Analysis of Muscle Strength and Mobility of Patients with Hematologic Cancer Consulted at Physiotherapy in a High Complexity Oncology Clinic
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n4.2548Keywords:
hematologic neoplasms, muscle strength, mobility limitation, physical therapy department, hospitalAbstract
Introduction: Cancer is the name given to a set of more than 100 diseases characterized by abnormal and accelerated growth of cells, and can be considered solid or hematological. Hematological neoplasms lead to specific changes that can contribute to inactivity, mainly due to the high risk of bleeding, inducing functional losses, being important to perform physical therapy to prevent or minimize these losses. Objective: Analyze the muscle strength and mobility of patients with hematological cancer admitted to a reference hospital in the Federal District. Method: Retrospective, quantitative longitudinal study. The collection was performed with secondary data from electronic medical records and physical therapy monitoring spreadsheets from June to December 2020. Muscle strength was analyzed using manual dynamometry and also with the Medical Research Council scale (MRC) and mobility by the ICU Mobility Scale (IMS). Results: Of the 86 individuals screened, 43 were eligible for the study. No significant differences were noticed in muscle strength and mobility in an analysis from admission to hospital discharge. There was a moderate and significant association between MRC and IMS at admission (r=0.575 and p<0.001) and at discharge (r=0.481 and p=0.001). No significant associations between dynamometry and mobility were found. Conclusion: This study allowed the identification of the profile of onco-hematological patients in follow-up, suggesting that physiotherapy contributed to maintain the functionality of these patients.
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Batista DRR, Mattos M, Silva SF. Convivendo com o câncer: do diagnóstico ao tratamento. Rev Enferm UFSM. 2015;5(3):499-510. doi: https://doi.org/10.5902/2179769215709
Souza MV, Christofoletti M, Streb AR, et al. Quality of life and functional capacity during the treatment of hematologic neoplasms. Fisioter Mov. 2018;31:e003137. doi: https://doi.org/10.1590/1980-5918.031.AO37
Silva FC, Araújo LS, Frizzo MN. Neoplasias hematológicas no idoso: uma revisão. Rev Saúde Integr. 2015;8(15-16).
Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil [Internet]. Rio de Janeiro: INCA; 2019 [acesso 2021 out 18]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Halama A, Kulinski M, Dib SS, et al. Accelerated lipid catabolism and autophagy are cancer survival mechanisms under inhibited glutaminolysis. Cancer Lett. 2018;430:133-47. doi: https://doi.org/10.1016/j.canlet.2018.05.017
O’Regan P, McCarthy G, O’Reilly S, et al. Cancer-related fatigue and self-care agency: a multicentre survey of patients receiving chemotherapy. J Clin Nurs. 2019;28(23-24):4424-33. doi: https://doi.org/10.1111/jocn.15026
Sousa RM, Santo FHE, Santana RF, et al. Diagnósticos de enfermagem identificados em pacientes onco-hematológicos: mapeamento cruzado. Esc Anna Nery. 2015;19(1):54-65. doi: https://doi.org/10.5935/1414-8145.20150008
Booth FW, Roberts CK, Thyfault JP, et al. Role of inactivity in chronic diseases: evolutionary insight and pathophysiological mechanisms. Physiol Rev. 2017;97(4):1351-1402. doi: https://doi.org/10.1152/physrev.00019.2016
Brown CJ, Foley KT, Lowman Jr JD, et al. Comparison of posthospitalization function and community mobility in hospital mobility program and usual care patients: a randomized clinical trial. JAMA Intern Med. 2016;176(7):921-7. doi: https://doi.org/10.1001/jamainternmed.2016.1870
Steffens D, Beckenkamp PR, Hancock M, et al. Preoperative exercise halves the postoperative complication rate in patients with lung cancer: a systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer. Br J Sports Med. 2018;52(5):344. doi: https://doi.org/10.1136/bjsports-2017-098032
De Paula DAG, Piatti NCTP, Costa LM, et al. Satisfaction levels with physical therapy in hospitalized patients. Braz J Phys Ther. 2020;24(2):118-23. doi: https://doi.org/10.1016/j.bjpt.2019.02.012
Fess EE. Grip strength. In: Casanova JS, editor. Clinical assessment recommendations. 2nd ed. Chicago: American Society of Hand Therapists; 1992. p. 41-5.
Vento DA, Faria AM, Silva LG, et al. Utilização da escala do medical Research Council no desmame em pacientes críticos: revisão de literatura. Rev Educ Saúde. 2018;6(2):125-32. doi: https://doi.org/10.29237/2358-9868.2018v6i2.p125-132
Silva BR, Souza ITC, Fernandes ATNSF. The use of functional scales in intensive therapy and barriers for its use. BJD. 2021;7(1):2101-13. doi: https://doi.org/10.34117/bjdv7n1-143
Dancey CP, Reidy J. Estatística sem matemática: para psicologia usando SPSS para Windows. 3. ed. Porto Alegre: Artmed; 2013.
Pastores SM, Goldman DA, Shaz DJ, et al. Characteristics and outcomes of patients with hematologic malignancies receiving chemotherapy in the intensive care unit. Cancer. 2018;124(14):3025-36. doi: https://doi.org/10.1002/cncr.31409
Hui D, Didwaniya N, Vidal M, et al. Quality of end-of-life care in patients with hematologic malignancies: a retrospective cohort study. Cancer. 2014;120(10):1572-8. doi: https://doi.org/10.1002/cncr.28614
Candrilli S, Bell T, Irish W, et al. A comparison of inpatient length of stay and costs among patients with hematologic malignancies (excluding hodgkin disease) associated with and without acute renal failure. Clin Lymphoma Myeloma. 2008;8(1):44-51. doi: https://doi.org/10.3816/CLM.2008.n.003
Klassen O, Schmidt ME, Ulrich CM, et al. Muscle strength in breast cancer patients receiving different treatment regimes. J Cachexia Sarcopenia Muscle. 2017;8(2):305-16. doi: https://doi.org/10.1002/jcsm.12165
Paiva BKR, Sarandini YM, Silva AE. Sintomas de fadiga e força muscular respiratória de pacientes onco-hematológicos em quimioterapia. Rev Bras Cancerol. 2021;67(3):e-121309. doi: https://doi.org/10.32635/2176-9745.RBC.2021v67n3.1309
Marques VA, Ferreira-Junior JB, Lemos TV, et al. Effects of chemotherapy treatment on muscle strength, quality of life, fatigue, and anxiety in women with breast cancer. Int J Environ Res Public Health. 2020;17(19):7289. doi: https://doi.org/10.3390/ijerph17197289
Nascimento NS, Mattos NCPM, Marques SS, et al. Influência do tempo de internamento sobre a força muscular respiratória e nível funcional de adultos com leucemia e linfoma. Rev Bras Cancerol. 2018;64(4):533-9. doi: https://doi.org/10.32635/2176-9745.RBC.2018v64n4.202
Nava LP, Barroso BF, Dias AS, et al. Repercussões do tratamento de câncer de mama sobre a funcionalidade de membro superior. ConScientiae Saúde. 2019;18(3):402-13. doi: https://doi.org/10.5585/conssaude.v18n3.11016
Carvalho ESV, Leão ACM, Bergmann A. Functionality of upper gastrointestinal cancer patients which have undertaken surgery in hospital phase. ABCD Arq Bras Cir Dig. 2018;31(1):e1353. doi: https://doi.org/10.1590/0102-672020180001e1353
Galaverna LSG, Dornellas LF, Nogueira MSD, et al. Funcionalidade e incapacidade de mulheres submetidas à cirurgia oncológica mamária: uso da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Rev Bras Cancerol. 2021;67(4):e-181488. doi: https://doi.org/10.32635/2176-9745.RBC.2021v67n4.1488
Instituto Nacional de Câncer José Alencar Gomes da Silva. ABC do câncer: abordagens básicas para o controle do câncer [Internet]. 6. ed. rev. atual. Rio de Janeiro: INCA; 2020 [acesso 2021 out 22]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document/livro_abc_6ed_0.pdf
Pimpão HA, Bortolazzi IP, Mattos GP, et al. Impacto Clínico da Fisioterapia Pré-Operatória nas Complicações Pulmonares Pós-Operatórias de Pacientes Oncológicos. Rev Bras Cancerol. 2021;67(1) e-101211. doi: https://doi.org/10.32635/2176-9745.RBC.2021v67n1.1211
Cruz TC, Mattos NCPM, Nascimento NS, et al. Evaluation of quality of life of patients hospitalized with leukemia and lymphoma. Rev Pesq Fisio. 2018;8(1):94-100. doi: https://doi.org/10.17267/2238-2704rpf.v8i1.1789
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