Knowledge of Unskilled Breast Oncology Physical Therapists About Exercises and Guidelines in Postoperative Breast Cancer
DOI:
https://doi.org/10.32635/2176-9745.RBC.2023v69n4.4470Keywords:
breast neoplasms, mastectomy, exercise therapy, physical therapy specialtyAbstract
Introduction: Breast cancer treatment can cause physical and psychological impairments. The current literature advocates that exercises with free range of motion allow patients good functional recovery of the shoulder without increasing the risk of complications, and that progressive resistance exercises are recommended. There is no evidence that procedures on the arm increase the risk of lymphedema. Objective: To evaluate the knowledge of unskilled oncology and women’s health physical therapists regarding the conduct adopted with patients post breast cancer surgery. Method: Prospective cross-sectional observational study carried out with a self-reported questionnaire on the physiotherapist’s performance in the postoperative period of breast cancer. Results: Forty-four professionals participated in the study, 50% of which had already assisted patients in the postoperative period of breast cancer, 47.7% believe that patients should perform active mobilization of the upper limbs in up to 90º of amplitude, not exceeding the shoulder line in surgeries without immediate reconstruction and 25% advised restriction to any type of load and/or resistance exercises pending medical approval. Most of the professionals investigated advised not to measure blood pressure in the ipsilateral limb to the surgery and not puncture peripheral venous access or collect exams on the limb. Conclusion: The conduct adopted by most of the resident and caring professionals investigated is based in outdated recommendations on limb movements, resistance exercises and prevention of lymphedema post breast cancer surgery.
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