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

References

Coordenação de Prevenção e Vigilância Estimativa 2018: Incidência de Câncer no Brasil/Instituto Nacional de Câncer José Alencar Gomes da Silva, Coordenação de Prevenção e Vigilância. 2018.

GLOBOCAN - Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11. 2012;1.1.

Gonçalves Ade V, Teixeira LC, Torresan R, Alvarenga C, Cabello C. Randomized clinical trial on the preservation of the medial pectoral nerve following mastectomy due to breast cancer: impact on upper limb rehabilitation. Sao Paulo Med J. 2009;127(3):117-21.

Ferreira BP, Pimentel MB, Santos LC, di Flora W, Gobbi H. Morbidity after sentinel node biopsy and axillary dissection in breast cancer. Rev Assoc Med Bras. 2008;54(6):517-21.

Kopec JA, Colangelo LH, Land SR, Julian TB, Brown AM, Anderson SJ. Relationship between arm morbidity and patient-reported outcomes following surgery in women with node-negative breast cancer: NSABP protocol B-32. J Support Oncol. 2013;11(1):22-30.

Sousa E, Carvalho FN, Bergmann A, Fabro EA, Dias RA, Koifman RJ. Funcionalidade de membro superior em mulheres submetidas ao tratamento do câncer de mama. Rev Bras Cancerol. 2013;59(3):409-17.

Alves Nogueira Fabro E, Bergmann A, do Amaral e Silva B, Padula Ribeiro AC, de Souza Abrahão K, da Costa Leite Ferreira MG. Post-mastectomy pain syndrome: incidence and risks. Breast. 2012;21(3):321-5.

Ibrahim M, Muanza T, Smirnow N, Sateren W, Fournier B, Kavan P. A pilot randomized controlled trial on the effects of a progressive exercise program on the range of motion and upper extremity grip strength in young adults with breast cancer. Clin Breast Cancer. 2018;18(1):e55-64.

Zengin Alpozgen A, Razak Ozdincler A, Karanlik H, Yaman Agaoglu F, 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.

Keays KS, Harris SR, Lucyshyn JM, MacIntyre DL. Effects of Pilates exercises on shoulder range of motion, pain, moos, and upper-extremity function in women living with breast cancer: a pilot study. Phys Ther. 2008;88(4):494-510.

Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56.

De Groef A, Meeus M, De Vrieze T, Vos L, Van Kampen M, Christiaens MR. Pain characteristics as important contributing factors to upper limb dysfunctions in breast cancer survivors at long term. Musculoskelet Sci Pract. 2017;29:52-9.

House G, Burdea G, Grampurohit N, Polistico K, Roll D, Damiani F. A feasibility study to determine the benefits of upper extremity virtual rehabilitation therapy for coping with chronic pain post-cancer surgery. Br J Pain. 2016;10(4):186-97.

Cho Y, Do J, Jung S, Kwon O, Jeon JY. Effects of a physical therapy program combined with manual lymphatic drainage on shoulder function, quality of life, lymphedema incidence, and pain in breast cancer patients with axillary web syndrome following axillary dissection. Support Care Cancer. 2016;24(5):2047-57.

Angooti Oshnari L, Hosseini SA, Haghighat S, Hossein Zadeh S. The effect of complete decongestive therapy on edema volume reduction and pain in women with post breast surgery lymph edema. Iran J Cancer Prev. 2016;9(2).

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


Submitted date:
07/25/2018

Accepted date:
01/07/2019

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