Tecnologias em saúde aplicadas na reabilitação de mulheres com câncer de mama: revisão de escopo
DOI:
https://doi.org/10.11606/issn.2317-0190.v27i1a168763Palavras-chave:
Neoplasias da Mama, Tecnologia Biomédica, ReabilitaçãoResumo
Objetivo: Identificar as tecnologias em saúde na reabilitação física de mulheres que desenvolveram alterações no membro superior homolateral após a cirurgia para o câncer de mama. Método: Trata-se de uma Scoping literature review. Realizou-se a busca nas bases de dados LILACS, PubMed e Web of Science e o mecanismo de busca Google Scholar. Os descritores utilizados foram: Breast neoplasms, Biomedical technology e Rehabilitation. Resultados: Foram selecionados 33 estudos. Entre as tecnologias leve-duras, a mais utilizada foram os programas de exercícios físicos, tanto para a limitação da amplitude de movimentos do membro superior quanto para o linfedema, sendo estas as mais estudadas. Já as tecnologias duras mais avaliadas foram acupuntura, terapia de laser de baixo nível e plataformas de exercício on line, sendo empregadas, principalmente, para complicações como dor e linfedema. Destaque para a inter-relação entre as diferentes tecnologias, e como estas compõem a assistência prestadas às mulheres com câncer de mama durante a reabilitação física. Conclusão: A maioria dos estudos utilizaram as tecnologias leve-duras, com destaque para os programas de exercícios, e a associação de diferentes tecnologias, de intensidade variadas, empregadas com bons resultados físicos. Além de atuarem no estímulo ao autocuidado e na orientação das mulheres quanto a autogestão das complicações, promovendo a autonomia, confiança e retomada de seus papéis sociais.
Downloads
Referências
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. Doi: https://doi.org/10.3322/caac.21492
Sledge GW, Mamounas EP, Hortobagyi GN, Burstein HJ, Goodwin PJ, Wolff AC. Past, present, and future challenges in breast cancer treatment. J Clin Oncol. 2014;32(19):1979-86. Doi: https://doi.org/10.1200/JCO.2014.55.4139
Bushatsky M, Silva RA, Lima MTC, Barros MBSC, Beltrão Neto JEV, Ramos YTM. Qualidade de vida em mulheres com câncer de mama em tratamento quimioterápico. Cienc Cuid Saude. 2017;16(3). Doi: https://doi.org/10.4025/cienccuidsaude.v16i3.36094
Dalton SO, Johansen C. New paradigms in planning cancer rehabilitation and survivorship. Acta Oncol. 2013;52(2):191-194. Doi: https://doi.org/10.3109/0284186X.2012.748216
Gozzo TO, Souza SG, Moysés AMB, Panobianco MS, Almeida AM. Incidence and management of chemotherapy-induced nausea and vomiting in women with breast cancer. Rev Gaucha Enferm. 2014;35(3):117-23. Doi: https://doi.org/10.1590/1983-1447.2014.03.42068
Fangel LMV, Panobianco MS, Kebbe LM, Almeida AM, Gozzo TO. Quality of life and daily activities performance after breast cancer treatment. Acta Paul Enferm. 2013;26(1):93-100. Doi: https://doi.org/10.1590/S0103-21002013000100015
Panobianco MS, Campacci N, Fangel LMV, Prado MAS, Almeida AM, Gozzo TO. Quality of life of women with lymphedema after surgery for breast cancer. Rev Rene. 2014;15(2):206-13. Doi: https://doi.org/10.15253/2175-6783.2014000200004
Verbelen H, Gebruers N, Eeckhout FM, Verlinden K, Tjalma W. Shoulder and arm morbidity in sentinel node-negative breast cancer patients: a systematic review. Breast Cancer Res Treat. 2014;144(1):21–31. Doi: https://doi.org/10.1007/s10549-014-2846-5
Correia T, Monteiro S, Torres A, Pereira A, Caetano T, Silva R. Effectiveness of a multidisciplinary intervention in breast cancer survivor. Psic Saúde & Doenças. 2016;17(3):483-502. Doi: http://dx.doi.org/10.15309/16psd170314
Farias LMA, Aguiar VCF, Carvalho AMF, Linhares JM, Linhares AEMS, Sousa AMM. Group of mastectomized women: building care strategies. SANARE. 2015;14(2):91-7.
World Health Organization. Relatório mundial sobre a deficiência. São Paulo: SEDPcD; 2012.
Shoeller SD, Padilha MICS, Ramos FRS, Silva DMGV, Leopardi MT, Lorenzini A. Pesquisa em enfermagem de reabilitação: apontamentos da realidade brasileira. In: Gomes B, Rocha MC, Martins MM, Gonçalves MN. Investigação em enfermagem de reabilitação: um novo conhecimento para guiar a prática de cuidados. Porto: Escola Superior de Enfermagem do Porto; 2014. p. 36-45.
Varnfield M, Karunanithi M, Lee CK, Honeyman E, Arnold D, et al. Smartphone-based home care model improved use of cardiac rehabilitation in postmyocardial infarction patients: results from a randomised controlled trial. Heart. 2014;100(22):1770-1779. Doi: https://doi.org/10.1136/heartjnl-2014-305783
Loyola EAC, Borges ML, Magalhães PAP, Areco FS, Yochimochi LTB, Panobianco MS. Rehabilitation group: benefits and barriers in the perspective of women with breast cancer. Texto Contexto Enferm. 2017;26(1):e3250015. Doi: https://doi.org/10.1590/0104-07072017003250015
Loh SY, Musa AN. Methods to improve rehabilitation of patients following breast cancer surgery: a review of systematic reviews. Breast Cancer. 2015;11(7):81-98. Doi: https://doi.org/10.2147/BCTT.S47012
Hellbom M, Bergelt C, Bergenmar M, Gijsen B, Loge JH, Rautalahti M, et al. Cancer rehabilitation: a Nordic and European perspective. Acta Oncol. 2011;50(2):179-86. Doi: https://doi.org/10.3109 / 0284186X.2010.533194
Kalichman AO, Ayres JRCM. Comprehensiveness and healthcare technologies: a narrative on conceptual contributions to the construction of the comprehensiveness principle in the Brazilian Unified National Health System. Cad Saúde Pública. 2016;32(8):1-13. Doi: https://doi.org/10.1590/0102-311X00183415
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 20038(1):19-32. Doi: https://doi.org/10.1080/1364557032000119616
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(6):e1000097. Doi: https://doi.org/10.7326/0003-4819-151-4-200908180-00135
Merhy EE. Em busca de ferramentas analisadoras das tecnologias em saúde: a informação e o dia a dia de um serviço, interrogando e gerindo trabalho em saúde. In: Merhy EE, Onocko R. Agir em saúde: um desafio para o público. São Paulo: Hucitec; 1997. p. 113-60.
Silva MPP, Derchain SFM, Rezende L, Cabello C, Martinez EZ. Shoulder movement after surgery for invasive breast carcinoma: randomized controlled study of postoperative exercises. Rev Bras Ginecol Obstet. 2004;26(2):125-30. Doi: https://doi.org/10.1590/S0100-72032004000200007
Amaral MTP, Teixeira LC, Derchain SFM, Nogueira MD, Silva MPP, Gonçalves AV. Orientação domiciliar: proposta de reabilitação física para mulheres submetidas à cirurgia por câncer de mama. Rev Ciênc Méd. 2005;14(5):405-13.
Hayes SC, Reul-Hirche H, Turner J. Exercise and secondary lymphedema: safety, potential benefits, and research issues. Med Sci Sports Exerc. 2009;41(3):483-9. Doi: https://doi.org/10.1249/MSS.0b013e31818b98fb
Sagen A, Resen RK, Risberg MA. Physical activity for the affected limb and arm lymphedema after breast cancer surgery. A prospective, randomized controlled trial with two years follow-up. Acta Oncol. 2009;48(8):1102-10. Doi: https://doi.org/10.3109/02841860903061683
Lee SA, Kang JY, Kim YD, An AR, Kim SW, Kim YS, et al. Effects of a scapula-oriented shoulder exercise programme on upper limb dysfunction in breast cancer survivors: a randomized controlled pilot trial. Clin Rehabil. 2010;24(7):600-13. Doi: https://doi.org/10.1177/0269215510362324
Gautam AP, Maiya AG, Vidyasagar MS. Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: pre-post intervention study. J Rehabil Res Dev. 2011;48(10):1261-8. Doi: https://doi.org/10.1682/JRRD.2010.05.0089
Petito EL, Nazário ACP, Martinelli SE, Facina G, Gutiérrez MGR. Application of a domicile-based exercise program for shoulder rehabilitation after breast cancer surgery. Rev Latino-Am Enferm. 2012;20(1):1-9. Doi: https://doi.org/10.1590/S0104-11692012000100006
Kilbreath SL, Refshauge KM, Beith JM, Ward LC, Lee M, Simpson JM, et al. Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer: a randomized controlled trial. Breast Cancer Res Treat. 2012;133(2):667-76. Doi: https://doi.org/10.1007/s10549-012-1964-1
Silva MD, Rett MT, Mendonça ACR, Silva Júnior WM, Prado VM, Santana JM. Quality of life and shoulder motion after surgery for breast cancer: physical therapy fobarcus. Rev Bras Cancerol. 2013;59(3):419-26.
Ochalek K, Gradalski T, Szygula Z. Five-year assessment of maintenance combined physical therapy in postmastectomy. Lymphat Res Biol. 2015;13(1):1-13. Doi: https://doi.org/10.1089/lrb.2014.0027
Buchan J, Janda M, Box R, Schmitz K, Hayes S. A randomized trial on the effect of exercise mode on breast cancer-related lymphedema. Med Sci Sports Exerc. 2016;48(10):1866-74. Doi: https://doi.org/10.1249/MSS.0000000000000988
Petry DM, Honório JGS, Santos K, Santos S, Luz CM, Luz SCT, et al. Intervention effects on shoulder physiotherapeutic range of motion and old map thermography submitted to surgery for breast cancer treatment. Acta Fisiatr. 201623(4):180-185. Doi: https://doi.org/10.5935/0104-7795.20160034
Rezende MS, Gradim CVC, Berdu NR, Iunes DH. Análise postural fotogramétrica após exercícios supervisionados em mulheres pós-cirurgia oncológica mamária. ConScientiae Saúde. 2017;16(1):42-9. Doi: https://doi.org/10.5585/ConsSaude.v16n1.6847
Alpozgen AZ, Ozdincler AR, Karanlik H, Agaoglu FY, Narin AN. Effectiveness of Pilates-based exercises on upper extremity disorders related with breast cancer treatment. Eur J Cancer Care. 2017;26(6):1-8. Doi: https://doi.org/10.1111/ecc.12532
Karadibak Karadibak D, Yavuzsen T, Saydam S. Prospective trial of intensive decongestive physiotherapy for upper extremity lymphedema. J Surg Oncol. 2008;97(7):572-7. Doi: https://doi.org/10.1002/jso.21035
Kim DS, Sim YJ, Jeong HJ, Kim GC. Effect of active resistive exercise on breast cancer-related lymphedema: a randomized controlled trial. Arch Phys Med Rehabil. 2010;91(12):1844-8. Doi: https://doi.org/10.1016/j.apmr.2010.09.008
Bernardi MLD, Amorim MHC, Zandonade E, Santaella DF, Barbosa JA. Análise da amplitude de movimento dos ombros antes e após a intervenção Hatha-Yoga em mulheres mastectomizadas. Rev Bras Mastologia. 2011;21(3):118-26. Doi: https://doi.org/10.5327/Z0104-80582011000300005
Rett MT, Mesquita PJ, Mendonça ARC, Moura DP, Santana JM. Kinesiotherapy decreases upper limb pain in females submitted to mastectomy or quadrantectomy. Rev Dor. 2012;13(3):201-17. Doi: https://doi.org/10.1590/S1806-00132012000300002
Pop TB, Karczmarek-Borowska B, Tymczak M, Hałas I, Banaś J. The influence of Kinesiology Taping on the reduction of limphoedema among womag after mastectomy- preliminary study. Contemp Oncol (Pozn). 2014;18(2):124-9. Doi: https://doi.org/10.5114/wo.2014.40644
Atalay OT, Özkir A, Çalik BB, Baskan E, Taşkin H. Effects of phase I complex decongestive physiotherapy on physical functions and depression levels in breast cancer related lymphedema. J Phys Ther Sci. 2015;27(3):865-70. Doi: https://doi.org/10.1589/jpts.27.865
Buragadda S, Alhusaini AA, Melam GR, Arora N. Effect of complete decongestive therapy and a home program for patients with post mastectomy lymphedema. J Phys Ther Sci. 2015;27(9):2743–8. Doi: https://doi.org/10.1589/jpts.27.2743
Castro-Martín E, Ortiz-Comino L, Gallart-Aragón T, Esteban-Moreno B, Arroyo-Morales M, Galiano-Castillo N. Myofascial induction effects on neck-shoulder pain in breast cancer survivors: randomized, single-blind, placebo-controlled crossover design. Arch Phys Med Rehabil. 2017;98(5):832-40. Doi: https://doi.org/10.1016/j.apmr.2016.11.019
Oliveira MMF, Gurgel MSC, Amaral MTP, Amorim BJ, Ramos CD, Almeida Filho JG, et al. Manual lymphatic drainage and active exercise effects on lymphatic function do not translate into morbidities in women who underwent breast cancer surgery. Arch Phys Med Rehabil. 2017;98(2):256-63. Doi: https://doi.org/10.1016/j.apmr.2016.06.024
Prado Junior JRA, Inocêncio KR, Silva AC, Almeida MS, Bergmann A, Silva JG. Efeito imediato da técnica de mobilização nas interfaces fasciais profundas da região peitoral em pacientes submetidas à mastectomia. Fisioter Bras. 2017;18(2):180-8.
Ha KJ, Lee SY, Lee H, Choi SJ. Synergistic effects of proprioceptive neuromuscular facilitation and manual lymphatic drainage in patients with mastectomy-related lymphedema. Front Physiol. 2017;8:959. Doi: https://doi.org/10.3389/fphys.2017.00959
Rangon FB, Ferreira VTK, Rezende MS, Apolinário A, Ferro AP, Guirro ECO. Ischemic compression and kinesiotherapy on chronic myofascial pain in breast cancer survivors. J Bodyw Mov Ther. 2018;22(1):69-75. Doi: https://doi.org/10.1016/j.jbmt.2017.04.005
Lau RW, Cheing GL. Managing postmastectomy lymphedema with low-level laser therapy. Photomed Laser Surg. 2009;27(5):763-9. Doi: https://doi.org/10.1089/pho.2008.2330
Kozanoglu E, Basaran S, Paydas S, Sarpel T. Efficacy of pneumatic compression and low-level laser therapy in the treatment of postmastectomy lymphoedema: a randomized controlled trial. Clin Rehabil. 2009;23(2):117-24. Doi: https://doi.org/10.1177/0269215508096173
Ridner SH, Poage-Hooper E, Kanar C, Doersam JK, Bond SM, Dietrich MS. A pilot randomized trial evaluating low-level laser therapy as an alternative treatment to manual lymphatic drainage for breast cancer-related lymphedema. Oncol Nurs Forum. 2013;40(4):383-93. Doi: https://doi.org/10.1188/13.ONF.383-393
Barros VM, Panobianco MS, Almeida AM, Guirro ECO. Post-mastectomy lymphedema: a treatment protocol. Fisioter Pesq. 2013;20(2):178-83. Doi: https://doi.org/10.1590/S1809-29502013000200013
Cebicci MA, Sutbeyaz ST, Goksu SS, Hocaoglu S, Oguz A, Atilabey A. Extracorporeal shock wave therapy for breast cancer-related lymphedema: a pilot study. Arch Phys Med Rehabil. 2016;97(9):1520-5. Doi: https://doi.org/10.1016/j.apmr.2016.02.019
Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, Ariza-García A, Díaz-Rodríguez L, Del-Moral-Ávila R, et al. Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer. 2016;122(20):3166-3174. Doi: https://doi.org/10.1002/cncr.30172
Giron PS, Haddad CA, Rizzi SKLA, Nazário AC, Facina G. Effectiveness of acupuncture in rehabilitation of physical and functional disorders of women undergoing breast cancer surgery. Support Care Cancer. 2016;24(6):2491-6. Doi: https://doi.org/10.1002/cncr.30172
Fong DYT, Ho JWC, Hui BP, Lee AM, Macfarlane DJ, Leung SK, et al. Physical activity for cancer survivors: meta-analysis of randomized controlled trials. BMJ. 2012;344-70. Doi: https://doi.org/10.1007/s00520-015-3054-5
Rossi FR, Lima MADS. Fundaments for managing process in care practices. Rev Esc Enferm USP. 2005;39(4):460-8. Doi: https://doi.org/10.1590/S0080-62342005000400013
Paiva DMF, Rodrigues VO, Cesca MG, Palma PV, Leite ICG. Prevalence of lymphedema in women undergoing treatment for breast cancer in a referral center in south eastern Brazil. BMC Womens Health. 2013;13(6):13-6. Doi: https://doi.org/10.1186/1472-6874-13-6
Bonisson PLV, Fu MR, Matos SS, Simino GPR, Lima ERP, Ercole FF. Lymphedema in women undergoing breast cancer surgery. Rev Rene. 2017;18(3):329-36. Doi: https://doi.org/10.15253/2175-6783.2017000300007
Lopes EM, Pinheiro AKB, Pinheiro PNC, Vieira NFC. Technology and nursing practice - a bibliographical research. Online Braz J Nurs. 2009;8(1).
Pereira CDFD, Pinto DPSR, Tourinho FSV, Santos VEP. Technologies and their impact on nursing care practice. R-BITS. 2013;2(4):29-37. Doi: https://doi.org/10.18816/r-bits.v2i4.3331
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2020 Acta Fisiátrica
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
