Efeitos da cinesioterapia associada ou não à acupuntura na reabilitação de pacientes submetidas ao tratamento cirúrgico do câncer de mama

• Ano de defesa: 2016
• Autor(a) principal: Santolia, Patricia [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: breast cancer; rehabilitation; acupuncture; quality of life; depression; pain; câncer de mama; reabilitação; acupuntura; qualidade de vida; depressão; dor
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3717178; https://repositorio.unifesp.br/handle/11600/46354

Purpose: Study the efficacy of kinesiotherapy with or without acupuncture in patients undergoing surgery for the treatment of breast cancer in the following parameters: pain, range of motion, upper limb function and depressive symptoms. Methods: Women who had pain in the shoulder girdle and upper limb region after three months of surgery , aged 18 years and pain level ? 3 in Visual Analog Scale were included. The patients were randomly divided into two treatment groups received weekly for 10 weeks. Kinesiotherapy group (G1): kinesiotherapy treated with standard pre-defined, lasting 30 minutes. Acupuncture Group + kinesiotherapy (G2): treated with the same protocol kinesiotherapy group followed by another 30 minutes of acupuncture used in pre-defined points. Both groups underwent a physical examination and completed questionnaires of upper limb function and depressive symptoms. Results: 48 patients completed the treatment, and 24 in each group. Regarding pain, the two groups had statistically significant improvement with p < 0,01 at all time points assessed. In the analysis of depression improved significantly only in G1 compared the 1st versus 10th session. The upper limb function had improved only when comparing G1 1st versus 10th session, and G2 showed improvement in all three evaluation times. The range of motion showed improvement in all evaluated movements, movements flexion, extension and internal rotation was improved in G1 and G2 in the comparison of the 1 st session versus 5 th and 1st versus 10th session. In adduction, there was significant improvement only in G2 compared the 1st versus 10th session. Already abduction was no difference in G1 compared to the 1st versus 10th session and G2 in the 1 st session versus 5 th and 1st versus 10th session. Regarding external rotation was improved only in G1 at the 1 st session versus 5 th and 1st versus 10th session. Conclusion: The kinesiotherapy with or without acupuncture was effective for pain relief and function of the upper limb. Depressive symptoms showed significant improvement in the group that did only kinesiotherapy.