Physical Therapy at the postoperative of hip endoprosthesis for osteosarcoma: a case report
Venâncio, Raysa Silva; Martins, Tamiris Beppler; Santos, Keyla Mara dos; Santos, Gilmar Moraes
Abstract
Introduction: Osteosarcoma is the most common malignancy among musculoskeletal tumors. It can be treated for preservation member or amputation. The cases treated for preservation member have improved functionality and quality of life, however, patients with oncologic diseases exhibit symptoms of anxiety and depression. Objective: The aim of this study is to describe the role of physiotherapy in the hip endoprosthesis after surgery for osteosarcoma of a patient treated at the Clinic Physiotherapy School of the University of the State of Santa Catarina (CEFID / UDESC) and verify their quality of life, functionality and symptoms of anxiety and depression. Methods: A descriptive study through case report. The subject was assessed before and after 10 sessions of physiotherapy on the quality of life, functionality and symptoms of anxiety and depression using a standardized assessment form, the Quality of Life Assessment Questionnaire (WHOQOL-BREF), the system Functional assessment (Musculoskeletal Tumor Society Rating Scale - MSTS); of Lower Limb Function Scale (EFMI) and the Hospital Anxiety and Depression Scale (Hospital Anxiety and Depression Scale - HADS); Results and Conclusions: Physical therapy treatment proposed to the patient allowed the increase of muscle strength; increased muscle tropism; improved member functionality (65% of EFMI); possible reduction of anxiety or depressive symptoms in HADS; presenting score (67.31%) of the WHOQOL-BREF and (56%) in MSTS. Thus, based on the functional, emotional and psychological outcomes, the proposed physical therapy had a positive influence on a patient’s quality of life osteosarcoma at the proximal end of the left femur, underwent resection and reconstruction member with endoprosthesis.
Keywords
References
1 Inca. INCA e Ministério da Saúde apresentam estimativas de câncer para 2014 no Brasil. INCA. Rio de Janeiro. 2014; 0-122.
2 Van Driel M, Van Leeuwen JP. Cancer and bone: a complex complex. Arch Biochem Biophys. 2014; 561: 159-66.
3 F jiang, GL, Y shi, F zhou. A meta-analysis of limb-salvage versus amputation in the treatment of patients with Enneking‡U pathologic fracture osteosarcoma. Indian Journal of Cancer, 2014.
4 Mendonça SMH, Cassone AE, Brandalise SR. Functional assessment of patients with bone sarcomas submitted to surgical treatment using total or partial prosthesis in replacement of the distal femoral end. Acta ortop. bras. 2008; 16(1): 13-18. ISSN 1413-7852.
5 Tsai LY, Jesus-Garcia Filho R, Petrilli AS, Korukian M, Viola DCM, Petrilli M, et al. Protocolo Fisioterapêutico Em Pacientes Submetidos À Endoprótese Não Convencional De Joelho Por Osteossarcoma: Estudo Prospectivo. Revista Brasileira de Ortopedia. 2007;42.
6 Durr, HR, et al. [Resection margins in bone tumors: what is adequate?]. Unfallchirurg. 2014; 117(7): 593-9. ISSN 0177-5537.
7 Mei, J. et al. Functional outcomes and quality of life in patients with osteosarcoma treated with amputation versus limb-salvage surgery: a systematic review and meta-analysis. Arch Orthop Trauma Surg. 2014; 134(11): 1507-16. ISSN 0936-8051.
8 Bergerot, C. D. et al. Assessment of anxiety and depression in cancer patients: a psychometric comparison. Psico-USF. 2014;19(2): 187-197. ISSN 1413-8271.
9 Kurt Kroenke, MDA, et al. The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. General Hospital Psychiatry. 2010; 32(4): 345–359.
10 Postma A, Kingma A, De ruiter JH, Schraffordt Koops H, Veth RP, Goëken LN, Kamps WA. Quality of life in bone tumor patients comparing limb salvage and amputation of the lower extremity. J Surg Oncol. 1992; 51(1):47-51.
11 Bekkering, W. P. et al. Quality of life in young patients after bone tumor surgery around the knee joint and comparison with healthy controls. Pediatr Blood Cancer.2010; 54(5): 738-45. ISSN 1545-5009.
12 Mageee DJ. Avaliação musculoesquelética. 4. Barueri: São Paulo: 2005.
13 Botega NJ. et al. Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Rev. Saúde Pública. 1995; 29(5): 359-363. ISSN 0034-8910.
14 Rebolledo DCS. Tradução e validação do instrumento Musculoskeletal Tumor Society Rating Scale (MSTS) para avaliação da função em pacientes com sarcomas ósseos dos membros inferiores. Dissertação USP/FM - São Paulo, 2011.
15 Organization WH. WHOQOL-BREF: introduction, administration, scoring and generic version of assessment, 1996.
16 Pedroso BEA. Cálculo dos escores e estatística descritiva do WHOQOL-bref através do Microsoft Excel. Revista Brasileira de Qualidade de Vida. 2010; 2: 31-36, 2010.
17 Stratford PW, E. A. Validation the LEFS on patients with total joint arthroplasty. Physiother Can. 2000; 52(105).
18 Healthcare E. Lower Extremity Functional Scale (LEFS): Emory Physical Therapy. 1999. Disponível em: < https://www.emoryhealthcare.org/physical-therapy/pdf/hip-lefs.pdf >. Acesso em: junho.
19 Database RM. Rehab Measures: Lower Extremity Functional Scale. 2013. Disponível em: < http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=1113 >. Acesso em: jun.
20 Winter CC. et al. The effect of individualized exercise interventions during treatment in pediatric patients with a malignant bone tumor. Support Care Cancer. 2013; 21(6): 1629-36.
21 Organization WH. Global recommendations on physical activity for health. WHO: World Health Organization. 2014; 0-58.
22 Ballenger JC, Davidson JRT, Lecrubier Y, Nutt DJ, Jones RD, Berard RMF. Consensus statement on depression, anxiety, and Oncology. Journal of Clinical Psychiatry. 2001; 62(8): 64-67.
23 Berger AM. et al. Cancer-Related Fatigue. Journal of the National Comprehensive Cancer Network. 2010; 01-08. Disponível em: < http://www.jnccn.org/content /8/8/904.extract >.