Resumo O linfedema é uma doença crônica e progressiva caracterizada pelo acúmulo de fluidos, provocando edema tecidual em decorrência de um sistema linfático comprometido. A ultrassonografia ...diagnóstica (USD) é um método capaz de avaliar as características dos tecidos moles, podendo ser utilizada de maneira confiável para o diagnóstico do linfedema, além de mensurar a complacência tecidual em um cenário clínico. Esta é uma revisão sistemática, objetivando avaliar artigos que fizessem o uso da USD na abordagem do linfedema secundário ao câncer de mama. Foram selecionados 565 artigos, que foram exportados para o programa de revisão Rayyan QCRI e, em seguida, triados por dois pesquisadores. Dessa busca, foram obtidos 25 artigos selecionados após consenso entre os autores e que foram catalogados quanto aos seus resultados principais. A USD foi identificada como um método vantajoso por ser seguro, pouco invasivo, de baixo custo, sem uso de radiação, além de ser útil para avaliar a eficácia de terapias no tratamento do linfedema.
Abstract Lymphedema is a chronic and progressive disease characterized by fluid accumulation, causing tissue edema as a result of a compromised lymphatic system. Diagnostic ultrasound (DUS) is a method capable of assessing soft tissue characteristics that can be used reliably to diagnose lymphedema as well as for measuring tissue compliance in a clinical setting. This is a systematic review, aiming to evaluate articles that made use of DUS in management of lymphedema secondary to breast cancer. A total of 570 articles were selected, exported to the Rayyan QCRI review program, and then screened by two researchers. From this search, 25 articles were selected after the authors reached consensus and were catalogued as to their main results. Diagnostic ultrasound was identified as an advantageous method that is safe, minimally invasive, low cost, and radiation free and is useful for evaluating the efficacy of therapies used in lymphedema treatment.
Lymphedema is a chronic and progressive disease characterized by fluid accumulation, causing tissue edema as a result of a compromised lymphatic system. Diagnostic ultrasound (DUS) is a method ...capable of assessing soft tissue characteristics that can be used reliably to diagnose lymphedema as well as for measuring tissue compliance in a clinical setting. This is a systematic review, aiming to evaluate articles that made use of DUS in management of lymphedema secondary to breast cancer. A total of 570 articles were selected, exported to the Rayyan QCRI review program, and then screened by two researchers. From this search, 25 articles were selected after the authors reached consensus and were catalogued as to their main results. Diagnostic ultrasound was identified as an advantageous method that is safe, minimally invasive, low cost, and radiation free and is useful for evaluating the efficacy of therapies used in lymphedema treatment.
Lymphedema is a chronic and progressive disease characterized by fluid accumulation, causing tissue edema as a result of a compromised lymphatic system. Diagnostic ultrasound (DUS) is a method ...capable of assessing soft tissue characteristics that can be used reliably to diagnose lymphedema as well as for measuring tissue compliance in a clinical setting. This is a systematic review, aiming to evaluate articles that made use of DUS in management of lymphedema secondary to breast cancer. A total of 570 articles were selected, exported to the Rayyan QCRI review program, and then screened by two researchers. From this search, 25 articles were selected after the authors reached consensus and were catalogued as to their main results. Diagnostic ultrasound was identified as an advantageous method that is safe, minimally invasive, low cost, and radiation free and is useful for evaluating the efficacy of therapies used in lymphedema treatment.
INTRODUÇÃO: O tratamento do câncer de mama está associado à morbidade do membro superior, com complicações que têm um impacto significante na qualidade de vida das pacientes. O OBJETIVO deste ...trabalho foi traçar um protocolo de tratamento fisioterapêutico para prevenir as morbidades após cirurgia de câncer de mama. CASUÍSTICA E MÉTODOS: Este estudo avaliou 132 mulheres com a intervenção da fisioterapia em dois momentos: no primeiro pós-operatório (PO) e entre o 10º - 15º dia do PO. Reavaliações foram feitas nos meses 1, 2, 3, 4, 5, 6 e após um ano do PO. RESULTADOS: O grupo de intervenção precoce mostrou uma recuperação mais rápida da amplitude de movimentos e apresentou menor morbidade em relação ao grupo tardio. CONCLUSÃO: O protocolo fisioterapêutico preconizado, tanto precoce quanto tardio, é eficaz. A recuperação da função do membro superior e o menor índice de morbidades mostram que a fisioterapia deve sempre ser instituída nas pacientes que se submetem à cirurgia de câncer de mama.
INTRODUCTION: The breast cancer treatment is always linked with the morbidity of the upper limb with complications that will have an enormous impact in the quality of life of the patients submitted to breast cancer treatment. Objective : the objective of this study was to develop a physiotherapy protocol in order to prevent morbidities after breast cancer treatment METHODS: This study evaluated 132 patients submitted to physiotherapy sessions in two different moments: 1 st day post surgery and at the 10-15 th day . Follow-ups were made on months 1, 2, 3, 4, 5, 6 and after a year. RESULTS: The earlier group showed a faster recovery of arm range of motion and had less arm morbidity. CONCLUSÃO: O RESULTS: G1 showed a faster flexion and abduction ROM recovery and had less morbidity as compared to the other group. The arm circumferences in the early intervention group had lower values as compared to the late intervention group. CONCLUSION: The physiotherapy protocol used in the study showed its efficacy. The upper arm ROM was recovered and both groups had less arm morbidity.
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