Uso da terapia por ondas de choque para o tratamento do linfedema associado ao câncer de mama: uma revisão sistemática

Autores

  • Otávio Augusto Bagatini Instituto de Medicina Física e Reabilitação do Hospital das Clínicas – HCFMUSP
  • Camila Bertin Instituto de Medicina Física e Reabilitação do Hospital das Clínicas – HCFMUSP
  • Fernando Hong Instituto de Medicina Física e Reabilitação do Hospital das Clínicas – HCFMUSP
  • Maria Lucia Costacurta Guarita Instituto do Câncer do Estado de São Paulo – ICESP
  • Gilson Tanaka Shinzato Instituto de Medicina Física e Reabilitação do Hospital das Clínicas – HCFMUSP
  • Marta Imamura Universidade de São Paulo – USP https://orcid.org/0000-0003-0355-9697
  • Christina May Moran de Brito Instituto do Câncer do Estado de São Paulo – ICESP
  • Linamara Rizzo Battistella Universidade de São Paulo – USP https://orcid.org/0000-0001-5275-0733

DOI:

https://doi.org/10.11606/issn.2317-0190.v25i4a163839

Palavras-chave:

Linfedema Relacionado a Câncer de Mama, Tratamento por Ondas de Choque Extracorpóreas, Drenagem Linfática Manual, Reabilitação

Resumo

O linfedema associado ao câncer de mama é causa de prejuízo significativo da qualidade de vida deste grupo de pacientes e constitui complicação frequente das intervenções necessárias nesse tipo de câncer. Sabe-se que o tratamento utilizado no linfedema associado ao câncer de mama envolve a Terapia Física Complexa (TFC), cuja eficácia é limitada e não atua diretamente na patogênese dessa comorbidade. Conforme já demonstrado em alguns estudos, o uso da Terapia por Ondas de Choque (TOC) demonstra-se potencialmente benéfico para reduzir o linfedema pela indução de neoangiogênese e linfangiogênese. Objetivo: Avaliar o impacto da TOC no tratamento do linfedema associado ao câncer de mama comparado ao uso da TFC. Métodos: Foram utilizadas as seguintes bases de dados: PubMed/MedLine; BIREME; LILACS; The Cochrane Library e EMBASE, e através de busca manual de artigos. Adotou-se o método de pesquisa PICO e os descritores MeSH ajustados conforme a respectiva base de dados. Resultados: Foram encontrados um total de 262 artigos e selecionados por leitura do título ou resumo um total de 17 estudos. Seis foram excluídos por serem duplicatas, totalizando 11 artigos eleitos para verificação dos critérios de inclusão. Destes, nenhum artigo atendeu ao delineamento da metodologia proposta para esta revisão. Três deles se destacaram por se aproximarem mais da temática proposta e foram discutidos. Conclusão: É necessária a realização de estudos com qualidade metodológica adequada para avaliar o potencial benefício do uso da TOC, visando contribuir para a composição de um tratamento mais eficaz, seguro e que atue na patogênese da doença.

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2018-12-31

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1.
Uso da terapia por ondas de choque para o tratamento do linfedema associado ao câncer de mama: uma revisão sistemática. Acta Fisiátr. [Internet]. 31º de dezembro de 2018 [citado 28º de março de 2024];25(4):205-10. Disponível em: https://revistas.usp.br/actafisiatrica/article/view/163839