THE IMPACT OF SENSORY ALTERATIONS ON UPPER LIMB FUNCTION AFTER A MASTECTOMY
Keywords:
Breast neoplasms, quality of life, upper extremity, sensation, mastectomyAbstract
Objective: To perform a descriptive analysis of the physical and clinical profile of women after a mastectomy, as well as to verify the functionality of the ipsilateral upper limb after surgery and to evaluate which quality of life questionnaire domains have repercussions on the functional capacity of this part of the body. Methods: Cross-sectional descriptive study, performed at the Centro de Oncologia Dr. Muccini, in Petrolina (Pernambuco, Brazil), with the participation of 53 patients. We used the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire to evaluate the functionality of the ipsilateral upper limb after surgery, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) and its breast cancer specific module (EORTC-QLQ-BR23) to measure quality of life. Results: The symptoms had a significant impact on the function of the patients’ upper limbs. Statistically significant correlations (p<0.05) were observed between the total DASH score and the symptoms (r=0.451 in the QLQ-C30 and r=0.535 in the QLQ-BR23) and the functionality (r=-0.488 and r=-0.448), which were negative. There was also a statistically significant association (p=0.001) between limitation in activities of daily living (ADLs) and the subjective presence of lymphedema. Conclusion: The sensory alterations resulting from a mastectomy are the main factors responsible for the development of modifications that affect the functionality of the ipsilateral upper limb after surgery. The subjective sensation of lymphedema was associated with limitations in the ADLs and with a decrease in the arm’s functional capacity.
Downloads
References
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2016: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2015.
Gonçalves LLC, Santos SB, Marinho EC, Almeida AM, Santos AHS, Barros AMMS, et al. Câncer de mama feminino: aspectos clínicos e patológicos dos casos cadastrados de 2005 a 2008 num serviço público de oncologia de Sergipe. Rev Bras Saúde Matern Infant. 2012;12(1):47-54.
Costa MADL da, Chagas SRP. Quimioterapia neoadjuvante no câncer de mama operável: revisão da literatura. Rev Bras Cancerol. 2013;59(2):261-9.
Hayes SC, Johansson K, Stout NL, Prosnitz R, Armer JM, Gabram S, et al. Upper-body morbidity after breast cancer: incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care. Cancer. 2012;118(8):2237-49.
Bezerra TS, Rett MT, Mendonça ACR, Santos de, Prado VM, DeSantana JM. Hipoestesia, dor e incapacidade no membro superior após radioterapia adjuvante no tratamento para câncer de mama. São Paulo. Rev Dor. 2012;13(4):320-6.
Disipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol. 2013;14:500-15.
Nascimento SL do, Oliveira RR de, Oliveira MMF de, Amaral MTP do. Complicações e condutas fisioterapêuticas após cirurgia por câncer de mama: estudo retrospectivo. Fisioter Pesq. 2012;19(3):248-55.
Majewski JM, Lopes ADF, Davoglio T, Leite JCC. Qualidade de vida em mulheres submetidas à mastectomia comparada com aquelas que se submeteram à cirurgia conservadora: uma revisão de literatura. Ciên Saúde Coletiva. 2012;17(3):707-16.
Sousa E, Carvalho FN de, Bergmann A, Fabro EAN, Dias R de A, Koifman RJ. Funcionalidade de membro superior em mulheres submetidas ao tratamento do câncer de mama. Rev Bras Cancerol. 2013;59(3):409-17.
Fangel LMV, Panobianco MS, Kebbe LM, Almeida AM de, Gozzo T de O. Qualidade de vida e desempenho de atividades cotidianas após tratamento das neoplasias mamárias. Acta Paul Enferm. 2013;26(1):93-100.
Orfale AG, Araújo PMP, Ferraz MB, Natour J. Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the disabilities of the arm, shoulder and hand questionnaire. Braz J MedBiol Res. 2005;38(2):293-302.
Michels FA, Latorre MR, Maciel MS. Validity, reliability and understanding of the EORTC-C30 and EORTC-BR23, quality of life questionnaires specific for breast cancer. Rev Bras Epidemiol. 2013;16(2):352-63.
Brasil. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional por Amostra de Domicílios: Síntese de indicadores 2014. Rio de Janeiro, 2015. p.42-4.
Rett MT, Santos AKG dos, Mendonça CRA, Oliveira IA de, DeSantana JM. Physical therapy effects on upper functional performance after breast cancer surgery. Rev Ciên Saúde. 2013;6(1):18-24.
Oliveira RR de, Morais SS, Sarian LO. Efeitos da reconstrução mamária imediata sobre a qualidade de vida de mulheres mastectomizadas. Rev Bras Ginecol Obstet. 2010;32(12):602-8.
Paredes CG, Pessoa SG de P, Peixoto DTT, Amorim DN de, Araújo JS, Barreto PRA. Impacto da reconstrução mamária na qualidade de vida de pacientes mastectomizadas atendidas no Serviço de Cirurgia Plástica do Hospital Universitário Walter Cantídio. Rev Bras Cir Plást. 2013;28(1):100-4.
Sinaei F, Zendehdel K, Adili M, Ardestani A, Montazeri A, Mohagheghi MA. Association between breast reconstruction surgery and quality of life in Iranian breast cancer patients. Acta Med Iran. 2017;55(1):35-41.
Bezerra TS, Rett MT, Mendonça ACR. Santos de, Prado VM, DeSantana JM. Hipoestesia, dor e incapacidade no membro superior após radioterapia adjuvante no tratamento para câncer de mama. Rev Dor. 2012;13(4):320-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Lidiane Régia Pereira Braga de Britto, Emanoella Carneiro de Souza, Lucimila Teixeira Ribeiro, Paulo Adriano Schwingel, Auxiliadora Renê Amaral de Melo, Paulo Loivo do Nascimento, Gray Josland Simões Portela
This work is licensed under a Creative Commons Attribution 4.0 International License.
