully understand the effect of exercise on breast cancer in animal model.Methods: We searched databases from inception to April 2022 and manually searched related references to retrieve eligible studies. We screened eligible studies and extracted related data. We assessed the risk of bias and reporting quality using the SYstematic Review Centre for Laboratory animal Experimentation Risk of Bias tool and the Animal Research: Reporting of In Vivo Experiments guidelines 2.0, respectively. We summarized the study characteristics and findings of included studies and conducted meta-analysis with RevMan software. Subgroup analysis and sensitivity analysis were also performed.Results: We identified 537 potential literatures and included 47 articles for analysis. According to the results of risk of bias assessment, only selective outcome reporting was in low risk of bias. Items of sequence generation, random outcome assessment, and incomplete outcome data were rated as high risk of bias. Most of other items were rated unclear risk of bias. In reporting quality assessment, all included articles reported grouping method and experimental procedures. However, no study provided information of the study protocol registration. Meta-analysis showed that, compared with sedentary lifestyle, exercise reduced more tumor weight (MD = −0.76, 95%CI −0.88 to −0.63, p = 0.85, I2 = 0%) and tumor number per animal (MD = −0.61, 95%CI −0.91 to −0.31, p = 0.34, I2 = 8%). Exercise decreased more tumor incidence than sedentary lifestyle both in motorized wheel/high-intensity (OR = 0.22, 95%CI 0.11 to 0.46, p = 0.09, I2 = 41%) and free wheel/low-intensity treadmill running (OR = 0.45, 95%CI 0.14 to 1.44, p = 0.04, I2 = 60%). Sensitivity analysis showed that the results were robust.Conclusion: Exercise could reduce tumor weight, number of tumors per animal, and incidence of tumor in breast cancer model of mice and rats. However, the risk of bias items and reporting guidelines in preclinical studies should be concerned. Future research should consider standards of conducting and reporting preclinical studies and choose suitable exercise protocol for higher quality evidence of exercise for breast cancer.

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“…The global burden of breast cancer in women is substantial and on the rise in several countries [1,2]. Although the incidence of breast cancer has steadily increased, the overall survival rate for breast cancer has improved in recent years due to early detection and advances in primary treatment; therefore, the number of breast cancer survivors has been gradually increasing [3]. As the number of breast cancer survivors increases, interest in patient surveillance for distant metastases has increased.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic Metastases have Poorer Prognosis in Breast Cancer Patients Under Intensive Surveillance

Jung

Ryu

Chae

et al. 2021

Preprint

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Purpose The purpose of this study was to investigate risk factors for post-metastasis overall survival (PMOS), and to analyze the effect of early detection of distant metastases before symptoms occur on survival in breast cancer patients under intensive surveillance.Methods A total of 7,840 patients underwent surgery for breast cancer from January 2010 to December 2014 at Samsung Medical Center; of these, we retrospectively studied 316 metastatic breast cancer patients. The patients were divided into two groups based on method of metastases detection, routine surveillance without symptoms (asymptomatic group) or follow-up for new-onset symptoms (symptomatic group).Results Multivariate analysis of PMOS showed that the patients with multiple metastases had a 1.872 fold risk of PMOS (p = 0.011) compared to the patients with bone metastasis only. The hazard ratio for the symptomatic group was higher than that for the asymptomatic group (p < 0.001). When patients were stratified by tumor subtype, patients who were HR-positive and asymptomatic on diagnosis of distant metastasis had a better prognosis than those who were HR-positive and symptomatic on diagnosis. However, patients who were HER2-positive showed no significant survival difference between two groups.Conclusion Breast cancer patients who were diagnosed with distant metastasis after symptoms occurred had a poorer prognosis than patients who were diagnosed before symptoms had developed. It is important to follow up patients regularly for symptoms related to distant metastases. Our findings validate the need for intensive surveillance, suggesting reconsideration of the guidelines for metastases screening in breast cancer patients.

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Physical activity and physiotherapy: perception of women breast cancer survivors

Cited by 15 publications

References 17 publications

Desempenho funcional do membro superior após cirurgia para câncer de mama de mulheres no menacme

Desempenho funcional do membro superior após cirurgia para câncer de mama de mulheres no menacme

Effect of Exercise on Breast Cancer: A Systematic Review and Meta-analysis of Animal Experiments

Symptomatic Metastases have Poorer Prognosis in Breast Cancer Patients Under Intensive Surveillance

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