Breast cancer, Lymphedema, motion deficit
Conditions
Interventions
105 women were included in the study, with 52 in the MLD group and 53 in the group practicing active exercise for the arms.
Guidelines - On the 1st day after surgery, all women received the informatio
Procedure/surgery
E02.779
Sponsors
Universidade Estadual de Campinas
Universidade Estadual de Campinas
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: First surgery for invasive carcinoma of ipsilateral breast; Conducting radical mastectomy.
Exclusion criteria
Exclusion criteria: Immediate breast reconstruction; Bilateral surgery; Difference in circumference upper limb prior to surgery more than two centimeters; Motor impairment in the upper limb ipsilateral prior to surgery; Infection prior ipsilateral upper limb prior to surgery; Realization of sentinel lymph node biopsy; Radiotherapy prior to surgery; Inability to understand the exercises.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate and compare by lymphoscintigraphy the effect of the realization of assets exercises and manual lymphatic drainage after surgery for breast cancer in the speed and intensity of radiotracer uptake. The speed was categorized: 10 minutes, 1 hour and 2 hours; and intensity: severe, moderate, mild and absent. The speed will be faster (10 minutes) in the group of women who performed lymphatic drainage after surgery 60 days. The intensity will have better uptake (intense) in the group of women who performed lymphatic drainage after surgery 60 days.;The speed and intensity of the radiopharmaceutical used in the examination lymphoscintigraphy behaved similarly in groups, both before and after surgery 60 days. | — |
Secondary
| Measure | Time frame |
|---|---|
| The presence of collateral circulation at the end of 60 days was similar in both groups. The presence of dermal reflux at the end of 60 days was higher in the group of women who performed manual lymphatic drainage. The uptake of the radiopharmaceutical in the liver at the end of 60 days was similar in both groups. The shoulder movement deficit on the same side of surgery averaged 10º for both groups, suggesting that assets and / or MLD exercises can be employed according to the complaints or symptoms of each woman.;On examination of lymphoscintigraphy, the presence of collateral circulation and dermal reflux at the end of 60 days will be lower in the group of women who performed manual lymphatic drainage. On examination of lymphoscintigraphy, the uptake of the radiopharmaceutical in the liver at the end of 60 days will be higher in the group of women who performed manual lymphatic drainage. Assessed by goniometry, shoulder range of motion on the same side of the surgery will be better in the group of women who performed active exercises. | — |
Countries
Brazil
Contacts
Public ContactMariana Sunemi
Universidade Estadual de Campinas
Outcome results
None listed