Efeitos da mastectomia nos parâmetros baropodometricos de pacientes com câncer de mama

Conteúdo do artigo principal

Fanny Valencia Legarda
Nelson Iván Cupitra Vergara
Camilo Andrés Páramo Velásquez
David Correa Castaño
Catalina Lopera Muñeton

Resumo

Objetivo: A mastectomia após câncer de mama produz diversas alterações posturais e biomecânicas nos planos frontal e sagital. Tais mudanças levam a alteração da cinemática da coluna, desequilíbrio muscular e alteração do suporte de peso do pé. Este estudo tem como objetivo descrever as alterações baropodométricas após mastectomia, com base em análises baropodométricas de pressão média e carga estática.


Metodologia: foi realizado estudo correlacional descritivo. Propriedades de carga nos pés foram identificadas em 17 mulheres mastectomizadas. Uma placa de pressão Ecosanit Foot foi usada para medir a carga do pé em posição anatômica e com os pés juntos.


Resultados: participaram do estudo 17 mulheres mastectomizadas com idade média de 54,16 anos. Os pacientes relataram uma pressão média significativamente maior na posição anatômica do lado mastectomizado dominante em comparação ao lado mastectomizado não dominante (227,2 ± 22,16 vs. 175,6 ± 14,95, p =0,05). Não houve diferença significativa para a carga estática entre o lado mastectomizado dominante e o lado mastectomizado não dominante na posição anatômica (52,43 ± 4,069 vs. 49,69 ± 4,094, respectivamente).


Conclusão: Os resultados atuais do nosso estudo mostraram distribuição de peso desequilibrada (carga vetorial no pé) em pacientes após mastectomia. Portanto, este texto descreve alterações posturais, musculares e desequilíbrio estático e dinâmico em pacientes com câncer de mama.

Palavras-chave:
baropodometria, biomecânica, câncer de mama, mastectomia, fisioterapia

Detalhes do artigo

Referências

Stout NL, Silver JK, Raj VS, Rowland J, Gerber L, Cheville A, et al. Towards a national initiative in cancer rehabilitation: Recommendations from a subject matter expert group. Arch Phys Med Rehabil. 2016;97(11):2006-15.

WHO. Global cancer observatory [Internet]. 2020 [citado 6 de mayo de 2021]. Disponible en:

https://gco.iarc.fr/

ASCO. Breast cancer: Statistics [Internet]. 2021 [citado 6 de mayo de 2021]. Disponible en: https://www.cancer.net/cancer-types/breast-cancer/statistics#:~:text=The%20average%205%2Dyear%20survival,with%20breast%20cancer%20is%2099%25

Głowacka I, Nowikiewicz T, Hagner W, Nowacka K, Sowa M, Zegarski W. Sagittal plane postural changes in female patients with breast cancer after different surgical techniques. Breast J. 2017;23(1):109-11.

Malicka I, Barczyk K, Hanuszkiewicz J, Skolimowska B, Woźniewski M. Body posture of women after breast cancer treatment. Ortop Traumatol Rehabil. 2010;12(4):353-61.

Benton MJ, Schlairet MC. Upper extremity strength imbalance after mastectomy and the effect of resistance training. Sports Med Int Open. 2017;1(5):E160-5.

Zehra S, Doyle F, Barry M, Walsh S, Kell MR. Health-related quality of life following breast reconstruction compared to total mastectomy and breast-conserving surgery among breast cancer survivors: a systematic review and meta-analysis. Breast Cancer. 2020;27(4):534-66.

Liang Y, Xu B. Factors influencing utilization and satisfaction with external breast prosthesis in patients with mastectomy: A systematic review. International Journal of Nursing Sciences. 2015;2(2):218-24.

Hojan K, Manikowska F, Chen BPJ, Lin CC. The influence of an external breast prosthesis on the posture of women after mastectomy. J Back Musculoskelet Rehabil. 2016;29(2):337-42.

Lopera-Muñeton C, Valencia-Legarda F, Bedoya-Bedoya OM, Correa-Castaño D, Páramo- Velásquez CA. Body posture and biomechanics in women after mastectomy. J Phys: Conf Ser.

;1418:012009.

Głowacka-Mrotek I, Sowa M, Siedlecki Z, Nowikiewicz T, Hagner W, Zegarski W. Evaluation of changes to foot shape in females 5 years after mastectomy: a case-control study. Breast Cancer Res Treat. 2017;163(2):287-94.

Głowacka-Mrotek I, Sowa M, Nowikiewicz T, Siedlecki Z, Hagner W, Zegarski W. Foot posture

in female patients 5 years after breast-conserving surgery: a case–control study. Breast Cancer.

;25(3):325-33.

Manikowska F, Ozga-Majchrzak O, Hojan K. The weight of an external breast prosthesis as a factor for body balance in women who have undergone mastectomy. Homo. 2019;70(4):269-76.

Koralewska A, Domagalska-Szopa M, Łukowski R, Szopa A. Influence of the external breast prosthesis on the postural control of women who underwent mastectomy: Cross-sectional study. Front Oncol. 2022;12:920211.

Hojan K. Does the weight of an external breast prosthesis play an important role for women who undergone mastectomy? Rep Pract Oncol Radiother. 2020;25(4):574-8.

Jetha ZA, Gul RB, Lalani S. Women experiences of using external breast prosthesis after mastectomy. Asia Pac J Oncol Nurs. 2017;4(3):250-8.

Atanes AC, Dias MR, Yugo J, Filassi JR, Chada E, Alves E. Body posture after mastectomy: comparison between immediate breast reconstruction versus mastectomy alone. Physiother Res Int. 2017;22(1):34-43.

Ejaz A, Greenberger JS, Rubin PJ. Understanding the mechanism of radiation induced fibrosis and therapy options. Pharmacology & Therapeutics. 2019;204:107399.

Hsieh KL, Wood TA, An R, Trinh L, Sosnoff JJ. Gait and balance impairments in breast cancer survivors: A systematic review and meta-analysis of observational studies. Arch Rehabil Res Clin Transl. 2019;1(1-2):100001.

Lee DY, Seo SG, Kim EJ, Kim SJ, Lee KM, Choi IH. Inter-segmental motions of the foot in healthy adults: Gender difference. J Orthop Sci. 2016;21(6):804-9.

Davis AM, Galna B, Murphy AT, Williams CM, Haines TP. Effect of footwear on minimum foot clearance, heel slippage and spatiotemporal measures of gait in older women. Gait Posture. 2016;44:43-7.

Gomes FM, Santos KT, Silva SME, Pinho CPS, Silva A, Gomes FM, et al. Fragilidad en ancianos oncológicos en tratamiento con quimioterapia. Revista Chilena de Nutrición. 2019;46(4):384-91.

Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, et al. Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375-90.

Stevens J, Burns E. CDC compendium of effective fall interventions: What works for communitydwelling older adults, 3rd Edition. Home and Recreational Safety, CDC Injury Center [Internet]. 2015 [citado 6 de mayo de 2021]. Disponible en: https://www.cdc.gov/homeandrecreationalsafety/falls/compendium.html

Guirguis-Blake JM, Michael YL, Perdue LA, Coppola EL, Beil TL, Thompson JH. Interventions to prevent falls in community-dwelling older adults: A systematic review for the U.S. preventive services task force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 [citado 6 de mayo de 2021]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK525700/

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