Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190049
Brazilian Journal of Pain
Review Article

Pain rehabilitation treatment for women with breast cancer

Tratamento de reabilitação para dor em mulheres com câncer de mama

Tatiana de Bem Fretta; Leonessa Boing; Regina Maldonato Bussmann; Adriana Coutinho de Azevedo Guimarães

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Abstract

BACKGROUND AND OBJECTIVES: Breast cancer is a public health problem due to its high rates of incidence and mortality, and the presence of pain in the arm and breast is a very frequent symptom in these women. The objective of this study was to organize scientific evidence on rehabilitation treatments for women after breast cancer surgery.

CONTENTS: The search was performed based on the Medline, LILACS, and Scielo database on articles published in the last 10 years, from January 2008 to January 2018. The survey was carried out with the following keywords: “Breast Cancer” and “Upper Limb” and “Pain” and “Rehabilitation”. Randomized clinical trials, pilot study, and quasi-experimental study were included. The search totaled 92 articles, of which only seven articles were selected. The visual analog scale was used in most articles.

CONCLUSION: Physiotherapy and physical exercise can benefit women with breast cancer, reducing pain, and increasing the upper limb’s functionality, as well as minimize the lymphedema.

Keywords

Breast cancer, Pain, Rehabilitation, Upper limb

Resumo

JUSTIFICATIVA E OBJETIVOS: O câncer de mama é um problema de saúde pública devido às altas taxas de incidência e mortalidade, e a presença de dor no braço e na mama é um sintoma de maior frequência nessas mulheres. O objetivo deste estudo foi organizar as evidências científicas sobre os tratamentos de reabilitação para dor utilizados com mulheres após a cirurgia do câncer de mama.

CONTEÚDO: A busca foi realizada a partir da consulta às bases de dados Pubmed, LILACS e Scielo, dos artigos publicados nos últimos 10 anos, de janeiro de 2008 a janeiro de 2018. O levantamento foi realizado com os seguintes descritores: “Breast Cancer” AND “Upper Limb” AND “Pain” AND “Rehabilitation”. Foram incluídos ensaios clínicos randomizados, estudos piloto e estudos quase-experimentais. A busca totalizou 92 artigos e destes foram selecionados apenas sete. A escala analógica visual foi utilizada na maioria dos artigos.

CONCLUSÃO: A fisioterapia e o exercício físico podem beneficiar mulheres com câncer de mama, reduzindo a dor e aumentando a funcionalidade de membro superior, além de minimizar o linfedema.

Palavras-chave

Câncer de mama, Dor, Extremidade superior, Reabilitação

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Submitted date:
07/25/2018

Accepted date:
01/07/2019

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