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allied
academies
February 25-26, 2019 | Paris, France
13
th
World Cancer Congress
Journal of Medical Oncology and Therapeutics | Volume 4
Range of motion and upper limb function in postoperative mastectomy compared to quadrantectomy
Maria de Lourdes Silva Marques Ferreira
University of São Paulo – UNESP, Brazil
B
reast cancer is worldwide incident among women,
whose surgery is frequent and associated with numerous
functional changes. The objective of this study is to assess
the range of motion and upper limb function postoperatively
before and after physiotherapy intervention of women who
underwent mastectomy and quadrantectomy.
This is interventional study, descriptive and exploratory,
quantitative approach, with 64 women undergoing conservative
surgery and mastectomy with follow up at the gynecology
outpatient clinic and referred for physical therapy at the Hospital
dasClinicas,UNESP. Goniometryof flexion/ extension, abduction
/ adduction and internal rotation / side was performd, measures
performed before and three months after the herapy.
The chi square test with 0.005 significance level showed that
quadrantectomy or mastectomy, not differentiated in relation
to the variables; schooling, family income, color, marital status,
religion, breast affected, clinical staging, menarche, body mass
index and contraceptive methods. There was no association
between type of surgery and the median age (type 1: 55 (37-
57) x 2 type: 54 (37-82), p = 0.331 by Mann-Whitney).
After physiotherapy, the flexion of the homo- and contralateral
arm, as well as the homolateral abduction and homolateral
extension increased significantly in both surgeries. The
contralateral abduction was maintained in both surgeries.
The physiotherapeutic intervention provided a significant
improvement in the range of movements.
e:
malusa@fmb.unesp.br