Mastectomy
Conditions
Interventions
First, a face-to-face assessment of patients will be carried out in an approximate period of 15 days after the surgery, after the removal of the stitches and surgical drain. Subsequently, patients wil
E02760169063500891
Sponsors
Hospital Universitário João de Barros Barreto
Hospital Universitário João de Barros Barreto
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with age above 18 years. be male and female. having a diagnosis of breast cancer in all of its clinical stages. having undergone surgery for the treatment of breast cancer mom. be in a period of 15 days after surgery. show ability to preserved verbal communication. being accompanied at the João de Barros Barretos University Hospital
Exclusion criteria
Exclusion criteria: Having an associated disease that may generate some other type of functional impairment. have high-intensity pain. not have access to a cell phone. do not accept to sign the Free and Informed Consent Form
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: Seeks to verify whether the telerehabilitation protocol promotes increased muscle strength, improved AMD, increased shoulder functionality, improved quality of life, reduced fatigue and pain in patients undergoing mastectomy surgical treatment compared to the group of patients who underwent face-to-face physiotherapy. These data will be verified using the evaluation method of strength dynamometer, goniometry, Disabilities of the Arm, Shoulder and Hand questionnaire, Functional Assessment of Cancer Therapy – General questionnaire, Functional Assessment of Cancer Therapy – Fatigue questionnaire and visual analogue pain scale, after a 6-week intervention protocol (45 days), being evaluated on the 15th and 45th day PO, based on the statistical difference of an alpha value lower than 0.05 for the group that performed only telerehabilitation compared to the group that performed face-to-face physiotherapy, thus verifying the expected outcomes actually occurred.;Outcome found 1: The research found that the group of patients who underwent telerehabilitation had ROM, verified through goniometry of the shoulder joint, significantly higher than the group that underwent in-person physiotherapy in flexion movements (P-value: 0.0041 and 0.0001), abduction (P-value: 0.0047 and 0.0001), extension (P-value: 0.0109 and 0.0105), and external rotation (P-value: (P-value: 0.0109 and 0.0277) in 15th and 45th day PO. Regarding muscular strength, assessed by dynamometry for the shoulder muscles, a statistically superior result was noted for flexion movements (P-value: 0.0116) on the 45th day and abduction (P-value: 0.0110 and 0.0318) on the 15th and 45th PO days. The shoulder functionality variables (P-value: 0.0215 and 0.0004), assessed using the Disabilities of the Arm, Shoulder and Hand questionnaire and pain (P-value: 0.0122 and 0.0047), assessed using the visual analogue pain scale, showed a statistical difference between the group that underwent face-to-face phys | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcomes are expected. | — |
Countries
Brazil
Contacts
Public ContactSaul Carneyro
Hospital Universitário João de Barros Barreto
Outcome results
None listed