Efeitos de Abordagens não Farmacológicas nos Sintomas Físicos de Indivíduos com Câncer Avançado: Revisão Sistemática

Autores

  • Amanda Tinôco Neto Santos Universidade do Estado da Bahia. Salvador (BA), Brasil.
  • Natali dos Santos Nascimento Universidade do Estado da Bahia. Salvador (BA), Brasil.
  • Priscila Godoy Januário Martins Alves Universidade do Estado da Bahia. Salvador (BA), Brasil.

DOI:

https://doi.org/10.32635/2176-9745.RBC.2022v68n2.2125

Palavras-chave:

neoplasias/terapia, cuidados paliativos, modalidades de fisioterapia, terapias complementares

Resumo

Introdução: O câncer e um problema de saúde publica que, em estágios avançados, pode ocasionar desconfortos físicos, psicossociais e espirituais. Assim, abordagens fisioterapêuticas e as Práticas Integrativas e Complementares em Saúde (PICS) surgem como ferramentas importantes para o controle e melhora de sintomas físicos nesses indivíduos. Objetivo: Descrever os efeitos de abordagens não farmacológicas, envolvendo técnicas fisioterapêuticas e PICS, nos sintomas físicos de indivíduos com câncer avançado. Método: Revisão sistemática da literatura composta por ensaios clínicos randomizados que abordassem os efeitos de abordagens fisioterapêuticas ou PICS nos sintomas físicos de indivíduos diagnosticados com câncer avançado. Foram selecionadas as bases de dados PubMed, LILACS, PEDro, Cochrane, SciELO, e a última busca ocorreu em abril de 2021. A avaliação da qualidade metodológica dos estudos foi realizada por meio da escala PEDro. Resultados: Vinte e dois estudos foram incluídos, e demonstraram que ambas as abordagens tem efeitos positivos para os sintomas físicos, como fadiga e dor, na população estudada. Conclusão: A fisioterapia e as PICS tem efeitos positivos nos sintomas físicos em indivíduos com diagnostico de câncer avançado. No entanto, existem poucos estudos com qualidade metodológica suficiente para confirmar a eficácia das duas abordagens nos desfechos estudados para essa população.

Downloads

Não há dados estatísticos.

Referências

Araújo Neto LA, Teixeira LA. De doença da civilização a problema de saúde pública: câncer, sociedade e medicina brasileira no século XX. Bol Mus Para Emílio Goeldi Cienc Hum. 2017;12(1):173-88. doi: https://doi.org/10.1590/1981.81222017000100010 DOI: https://doi.org/10.1590/1981.81222017000100010

Freire MEM, Sawada NO, França ISX, et al. Qualidade de vida relacionada à saúde de pacientes com câncer avançado: uma revisão integrativa. Rev Esc Enferm USP. 2014;48(2):357-67. doi: https://doi.org/10.1590/S0080-6234201400002000022 DOI: https://doi.org/10.1590/S0080-6234201400002000022

Mota DDCF, Pimenta CAM. Fadiga em pacientes com câncer avançado: conceito, avaliação e intervenção. Rev Bras Cancerol. 2002;48(4):577-83. doi: https://doi.org/10.32635/2176-9745.RBC.2002v48n4.2172 DOI: https://doi.org/10.32635/2176-9745.RBC.2002v48n4.2172

Nipp RD, El-Jawahri A, Moran SM, et al. The Relationship between physical and psychological symptoms and health care utilization in hospitalized patients with advanced cancer. Cancer. 2017;123(3):4720-7. doi: https://doi.org/10.1002/cncr.30912 DOI: https://doi.org/10.1002/cncr.30912

Pegorare ABGS. Avaliação dos níveis de dor e fadiga em pacientes com câncer de mama. Rev Eletrôn Estácio Saúde [Internet]. 2014 [acesso 2021 mar 15];3(2):1-11. Disponível em: http://revistaadmmade.estacio.br/index.php/saudesantacatarina/article/view/839/556

Bower JE, Bak K, Berger A, et al. Screening, assessment, and management of fatigue in adult survivors of cancer: an American Society of Clinical Oncology Clinical Practice guideline adaptation. J Clin Oncol. 2014;32(17):1840-50. doi: https://doi.org/10.1200/JCO.2013.53.4495 DOI: https://doi.org/10.1200/JCO.2013.53.4495

Silva MCM, Lopes Júnior LC, Nascimento LC, et al. Fadiga em crianças e adolescentes com câncer sob a perspectiva dos profissionais de saúde. Rev Latino-Am Enferm. 2016;24:e2784. doi: https://doi.org/10.1590/1518-8345.1159.2784 DOI: https://doi.org/10.1590/1518-8345.1159.2784

Dacal MPO, Silva IS. Impactos das práticas integrativas e complementares na saúde de pacientes crônicos. Saúde Debate. 2018;42(118):724-35. doi: https://doi.org/10.1590/0103-1104201811815 DOI: https://doi.org/10.1590/0103-1104201811815

Canário ACG, Cabral PUL, Paiva LC, et al. Physical activity, fatigue and quality of life in breast cancer patients. Rev Assoc Med Bras (1992). 2016;62(1):38-44. doi: https://doi.org/10.1590/1806-9282.62.01.38 DOI: https://doi.org/10.1590/1806-9282.62.01.38

Salvetti MG, Machado CSP, Donato SCT, et al. Prevalência de sintomas e qualidade de vida de pacientes com câncer. Rev Bras Enferm. 2020;73(2):e20180287. doi: https://doi.org/10.1590/0034-7167-2018-0287 DOI: https://doi.org/10.1590/0034-7167-2018-0287

Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700. doi: https://doi.org/10.1136/bmj.b2700 DOI: https://doi.org/10.1136/bmj.b2700

Shiwa SR, Costa LOP, Moser ADL, et al. PEDro: a base de dados de evidências em fisioterapia. Fisioter Mov. 2011;24(3):523-33. doi: https://doi.org/10.1590/S0103-51502011000300017 DOI: https://doi.org/10.1590/S0103-51502011000300017

Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions 4.2.6 [Internet]. Chichester (UK): John Wiley & Sons; [updated Sept 2006; cited 2021 Mar 15]. Available from: https://training.cochrane.org/handbook/archive/v4.2.6

Cheung DST, Yeung WF, Chau PH, et al. Patient-centred, self-administered acupressure for Chinese advanced cancer patients experiencing fatigue and co-occurring symptoms: a pilot randomised controlled trial. Eur J Cancer Care (Engl). 2020;e13314. doi: https://doi.org/10.1111/ecc.13314 DOI: https://doi.org/10.1111/ecc.13314

Jensen W, Baumann FT, Stein A, et al. Exercise training in patients with advanced gastrointestinal cancer undergoing palliative chemotherapy: a pilot study. Support Care Cancer. 2014;22(7):1797-806. doi: https://doi.org/10.1007/s00520-014-2139-x DOI: https://doi.org/10.1007/s00520-014-2139-x

Lai TKT, Cheung MC, Lo CK, et al. Effectiveness of aroma massage on advanced cancer patients with constipation: a pilot study. Complement Ther Clin Pract. 2011;17(1):37-43. doi: https://doi.org/10.1016/j.ctcp.2010.02.004 DOI: https://doi.org/10.1016/j.ctcp.2010.02.004

López-Sendín N, Alburquerque-Sendín F, Cleland JA, et al. Effects of physical therapy on pain and mood in patients with terminal cancer: a pilot randomized clinical trial. J Altern Complement Med. 2012;18(5):480-6. doi: https://doi.org/10.1089/acm.2011.0277 DOI: https://doi.org/10.1089/acm.2011.0277

Lim JTW, Wong ET, Aung SKH. Is there a role for acupuncture in the symptom management of patients receiving palliative care for cancer? A pilot study of 20 patients comparing acupuncture with nurse-led supportive care. Acupunct Med. 2011;29(3):173-9. doi: https://doi.org/10.1136/aim.2011.004044 DOI: https://doi.org/10.1136/aim.2011.004044

Nakano J, Ishii K, Fukushima T, et al. Effects of transcutaneous electrical nerve stimulation on physical symptoms in advanced cancer patients receiving palliative care. Int J Rehabil Res. 2020;43(1):62-8. doi: https://doi.org/10.1097/MRR.0000000000000386 DOI: https://doi.org/10.1097/MRR.0000000000000386

Porter LS, Carson JW, Olsen M, et al. Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. Support Care Cancer. 2019;27(11):4307-16. doi: https://doi.org/10.1007/s00520-019-04710-7 DOI: https://doi.org/10.1007/s00520-019-04710-7

Rief H, Akbar M, Keller M, et al. Quality of life and fatigue of patients with spinal bone metastases under combined treatment with resistance training and radiation therapy- a randomized pilot trial. Radiat Oncol. 2014;9:151. doi: https://doi.org/10.1186/1748-717X-9-151 DOI: https://doi.org/10.1186/1748-717X-9-151

Toth M, Marcantonio ER, Davis RB, et al. Massage therapy for patients with metastatic cancer: a pilot randomized controlled trial. J Altern Complement Med. 2013;19(7):650-6. doi: https://doi.org/10.1089/acm.2012.0466 DOI: https://doi.org/10.1089/acm.2012.0466

Vanderbyl BL, Mayer MJ, Nash C, et al. A comparison of the effects of medical Qigong and standard exercise therapy on symptoms and quality of life in patients with advanced cancer. Support Care Cancer. 2017;25(6):1749-58. doi: https://doi.org/10.1007/s00520-017-3579-x DOI: https://doi.org/10.1007/s00520-017-3579-x

Cheville AL, Kollasch J, Vandenberg J, et al. A home-based exercise program to improve function, fatigue, and sleep quality in patients with Stage IV lung and colorectal cancer: a randomized controlled trial. J Pain Symptom Manage. 2013;45(5):811-21. doi: https://doi.org/10.1016/j.jpainsymman.2012.05.006 DOI: https://doi.org/10.1016/j.jpainsymman.2012.05.006

Dhillon HM, Bell ML, van der Ploeg HP, et al. Impact of physical activity on fatigue and quality of life in people with advanced lung cancer: a randomized controlled trial. Ann Oncol. 2017;28(8):1889-97. doi: https://doi.org/10.1093/annonc/mdx205 DOI: https://doi.org/10.1093/annonc/mdx205

Galvão DA, Taaffe DR, Spry N, et al. Exercise preserves physical function in prostate cancer patients with bone metastases. Med Sci Sports Exerc. 2018;50(3):393-9. doi: https://doi.org/10.1249/MSS.0000000000001454 DOI: https://doi.org/10.1249/MSS.0000000000001454

Litterini AJ, Fieler VK, Cavanaugh JT, et al. Differential effects of cardiovascular and resistance exercise on functional mobility in individuals with advanced cancer: a randomized trial. Arch Phys Med Rehabil. 2013;94(12):2329-35. doi: https://doi.org/10.1016/j.apmr.2013.06.008 DOI: https://doi.org/10.1016/j.apmr.2013.06.008

Maddocks M, Halliday V, Chauhan A, et al. Neuromuscular electrical stimulation of the quadriceps in patients with non-small cell lung cancer receiving palliative chemotherapy: a randomized phase II study. PloS One. 2013;8(12):e86059. doi: https://doi.org/10.1371/journal.pone.0086059 DOI: https://doi.org/10.1371/journal.pone.0086059

Oldervoll LM, Loge JH, Lydersen S, et al. Physical exercise for cancer patients with advanced disease: a randomized controlled trial. Oncologist. 2011;16(11):1649-57. doi: https://doi.org/10.1634/theoncologist.2011-0133 DOI: https://doi.org/10.1634/theoncologist.2011-0133

Pyszora A, Budzyński J, Wójcik A, et al. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer. 2017;25(9):2899-2908. doi: https://doi.org/10.1007/s00520-017-3742-4 DOI: https://doi.org/10.1007/s00520-017-3742-4

Schuler MK, Hentschel L, Kisel W, et al. Impact of different exercise programs on severe fatigue in patients undergoing anticancer treatment - a randomized controlled trial. J Pain Symptom Manage. 2016;53(1):57-66. doi: https://doi.org/10.1016/j.jpainsymman.2016.08.014 DOI: https://doi.org/10.1016/j.jpainsymman.2016.08.014

Scott JM, Iyengar NM, Nilsen TS, et al. Feasibility, safety, and efficacy of aerobic training in pretreated patients with metastatic breast cancer: a randomized controlled trial. Cancer. 2018;124(12):2552-60. doi: https://doi.org/10.1002/cncr.31368 DOI: https://doi.org/10.1002/cncr.31368

Sikorskii A, Niyogi PG, Victorson D, et al. Symptom response analysis of a randomized controlled trial of reflexology for symptom management among women with advanced Breast Cancer. Support Care Cancer. 2020;28(3):1395-1404. doi: https://doi.org/10.1007/s00520-019-04959-y DOI: https://doi.org/10.1007/s00520-019-04959-y

Vadiraja HS, Rao RM, Nagarathna R, et al. Effects of yoga in managing fatigue in breast cancer patients: a randomized controlled trial. Indian J Palliat Care. 2017;23(3):247-52. doi: https://doi.org/10.4103/IJPC.IJPC_95_17 DOI: https://doi.org/10.4103/IJPC.IJPC_95_17

Wyatt G, Sikorskii A, Rahbar MH, et al. Health-related quality-of-life outcomes: a reflexology trial with patients with advanced-stage breast cancer. Oncol Nurs Forum. 2012;39(6):568-77. doi: https://doi.org/10.1188/12.ONF.568-577 DOI: https://doi.org/10.1188/12.ONF.568-577

Lina F. As práticas do cuidar na oncologia: a experiência da fisioterapia em pacientes com câncer de mama. Hist Ciênc Saúde–Manguinhos. 2010;17(Suppl 1):69-87. doi: https://doi.org/10.1590/S0104-59702010000500005 DOI: https://doi.org/10.1590/S0104-59702010000500005

O'Connor D, Lennon O, Wright S, et al. Self-directed home-based neuromuscular electrical stimulation (NMES) in patients with advanced cancer and poor performance status: a feasibility study. Support Care Cancer. 2020;28(11):5529-36. doi: https://doi.org/10.1007/s00520-020-05394-0 DOI: https://doi.org/10.1007/s00520-020-05394-0

Sheill G, Guinan E, O Neill L, et al. Physical activity and advanced cancer: the views of chartered physiotherapists in Ireland. Physiother Theory Pract. 2018;34(7):534-41. doi: https://doi.org/10.1080/09593985.2017.1422821 DOI: https://doi.org/10.1080/09593985.2017.1422821

Salakari MRJ, Surakka T, Nurminen R, et al. Effects of rehabilitation among patients with advances cancer: a systematic review. Acta Oncol. 2015;54(5):618-28. doi: https://doi.org/10.3109/0284186X.2014.996661 DOI: https://doi.org/10.3109/0284186X.2014.996661

Uster A, Ruehlin M, Mey S, et al. Effects of nutrition and physical exercise intervention in palliative cancer patients: a randomized controlled trial. Clin Nutr. 2018;37(4):1202-9. doi: https://doi.org/10.1016/j.clnu.2017.05.027 DOI: https://doi.org/10.1016/j.clnu.2017.05.027

Gentile D, Boselli D, O'Neill G, et al. Cancer pain relief after healing touch and massage. J Altern Complement Med. 2018;24(9-10):968-73. doi: https://doi.org/10.1089/acm.2018.0192 DOI: https://doi.org/10.1089/acm.2018.0192

Goldstein CF, Stefani NA, Zabka CF. Oncologia integrativa: das práticas complementares aos seus resultados. Acta Méd (Porto Alegre). 2018;39(2):292-305.

Rafii F, Ameri F, Haghani H, et al. The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns. Burns. 2020;46(1):164-71. doi: https://doi.org/10.1016/j.burns.2019.02.017 DOI: https://doi.org/10.1016/j.burns.2019.02.017

Sayari S, Nobahar M, Ghorbani R. Effect of foot reflexology on chest pain and anxiety in patients with acute myocardial infarction: a double blind randomized clinical trial. Complement Ther Clin Pract. 2021;42:101296. doi: https://doi.org/10.1016/j.ctcp.2020.101296 DOI: https://doi.org/10.1016/j.ctcp.2020.101296

Ben-Arye E, Steiner M, Karkabi K, et al. Barriers to integration of traditional and complementary medicine in supportive cancer care of arab patients in northern Israel. Evid Based Complement Alternat Med. 2012;2012:401867. doi: https://doi.org/10.1155/2012/401867 DOI: https://doi.org/10.1155/2012/401867

Lopes-Júnior LC, Rosa GS, Pessanha RM, et al. Efficacy of the complementary therapies in the management of cancer pain in palliative care: a systematic review. Rev Latino-Am Enferm. 2020;28:e3377. doi: https://doi.org/10.1590/1518-8345.4213.3377 DOI: https://doi.org/10.1590/1518-8345.4213.3377

Behzadmehr R, Dastyar N, Moghadam MP, et al. Effect of complementary and alternative medicine interventions on cancer related pain among breast cancer patients: a systematic review. Complement Ther Med. 2020;49:102318. doi: https://doi.org/10.1016/j.ctim.2020.102318 DOI: https://doi.org/10.1016/j.ctim.2020.102318

Ben-Arye E, Aharonson ML, Schiff E, et al. Alleviating gastro-intestinal symptoms and concerns by integrating patient-tailored complementary medicine in supportive cancer care. Clin Nutr. 2015;34(6):1215-23. doi: https://doi.org/10.1016/j.clnu.2014.12.011 DOI: https://doi.org/10.1016/j.clnu.2014.12.011

Downloads

Publicado

2022-06-21

Como Citar

1.
Santos ATN, Nascimento N dos S, Alves PGJM. Efeitos de Abordagens não Farmacológicas nos Sintomas Físicos de Indivíduos com Câncer Avançado: Revisão Sistemática. Rev. Bras. Cancerol. [Internet]. 21º de junho de 2022 [citado 28º de junho de 2022];68(2):e-172125. Disponível em: https://rbc.inca.gov.br/index.php/revista/article/view/2125

Edição

Seção

REVISÃO DE LITERATURA

Artigos mais lidos pelo mesmo(s) autor(es)