HOME EXERCISE: PHYSICAL REHABILITATION PROPOSAL FOR WOMEN SUBMITTED TO BREAST CANCER SURGERY
Keywords:
physiotherapy, breast neoplasms, women's health services, physical therapy department - hospital, shoulderAbstract
Objective
To compare the efficacy of a physical rehabilitation home program using an illustrated exercise leaf/et for women submitted to breast cancer surgery, with that of a program of physical exercises supervised by a physica/ therapist.
Methods
For this prospective clinica! triai 56 women who had been submitted to breast cancer surgery were randomized into two groups: (group 1) 28 women were included in the physical exercise program supervised by a physical therapist and (group 2) 28 who received orientation to do the physical exercises at home from an illustrated leaflet. For both groups, the exercises were carried out twice a week for two months. Shou/der movement amplitude was evaluated using a goniometer, cicatricial adherence by palpation and difficulties to attend the session (group 7) ar carry out the exercise at home (group 2) using a previously prepared questionnaire.
Results
Shou/der mobility reduced in both groups 15 days after surgery with subsequent progressive recuperation. After two months, an average deficit in flexion of 6° was found in group 7 women and of 6.5º in group 2 women and a deficit in shoulder abduction of 13.4° and 7. 7°, respectively. Dressing and personal hygiene were the two activities reported as being more difficult to perform by both groups. Of the women in group 1, the collateral effects of chemotherapy justified 55% of the absences. Of the women from group 2, 46% reported difficulties in understanding the physical exercises from the leaflet.
Conclusion
Recovery of shoulder movement amplitude was similar in both groups of women. However, a physical therapist should orientate those women doing the exercises at home.
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