深跑对乳房切除女性上肢活动范围和功能能力的影响:病例报告

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摘要

简介:乳腺癌是巴西和世界上女性中最常见的癌症类型。手术治疗过程可能导致手术同侧上肢严重的发病率,包括活动范围的缩小,随之而来的功能损害。物理治疗方法在恢复这些妇女的活动范围和功能方面起着重要作用,保证了职业,家庭,熟悉和共轭活动,并以这种方式提高了生活质量。目的:分析深跑术对乳房切除术后晚期患者肩关节活动度及上肢功能的影响。方法:在治疗开始和结束时对所有患者进行评估,包括:肩关节屈伸、外展、内收、内外旋的角度测量;运用DASH问卷对高层成员参与的活动进行职能能力分析。治疗方案包括12次深度跑步,每周两次,在深池中进行,为期6周,每次20分钟。结果:共提交治疗4例患者。尽管数值有所改善,但在乳房切除术后妇女的运动范围和上肢功能方面,在深度跑步训练前后并没有发现统计学上的显著差异。结论:深跑对乳房切除术后后期妇女的活动范围和上肢功能数值有影响,但无统计学差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EFEITOS DO DEEP RUNNING SOBRE A AMPLITUDE DE MOVIMENTO E A CAPACIDADE FUNCIONAL DOS MEMBROS SUPERIORES DE MULHERES MASTECTOMIZADAS: RELATO DE CASOS
Introduction: Breast cancer is the most common type of cancer among women in Brazil and in the worl. The surgical treatment procedure may cause severe morbidity in the upper limb homolateral to surgery, including the reduction of the range of motion, with consequent impairment of function. A physiotherapeutic approach has an important role in the recover range of motion and the functionality of these women, guaranteeing the occupational, domestestic, familiar and conjugated activities, and, in this way, also improving the quality of life. Objectives: To analyse chances in the shoulder's range of motion and the functional capacity of the upper limbs, promoted by the deep running procedure in women with late postoperative mastectomy. Methods: All the patients were submitted to an evaluation in the beginning and end of the treatment, including: goniometry of flexion, extension, abduction, adduction, internal and external rotation of the shoulder joint; and function capacity analysis in activities that involve the upper members by DASH questionnaire. The treatment protocol includes twelve sessions of deep running, realized twice a week, in deep pool, for 20-minute during six weeks. Results: Were submitted to treatment a total of 4 patients. Despite the improvement in the numerical values, statistically significant differences were not found on the range of movements and in the functional capacity of upper members before and after the deep running sessions in post-mastectomy women. Conclusion: Deep running had effects on the numerical values of range of movement and upper limb functionality in women in the late postoperative period of the mastectomy procedure, but without statistically significant differences.
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