Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190045
Brazilian Journal of Pain
Original Article

Effects of exercises on pain and functional capacity in hospitalized cancer patients

Efeitos dos exercícios sobre a dor e a capacidade funcional em pacientes oncológicos hospitalizados

Cláudia Ranzi; Bibiana Ferrari Barroso; Douglas Roberto Pegoraro; Amanda Sachetti; Carla Wouters Franco Rockenbach; Leonardo Calegari

http://dx.doi.org/10.5935/2595-0118.20190045 BrJP, vol.2, n3, p.255-259, 2019
PDF English
PDF Português
SciELO
Downloads: 0
Views: 551

Abstract

BACKGROUND AND OBJECTIVES: There are few studies evaluating the effects of physiotherapy with multidimensional instruments on cancer pain. The objective of this study was to evaluate the effects of physiotherapy on pain and functional capacity in hospitalized cancer patients.

METHODS: This is a quasi-experimental study including 40 participants with a mean age of 51±18 years assessed before and after physiotherapy interventions, using the verbal numerical rating scale, the McGill Pain Questionnaire - Short Form, the International Physical Activity Questionnaire, the Sit-to-Stand test, and the Eastern Cooperative Oncology Group questionnaire for functional capacity evaluation. The participants were classified according to the number of performed sessions: group 1≤ 5 sessions (n=25) and group 2 ≥ 6 sessions (n=15).

RESULTS: There was a reduction in cancer pain measured by sensory (p=0.02) and mixed descriptors (p=0.05) of the McGill questionnaire as well as by the numerical visual scale (p=0.03) in patients who performed at least six physiotherapy sessions. There was a significant correlation (r=0.81; p<0.001) between the reduction in pain measured by the numerical visual scale and the reduction in pain measured by the Total McGill questionnaire. There were no significant differences in the Sit-to-Stand test and the Eastern Cooperative Oncology Group functional capacity questionnaire.

CONCLUSION: At least six sessions of physiotherapy with emphasis on kinesiotherapy were needed to promote a reduction of cancer pain in hospitalized patients. We recommend the use of multidimensional instruments in the evaluation of cancer pain in hospitalized patients submitted to physiotherapy.

Keywords

Cancer pain, Neoplasm, Pain measurement, Physiotherapy

Resumo

JUSTIFICATIVA E OBJETIVOS: São escassos os estudos que avaliaram os efeitos da fisioterapia sobre a dor oncológica com instrumentos multidimensionais. O objetivo deste estudo foi avaliar os efeitos da fisioterapia sobre a dor e a capacidade funcional em pacientes oncológicos hospitalizados.

MÉTODOS: Estudo quase-experimental, composto por 40 participantes com idade média de 51±18 anos, avaliados pré e pós intervenção fisioterapêutica pela escala verbal numérica, Questionário de Dor de McGill, Questionário Internacional de Atividade Física, teste de sentar e levantar da cadeira e capacidade funcional pelo questionário Eastern Cooperative Oncology Group. Os participantes foram estratificados de acordo com o número de sessões realizadas em grupo 1 ≤ 5 atendimentos (n=25) e grupo 2 ≥ 6 atendimentos (n=15).

RESULTADOS: Houve redução da dor oncológica mensurada pelos descritores sensitivo (p=0,02) e misto (p=0,05) do questionário de McGill e na escala visual numérica (p=0,03) nos pacientes que realizaram no mínimo seis sessões de fisioterapia. Houve correlação significativa (r=0,81; p<0,001) entre a redução da dor mensurada pela escala visual numérica e a redução da dor mensurada pelo questionário McGill Total. Não houve diferenças significativas no teste de sentar e levantar e no questionário de capacidade funcional pelo Eastern Cooperative Oncology Group.

CONCLUSÃO: Foram necessárias no mínimo seis sessões de fisioterapia com ênfase na cinesioterapia para promover redução da dor oncológica em pacientes hospitalizados. Recomenda-se o uso do instrumento multidimensional na avaliação da dor oncológica em pacientes hospitalizados submetidos à fisioterapia.

Palavras-chave

Dor do câncer, Fisioterapia, Mensuração da dor, Neoplasia

References

Fisioterapia em oncologia (INCA). .

Fisioterapia em oncologia (INCA). .

Matheus LBG, Silva LLS, Figueiredo LC. Fisioterapia em oncologia. Diretrizes oncológicas. 2017.

Raphael J, Ahmedzai S, Hester J, Urch C, Barrie J, Williams J. Cancer pain: part 1: pathophysiology; oncological, pharmacological, and psychological treatments: a perspective from the British Pain Society endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners. Pain Med. 2010;11(5):742-64.

Montagnini M, Lodhi M, Born W. The utilization of physical therapy in palliative care unit. J Palliat Med. 2003;6(1):11-7.

Lima VL, Abner TS, Sluka KA. Does exercise increase or decrease pain: Central mechanisms underlying these two phenomena. J Physiol. 2017;595(13):4141-50.

Sistema que informa a classificação nutricional conforme o Índice de Massa Corporal (IMC). .

Barbosa IM, Sales DS, Oliveira LM, Sampaio DV, Milhome AG. Pain in onco-hematologic patients and its association with analgesia. Rev Dor. 2016;17(3):178-82.

Pimenta CA, Teixeira MJ. Questionário de dor McGill: proposta de adaptação para a língua portuguesa. Rev Esc Enferm USP. 1996;30(3):473-83.

Mangia SA, Coqueiro NLO, Azevedo FC, Araujo HTS, Amorim EO, Alves CNR. What clinical, functional, and psychological factors before treatment are predictors of poor quality of life in cancer patients at the end of chemotherapy. Rev Assoc Med Bras. 2017;63(11):978-87.

Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) Short Form. 2004.

Rikli RE, Jones J. Teste de Aptidão Física para Idosos. 2008.

Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5(6):649-55.

Machado L, Saad IA, Honma HN, Morcillo AM, Zambon L. Evolution of performance status, body mass index, and six-minute walk distance in advanced lung cancer patients undergoing chemotherapy. J Bras Pneumol. 2010;36(5):588-94.

Pereira EE, Santos NB, Sarges ES. Avaliação da capacidade funcional do paciente oncogeriátrico hospitalizado. Rev Pan-Amaz Saude. 2014;5(4):37-44.

Henke CC, Cabri J, Fricke L, Pankow W, Kandilakis G, Feyer PC. Strength and endurance training in the treatment of lung cancer patients in stages IIIA/IIIB/IV. Support Care Cancer. 2014;22(1):95-101.

Rett MT, Mesquita PJ, Mendonça AR, Moura DP, DeSantana JM. A cinesioterapia reduz a dor no membro superior de mulheres submetidas à mastectomia ou quadrantectomia. Rev Dor. 2012;13(3):201-7.

Barawid E, Covarrubias N, Tribuzio B, Liao S. The benefits of rehabilitation for palliative care patients. Am J Hosp Palliat Med. 2015;32(1):34-43.

Reis AD, Pereira PT, Diniz RR, de Castro Filha JG, Dos Santos AM, Ramallo BT. Effect of exercise on pain and functional capacity in breast cancer patients. Health Qual Life Outcomes. 2018;16(1):58.

López-Sendín N, Alburquerque-Sendín F, Cleland JA, Fernández-de-las-Peñas C. Effects of physical therapy on pain and mood in patients with terminal cancer: A pilot randomized clinical trial. J Altern Complement Med. 2012;18(5):480-6.

Mendes PM, Avelino FV, Santos AM, Falcão LM, Dias SR, Soares AH. Aplicação da escala de McGill para avaliação da dor em pacientes oncológicos. Rev Enferm UFPE. 2016;10(11):4051-7.

Martinez JE, Grassi DC, Marques LG. Analysis of the applicability of different pain questionnaires in three hospital settings: outpatient clinic, ward and emergency unit. Rev Bras Reumatol. 2011;51(4):299-308.

Rogers LQ, Markwell SJ, Courneya KS, McAuley E, Verhulst S. Physical activity type and intensity among rural breast cancer survivors: patterns and associations with fatigue and depressive symptoms. J Cancer Surviv. 2011;5(1):54-61.

Dos Santos CA, Ribeiro AQ, Rosa Cde O, Ribeiro Rde C. Depression, cognitive deficit and factors associated with malnutrition in elderly people with cancer. Cienc Saude Colet. 2015;20(3):751-60.

Boaventura AP, Vedovato CA, Santos FF. Perfil dos pacientes oncológicos atendidos em uma unidade de emergência. Cien Enferm. 2015;21(2):51-62.

Visentin A, Mantovani MF, Kalinke LP, Boller S, Sarquis LM. Palliative therapy in adults with cancer: a cross-sectional study. Rev Bras Enferm. 2018;71(2):252-8.

Pyszora A, Budzynski J, Wójcik A, Prokopv A, Krajnik M. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer. 2017;25(9):2899-908.

Submitted date:
12/09/2018

Accepted date:
07/02/2019

5f2484ff0e88252f7ae56d7d brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections