Non-Pharmacological Methods and Techniques in the Treatment of Cancer Pain: Literature Systematic Review
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n4.2667Keywords:
cancer pain, pain management, complementary therapies, treatment outcomeAbstract
Introduction: Pain is an unpleasant sensation and responsible for several harms in the lives of cancer patients. This symptom can be related to several factors, has multiple levels of intensity and time of onset, it may be associated with the invasive spread of cancer cells in the body or as a result of anticancer treatment. Objective: Check which are the non-pharmacological techniques and methods adopted in the treatment of cancer pain, as well as describe their therapeutic efficacy. Method: Systematic literature review registered at PROSPERO, number CRD42021244286. Scientific articles on the subject were searched in electronic databases LILACS, PubMed, PEDro, Cochrane/CENTRAL, in Portuguese, English and Spanish, from 2010 to 2020, according to the inclusion criteria; randomized controlled clinical trials, whose sample consisted of adults over 18 years old, of both sexes, with cancer-related pain, who used non-pharmacological methods and techniques to treat the pain. Results: Twelve articles were included for analysis with a total sample of 885 patients submitted to protocols of non-pharmacological techniques with acupuncture, auricular acupuncture, acupressure, electrotherapy, yoga, manual therapy exercises, reflexology, massage and education program for pain management. All articles analyzed showed good results in the treatment of cancer pain. Conclusion: The modalities of complementary therapies, health literacy and electrical stimulation can contribute to reduce pain, however, exercise programs are effective only during the treatment period.
Downloads
References
Meier AC, Siqueira FD, Pretto CR, et al. Análise da intensidade, aspectos sensoriais e afetivos da dor de pacientes em pós-operatório imediato. Rev Gaúcha Enferm. 2017;38(2):e62010. doi: https://doi.org/10.1590/1983-1447.2017.02.62010
DeSantana JM, Perissinotti DMN, Oliveira Junior JM, et al. Definição de dor revisada após quatro décadas. BrJP. 2020;3(3):197-8. doi: https://doi.org/10.5935/2595-0118.20200191
Ruela LO, Iunes DH, Nogueira DA, et al. Efetividade da acupuntura auricular no tratamento da dor oncológica: ensaio clínico randomizado. Rev Esc Enferm USP. 2018;52:e03402. doi: https://doi.org/10.1590/S1980-220X2017040503402
Instituto Nacional de Câncer [Internet]. Rio de Janeiro: INCA; [data desconhecida]. Estatísticas de câncer; 2022 jun 23 [atualizado 2022 jul 18; acesso 2022 ago 5]. Disponível em: https://www.inca.gov.br/numeros-de-cancer
Barros MAA, Pereira FJR, Abrantes MW, et al. Produção científica acerca da dor em cuidados paliativos: contribuição da enfermagem no cenário brasileiro. Rev Fun Pesqui Cud. 2020;12:744-50. doi: https://doi.org/10.9789/2175-5361.rpcfo.v12.9452
Sallum AMC, Garcia DM, Sanches M. Dor aguda e crônica: revisão narrativa da literatura. Acta Paul Enferm. 2012;25(Spe 1):150-4. doi: https://doi.org/10.1590/S0103-21002012000800023
Page MJ, Moher D, Bossuyt PM, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160. doi: https://doi.org/10.1136/bmj.n160
Carvalho APV, Silva V, Grande AJ. Avaliação do risco de viés de ensaios clínicos randomizados pela ferramenta da colaboração Cochrane. Diagn Tratamento [Internet]. 2013 [acesso 2021 maio 16];18(1):3-44. Disponível em: http://files.bvs.br/upload/S/1413-9979/2013/v18n1/a3444.pdf
McGuinness LA, Higgins JPT. Risk-of-bias VISualization (robvis): an R package and shiny web app for visualizing risk-of-bias assessments. Res Synth Methods. 2021;12(1):55-61. doi: https://doi.org/10.1002/jrsm.1411
Elgohary HM, Eladl HM, Soliman AH, et al. Effects of ultrasound, laser and exercises on temporomandibular joint pain and trismus following head and neck cancer. Ann Rehabil Med. 2018;42(6):846-53. doi: https://doi.org/10.5535/arm.2018.42.6.846
Eyigor S, Uslu R, Apaydın S, et al. Can yoga have any effect on shoulder and arm pain and quality of life in patients with breast cancer? A randomized, controlled, single-blind trial. Complement Ther Clin Pract. 2018;32:40-5. doi: https://doi.org/10.1016/j.ctcp.2018.04.010
De Groef A, Van Kampen M, Vervloesem N, et al. Myofascial techniques have no additional beneficial effects to a standard physical therapy programme for upper limb pain after breast cancer surgery: a randomized controlled trial. Clin Rehab. 2017;31(12):1625-35. doi: https://doi.org/10.1177/0269215517708605
Ibrahim NM, Abdelhameed KM, Kamal SMM, et al. Effect of transcranial direct current stimulation of the motor cortex on visceral pain in patients with hepatocellular carcinoma. Pain Med. 2018;19(3):550-60. doi: https://doi.org/10.1093/pm/pnx087
Kashyap K, Singh V, Mishra S, et al. The efficacy of scrambler therapy for the management of head, neck and thoracic cancer pain: a randomized controlled trial. Pain Physician [Internet]. 2020 [cited 2020 Sept 16];23(5):495-506. Available from: https://www.painphysicianjournal.com/current/pdf?article=NzEzMQ%3D%3D&journal=130
Molassiotis A, Suen LKP, Cheng HL, et al. A randomized assessor-blinded wait-list-controlled trial to assess the effectiveness of acupuncture in the management of chemotherapy-induced peripheral neuropathy. Integr Cancer Ther. 2019;18. doi: https://doi.org/10.1177/1534735419836501
Nia HS, Sharif SP, Yaghoobzadeh A, et al. Effect of acupressure on pain in Iranian leukemia patients: a randomized controlled trial study. Int J Nurs Pract. 2017;23(2):e12513. doi: https://doi.org/10.1111/ijn.12513
Rambod M, Pasyar N, Shamsadin M. The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: a clinical trial. Eur J Oncol Nurs. 2019;43:101678. doi: https://doi.org/10.1016/j.ejon.2019.101678
Tse MMY, Wong ACF, Ng HN, et al. The effect of a pain management program on patients with cancer pain. Cancer Nurs. 2012;35(6):438-46. doi: https://doi.org/10.1097/NCC.0b013e3182360730
Uysal N, Kutlutürkan S, Uğur I. Effects of foot massage applied in two different methods on symptom control in colorectal cancer patients: randomised control trial. Int J Nurs Pract. 2017;23(3):e12532. doi: https://doi.org/10.1111/ijn.12532
Xu LP, Yang SL, Su SQ, et al. Effect of wrist-ankle acupuncture therapy combined with auricular acupuncture on cancer pain: a four-parallel arm randomized controlled trial. Complement Ther Clin Pract. 2020;39:101170. doi: https://doi.org/10.1016/j.ctcp.2020.101170
Vieira SC. Oncologia básica: para profissionais de saúde. Teresina (PI): EDUFPI; 2016.
Pergolizzi JV, Gharibo C, Ho KY. Treatment considerations for cancer pain: a global perspective. Pain Pract. 2015;15(8):778-92. doi: https://doi.org/10.1111/papr.12253
Ratto CSS. Escalas de avaliação de dor utilizadas em oncologia: revisão sistemática [tese na Internet]. São Paulo: Fundação Antônio Prudente em Oncologia; 2019 [acesso 2022 jul 30]. Disponível em: https://accamargo.phlnet.com.br/Doutorado/2019/CSantejo/CSantejo.pdf
Medeiros RD, Saad M. Acupuntura: efeitos fisiológicos além do efeito placebo. Mundo Saúde [Internet]. 2009 [acesso 2021 dez 12];33(1):69-72. Disponível em: http://www.saocamilo-sp.br/pdf/mundo_saude/66/69a72.pdf
Ministério da Saúde (BR). Manual de implantação de serviços de práticas integrativas e complementares no SUS [Internet]. Brasília (DF): Ministério da Saúde; 2018 [acesso 2021 dez 6]. Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/manual_implantacao_servicos_pics.pdf
Simão S, Höring AC, Lima BO, et al. Efeito imediato da quick massage sobre a tensão muscular e o limiar de tolerância de dor à pressão. BrJP. 2021;4(3):221-4. doi: https://doi.org/10.5935/2595-0118.20210048
Domingos HYB, Moreira SS, Alves MS, et al. Cinesioterapia para melhora da qualidade de vida após cirurgia para câncer de mama. Fisioter Bras. 2021;22(3):385-97. doi: https://doi.org/10.33233/fb.v22i3.4718
Lee SH, Kim WY, Lee CH, et al. Effects of cranial electrotherapy stimulation on preoperative anxiety, pain and endocrine response. J Int Med Res. 2013;41(6):1788-95. doi: https://doi.org/10.1177/0300060513500749
Notaro P, Dell'Agnola CA, Dell'Agnola AJ, et al. Pilot evaluation of scrambler therapy for pain induced by bone and visceral metastases and refractory to standard therapies. Support Care Cancer. 2016;24(4):1649-54. doi: https://doi.org/10.1007/s00520-015-2952-x
Alfredo PP, Steagall Junior W, Casarotto RA. Efficacy of continuous and pulsed therapeutic ultrasound combined with exercises for knee osteoarthritis: a randomized controlled trial. Clin Rehabil. 2020;34(4):480-90. doi: https://doi.org/10.1177/0269215520903786
Dababou S, Marrocchio C, Scipione R, et al. High-intensity focused ultrasound for pain management in patients with cancer. Radiographics. 2018;38(2):603-23. doi: https://doi.org/10.1148/rg.2018170129
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.