The sequelae of mastectomy and quadrantectomy with respect to the reaching movement in breast cancer survivors: evidence for an integrated rehabilitation protocol during oncological care.

摘要: Breast cancer (BC) is the most common among women in developed countries. Several types of surgical interventions are commonly used BC, such as mastectomy and quadrantectomy, followed by radiation or not. Today, BC rehabilitation can help survivors obtain maintain highest physical, social, psychological, vocational functioning possible, within limits that created its treatments. To verify, before after a specific protocol treatment, recovery fluidity reaching movement. Patients surgery were enrolled assigned cluster randomization into 2 groups through block list: (Mas) quadrantectomy (Quad). Evaluation scales (DASH VAS) administered, biomechanical evaluations performed for each group treatment (T0 = baseline), at end rehabilitative (T1 = 12 sessions, 2/week), 3 months follow-up (T2). Fifty-nine (Mas group = 29; Quad group = 30) enrolled. VAS scores improved along evaluation times T0–T1 T0–T2 (p < 0.001), without statistically significant difference between groups. With regard to normalized jerk, there was no interaction time (F = 2.029; p = 0.136). There decrease T1–T2 (F = 60.189; p < 0.001). Velocity significantly (F = 10.322; elbow angle movement T2 (F = 5.022; p = 0.029). The integrated, low-intensity, intervention effective, even if it not first period surgery, any quadrantectomy.