Limitation of shoulder movements
Conditions
Interventions
The physical therapy protocol consisted of three phases, totaling 24 sessions equivalent to twelve weeks of treatment. The sessions were conducted twice a week for each participant, with each session
however, the limit of each individual was respected. Stretching and warm-up sessions were held during all the phases, following the same chronological sequence at each session. All the exercises wer
Procedure/surgery
E02.760.169.063.500.387
Sponsors
Brazilian Mastology Research Network
Brazilian Mastology Research Network
Eligibility
Sex/Gender
Female
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Females were included between the 7th and 20th postoperative days of mastectomy or quadrantectomy associated with axillary lymphadenectomy at levels I, II and III of Berg; who were regularly followed up at the services proposed for the study.
Exclusion criteria
Exclusion criteria: The exclusion criteria were: to present lymphedema in the homolateral upper limb before and/or after surgery, open wounds and presence of infection at the surgery site, presence of drains and/or probes, as well as clinical pathologies in activity, such as heart failure, visual impairment, and faecal or urinary incontinence. Also excluded were women with orthopedic changes in the shoulder joint, such as impact syndrome and rotator cuff tendinopathy. Exclusion criteria related to breast cancer included metastatic disease, sentinel lymph node biopsy, immediate post-mastectomy breast reconstruction, and peitoral muscle resection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder movement angulations, verified from a computerized evaluation, compared to the movements of the shoulder against the side.;The angulations were verified according to the previously described methodology, and compared to the opposite shoulder. There was evaluation before and after therapy, with observation of increased angulation for flexion, abduction, adduction and external rotation of the shoulder. At the end of the proposed treatment, there was a statistically significant increase in angulation with respect to the movements of adduction, abduction, flexion and external rotation of the shoulder on the ipsilateral side, with an improvement of 12.4 degrees, 52.6 degrees, 45.5 degrees and 26.4 degrees, respectively. On the other hand, no improvement in ROM was found at the end of treatment insofar as extension of the ipsilateral limb was concerned (p=0.156) or with respect to the movement of internal rotation of the shoulder (p=0.480). | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety profile, verified through the description of clinical signs and symptoms, during the period of physical therapy.;Only two cases of grade I (mild) radiodermatitis, not related to physiotherapeutic treatment, were described. There were no severe or intervention-related adverse events. | — |
Countries
Brazil
Contacts
Public ContactRuffo Junior
Brazilian Mastology Research Network
Outcome results
None listed