Effects of manual therapy techniques in the treatment of pain in post mastectomy patients: systematic review.
Basilio, Francine Batista; Dos Anjos, Raphaela de Medeiros Miranda; De Medeiros, Elany Pereira; De Melo, Elaine Marques Franco; Da Silva, Rodrigo Marcel V. da
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.
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References
1. INCA. Instituto Nacional de Câncer. Estimativa 2010: Incidência de câncer no Brasil; 2010 Disponível em: http:// www2.inca.gov.br/wps/wcm/connect/tiposdecancer/site/home/mama
2. Petito EL, Nazário ACP, Martinelli SE, Facina G, Gutiérrez MGR. Application of a domicile-based exercise program for shoulder rehabilitation after breast cancer surgery. Revista Latino-Americana de Enfermagem 2012;20(1).
3. Rett MT, Mesquita PJ, Mendonça ARC, Moura DP, Santana JM. A cinesioterapia reduz a dor no membro superior de mulheres submetidas à mastectomia ou quadrantectomia. Revista dor 2012;13(3).
4. Hack LF. Análise do comportamento motor de uma paciente submetida à mastectomia radical. Revista Brasileira em Promoção da Saúde 2009;22(1):61-65.
5. Leites GT, Knorst MR, Lima CHL, Zerwes FP, Frison VB. Fisioterapia em oncologia mamária: qualidade de vida e evolução clínico funcional. Revista Ciência & Saúde 2010;3(1):14-21.
6. Silva MD, Rett MT, Mendonça ACR, Júnior WMS, Prado VM, Santana JM. Qualidade de Vida e Movimento do Ombro no Pós-Operatório de Câncer de Mama: um Enfoque da Fisioterapia. Revista brasileira de cancerologia. 2013:59(3):419-426.
7. Freitas Júnior R, Ribeiro LFJ, Taia L, Kajita D, Fernandes MV, Queiroz GS. Linfedema em Pacientes Submetidas à Mastectomia Radical Modificada. Revista Brasileira de Ginecologia e Obstetrícia 2001;23(4).
8. Simons DG, Travelli JG, Mons SL. Dor e disfunção miofascial: manual dos pontos Gatilhos. 2.ed. Porto Alegre: ArtMed, 2005.
9. Cheville AL, Tchou J. Barriers to rehabilitation following surgery for primary breast cancer. J Surg Oncol. 2007;95(5):409-18.
10. Reis FB, Ciconelli RM, Faloppa F. Pesquisa científica: a importância da metodologia. Rev Bras Ortop 2002;37(3).
11. Evans DW. Mechanisms and effects of spinal high- velocity, low-amplitude thrust manipulation: previous theories. Journal of Manipulative and Physiological Therapeutics. HVLA Thrust Manipulation. May 2002.
12. Masselli MR, Fregonesi CEPT, Faria CRS, Bezerra MIS, Junges D, Nishioka TH. Índice funcional de oswestry após cirurgia para descompressão de raízes nervosas. Fisioterapia em Movimento 2007;20(1):115-122.
13. Santos CC, Pereira LSM, Resende MA, Magno F, Aguiar V. Aplicação da versão brasileira do questionário de dor Mcgill em idosos com dor crônica. ACTA FISIATR 2006;13(2):75-82.
14. Karason AB, Drysdale P. Somatovisceral response following osteopathic hvlat: a pilot study on the effect of unilateral lumbosacral high-velocity lowamplitude thrust technique on the cutaneous blood flow in the lower limb. Journal of Manipulative and Physiological Therapeutics. 2003;26(4):221.
15. Faria L. As práticas do cuidar na oncologia: a experiência da fisioterapia em pacientes com câncer de mama. História, ciências, saúde-manguinhos. 2010;17.
16. Borg-Stein J, Simons DG. Focused Review: Myofascial pain. Archives of Physical Medicine and Rehabilitation 2002;83:S40-S47.
17. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The american college of rheumatology
1990. Criteria for classification of fibromyalgia. Report of the multicenter criteria committee. Arthrites & Rheumatism, New York, v.33, p.160-72, 1990.
18. Simons DG, Mense S. Diagnosis and therapy of myofacial trigger points. Shmerz Journal 2003;17(6):419-424.
19. Freitas JR, Ribeiro LFJ, Taia L, Kajita D, Fernandes MV, Queiroz GS. Linfedema em pacientes submetidas à mastectomia radical modificada. Rev Bras Ginecol Obstet. 2001;23(4):205-8.
20. Morelli JGS, Rebelatto JR. A eficácia da terapia manual em indivíduos cefaleicos portadores e não-portadores de degeneração cervical: análise de seis casos. Rev Bras Fisioter 2007;11(4):325-9.
21. Pettman E. A history of manipulative therapy. The Journal of Manual & Manipulative Therapy. 2007;15(3):165-74.
22. Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical Trial. Knee Surg Sports Traumatol Arthrosc. 2007;15:915-21.
23. Colby LA. Exercícios terapêuticos fundamentos e técnicas. 3° edição, São Paulo: Manole LTDA, 1998:180-229.
24. Hoving JL, Vet HC, Koes BW, Mameren H, Devillé WL, Van Der Windt D, et al. Manual therapy, physical therapy, or continued care by the general practitioner for patients with neck pain: long-term results from a pragmatic randomized clinical trial. Clin J Pain 2006;22(4):370-7.
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