Effectiveness of Exercises without Restriction of Shoulder Range of Movement in the Postoperative Basis of Breast Cancer: Systematic Literature Review
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n3.4702Keywords:
Breast Neoplasms/surgery, Physical Exercise, Range of Motion, Articular, Muscle Strength, Seroma/surgeryAbstract
Introduction: Breast cancer is the most common type of cancer in women worldwide. Since surgical approach is a treatment choice for breast cancer, in the postoperative, physiotherapeutic techniques can be used for rehabilitation, such as kinesiotherapy. Objective: To review the effectiveness of upper limb exercises in the postoperative period for breast cancer in improving range of motion and function of the upper limbs, gaining muscle strength and the appearance of seroma. Method: Review of randomized clinical trials that evaluated the effects of an exercise program on range of motion, muscle strength, upper limb function and seroma in the arm and breast ipsilateral to breast cancer surgery in female participants. Results: 284 studies were found in the databases, after eligibility, five studies were included in this review. Three articles evaluated range of motion, two evaluated the incidence of seroma, two articles evaluated the function of the upper limbs and one article the strength of the upper limbs. Conclusion: Performing an immediate intervention in the postoperative of breast cancer gives patients a better range of movement to carry out their activities of daily living, while minimizing delays for adjuvant therapies. Starting the exercise program immediately on the postoperative period, either on the 1st or 15th day, or starting after removing stitches and drains, as previously protocolled, will have the same probability of seroma formation.
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