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Type: Artigo de periódico
Title: Manual Therapy Associated With Upper Limb Exercises Vs. Exercises Alone For Shoulder Rehabilitation In Postoperative Breast Cancer.
Author: Pace do Amaral, Maria Teresa
Freire de Oliveira, Mariana Maia
Ferreira, Néville de Oliveira
Guimarães, Renata Vidigal
Sarian, Luís Otávio
Gurgel, Maria Salete Costa
Abstract: Our objective was to evaluate the effectiveness of manual therapy (MT) associated with upper limb (UL) exercises in women with impaired shoulder range of motion (ROM) after axillary lymph node dissection (ALND) for breast cancer. A randomized, prospective, blinded clinical trial with 131 women with a ROM  <-  100° for shoulder flexion and/or abduction on the first day postoperatively were evaluated. Sixty-six women were allocated to group exercises and 65 underwent the exercises followed by MT. Shoulder ROM was measured by goniometry, and function was evaluated by the Modified-University of California at Los Angeles Shoulder Rating Scale--the UCLA Scale, in the 1st, 6th, 12th, and 18th month after surgery. The chi-square test was used for the relationship between clinical characteristics and oncological treatment between groups, and ANOVA for repeat measures was used. No difference in recovery of shoulder ROM as well as UL function was observed between groups. Improvement in ROM was gradual from the 1st to the 18th month, and the function achieving a good classification at 18th month. MT associated with exercises did not enhance the results obtained with exercises alone for shoulder ROM and ipsilateral UL function.
Subject: Adult
Arthrometry, Articular
Biomechanical Phenomena
Breast Neoplasms
Chi-square Distribution
Exercise Therapy
Lymph Node Excision
Middle Aged
Multivariate Analysis
Musculoskeletal Manipulations
Postoperative Complications
Prospective Studies
Range Of Motion, Articular
Shoulder Joint
Time Factors
Treatment Outcome
Citation: Physiotherapy Theory And Practice. v. 28, n. 4, p. 299-306, 2012-May.
Rights: fechado
Identifier DOI: 10.3109/09593985.2011.604709
Date Issue: 2012
Appears in Collections:Unicamp - Artigos e Outros Documentos

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