Pre-operatory physical therapy in candidates for surgery ofhead and neck cancer
DOI:
https://doi.org/10.32635/2176-9745.RBC.1998v44n2.2807Keywords:
Head And Neck Neoplasms And Surgery, Pulmonary Rehabilitation, Lung Obstructive Disease, Inspiratory Muscle Training, Respiratory Muscle ExaminationAbstract
It’s well known the correlation of head and neck neoplasms and tobacco, and that its functional disorders, which are similar to those ofChronic Obstructive Pulmonary Disease (COPD). The purpose of this article is to evaluate the effectiveness of the physical therapy on such disorders before the surgical procedure for head and neck cancers. We have studied 46 head and neck cancer patients under evaliiation for head and neck cancer. It has been done, in the preoperatory period, the assessment of the Maximal Inspiratory Pressure (MIP), Maximal Voluntary Ventilation (porcentagefor the anticipate theoric volume - MVV%), Karnofsky Performance Scale and muscular respiratory examination, before and after 10 sessions with the following routine: inhalation associated with Respiratory Muscle Pattern and threshold. The statistical analysis showed that the samples for the muscular evaluation (MIP, MVV% and muscular respiratory examination) are different and thus we can conclude that physical therapy is effective in the treatment of the functional disorders caused by COPD.
Downloads
References
Shantz, S.P.; Harrison, L.B.; Hong, W.K. - Câncer of the head and neck. In: De Vita, V.T.; Hellman, S.; Rosenberg, S.A. – Cancer: principies and practice of oncology, vol. 1. Philadelphia: J.B. Lippincott Company, 574-672, 1993.
Cuello, A.F. - Fumante crônico. In: Cuello, A.F. - Bronco-Obstrução. São Paulo: Editorial Médica Panamericana, 75-80, 1993.
Reid, W.D.; Samrai, B. - Respiratory muscle training for patients with COPD. Phys Ther, 75(1): 996-1005, 1995. DOI: https://doi.org/10.1093/ptj/75.11.996
Rosemberg, J. - Tabagismo e doenças pulmonares. In: Tarantino, A.B. – Doenças pulmonares. Terceira edição. Rio de Janeiro: Editora Guanabara Koogan, 115-124,1 Editorial Silka, 11-60, 1980.
Marshal, M.C.; Olsen, G.N. -The physiologic evaluation of the lung resection candidate. Clin ChestMed, 14(2): 305-320, 1993. DOI: https://doi.org/10.1016/S0272-5231(21)00893-5
Clanton, T.L.; Diaz, P.T. - Clinicai assessment of the respiratory muscles. Phys Ther, 75(11): 983-995, 1995. DOI: https://doi.org/10.1093/ptj/75.11.983
Machado, M.G.R. - DBPOC - Treinamento dos músculos respiratórios. In: Azeredo, C.A.C. - Fisioterapia respiratória moderna. São Paulo: Editora Manole, 201-210, 1993.
Cuello, A.F. - Exámen muscular respiratório. In: Cuello, A.F. Kinesiologia Neumo Cardiológica. Buenos Aires: Editorial Silka, 11-60, 1980.
Roberts, W.L. - Rehabilitation of the head and neck câncer. In: McGarvey III, C.L. Clinics in physical therapy. Physical therapy for the cancer patient. New York: Churchill Livingstone, 47-65, 1990.
Snow, J.B. - Surgicalmanagementof head and neck câncer. Semin Oncol, 15: 20, 1988. DOI: https://doi.org/10.5981/jjhnc1974.15.20
Cuello, G.A.; Masciantonio, L.; Cuello, A.F. - Patrones respiratórios in distintas afecciones. Corde, 3(3): 48-59, 1982.
Brito, J.R.B. - Reabilitação pulmonar. In: Tarantino, A.B. - Doenças pulmonares. Terceira edição. Rio de Janeiro: Editora Guanabara Koogan, 280-289, 1990.
West, J.B. - Testes de função pulmonar. Como a fisiologia respiratória se aplica à determinação da função pulmonar. In: West, J.B. - Fisiologia respiratória moderna. Terceira edição. São Paulo: Editora Manole Ltda., 145-159, 1990.
Love, R.R. - História natural do câncer humano. In: Hossfeld, D.K.; Love, R.R.; Bosch, F.X. Manual de oncologia clínica. Segunda edição. São Paulo: Springer-Verlag, Fundação Oncocentro de São Paulo, 21-31, 1993.
