Recommendations for Physiotherapy in Breast and Gynecological Cancer during COVID-19 Pandemic: Literature Review




Coronavirus Infections, Physical Therapy Modalities, eHealth Strategies, Breast Neoplasms, Genital Neoplasms, Female


Introduction: Considering COVID-19 pandemic, physiotherapeutic care for breast and gynecological cancer has the challenge of continuing or beginning the treatment, preventing or treating complications. Objective: To offer guidance about physiotherapy for breast and gynecological cancer during and after the COVID-19 pandemic. Method: Descriptive study produced after a public consultation about the theme and based on literature review and opinions of a group of experts. To classify the strength of the recommendations of the outcomes included, the GRADE system was used. Results: 82 Brazilian physiotherapists responded the online survey. Most of the professionals (36.6%) reported they needed information about the use of personal protective equipment and its hygiene, 18.3%, control and prevention of lymphedema, bandaging and skin care and 17.1%, pelvic floor dysfunction. The analysis of the public consultation, literature review and expert’s consensus resulted in recommendations related to the impact of the COVID-19 pandemic over the care to women undergoing breast or gynecological cancer treatment and on physiotherapy follow-up; on telephysiotherapy follow-up of the most prevalent complications; on women in palliative care and safety after resuming in-person consultation. Aspects of the decision making in relation to the format of the sessions were discussed and the criteria to return to in-person routine. Conclusion: This manuscript recommends the continuation of the physiotherapy services during and after the COVID-19 pandemic highlighting the educative and self-applied components of the sessions, prioritizing a physical activity plan and specific exercises to contribute for better quality of life of the women.


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Pinto e Silva MP, Sunemi MM de O, Fretta T de B, Fernandes ACNL, Mascarenhas LR de S, Dias M, Bergmann A, Ferreira CHJ, Amaral MTP do. Recommendations for Physiotherapy in Breast and Gynecological Cancer during COVID-19 Pandemic: Literature Review. Rev. Bras. Cancerol. [Internet]. 10º de junho de 2021 [citado 4º de fevereiro de 2023];67(2):e-191510. Disponível em:




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