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Abstract(s)
Introdução: Atualmente há uma maior sobrevida nas mulheres submetidas aos tratamentos do cancro da mama que muitas vezes deixam sequelas. O exercício com intensidade moderada não só melhora a fadiga e autoestima, como também pode ajudar a diminuir o risco de recidiva da doença e a aumentar a sobrevida, sendo um meio seguro e eficaz de melhorar a funcionalidade e a qualidade de vida. A dança é uma das atividades físicas de baixo impacto mais divertidas e criativas por meio da arte que proporciona uma maior adesão à atividade física regular. O objetivo deste projeto foi conhecer os efeitos de um programa de intervenção em fisioterapia, com a adaptação de danças tradicionais e históricas, na qualidade de vida, na funcionalidade do membro superior e na fadiga das mulheres mastectomizadas sobreviventes de cancro da mama. Materiais e Métodos: Utilizou-se o método quasi-experimental, sem grupo de controlo, de desenho longitudinal. A amostra incluiu um total de 11 mulheres com idades com uma média de 55 anos e desvio padrão de 9, submetidas a mastectomia há mais de 6 meses, que não se encontravam a realizar tratamentos adjuvantes e sem contraindicações para o exercício físico. Utilizaram-se os instrumentos: European Organization for Research and Treatment of Cancer (EORCT QLQ-BR23); Disabilities of the arm shoulder and hand (DASH), e Modified Fatigue Impact Scale (MFIS). O programa foi realizado em 60 minutos 1 vez por semana, durante 7 semanas, nas instalações da ESTeSL. Na comparação dos dois momentos de avaliação para a mesma amostra, utilizou-se os testes de ajustamento de Shapiro-Wilk, e o teste T de Student ou o teste de Wilcoxon para as duas amostras emparelhadas, para um nível de significância de 0,05%. Todos os cálculos foram feitos com o programa SPSS versão 26. Para o estudo da correlação entre as várias escalas e subescalas utilizou-se o coeficiente de correlação de Spearman. Resultados: Verificaram-se alterações estatisticamente significativas entre o momento de avaliação inicial e o segundo momento de avaliação no final do programa. Sobre a qualidade de vida houve melhoria da imagem corporal (z=-2,315, p=0,021) e da perspetiva futura (z=-2,121, p=0,034); registaram-se também melhorias na funcionalidade do membro superior (t(10)=2,826, p=0,018); e melhorias na fadiga cognitiva (z=-2,852; p=0,004) e na fadiga crónica (z=-2,362; p=0,018). Discussão e Conclusão: O programa de intervenção de fisioterapia com danças tradicionais e históricas, orientadas e escolhidas para esta amostra teve impacto positivo na qualidade de vida, relativamente à imagem corporal e perspetiva futura, na funcionalidade do membro superior e na fadiga, demostrando ser um programa promissor a desenvolver na reabilitação.
ABSTRACT - Introduction: Currently, there is a longer survival in women undergoing breast cancer treatments that often leave sequelae. Moderate intensity exercise not only improves fatigue and self-esteem, but it can also help to decrease the risk of disease recurrence and increase survival, being a safe and effective way to improve functionality and quality of life. Dance is one of the most fun and creative low-impact physical activities through art that provides greater adherence to regular physical activity. The objective of this project was to learn about the effects of an intervention program in physiotherapy, with the adaptation of traditional and historical dances, on the quality of life, on the functionality of the upper limb, and on the fatigue of mastectomized women surviving breast cancer. Materials and Methods: The quasi-experimental method was used, without a control group, with a longitudinal design. The sample included a total of 11 women with an average age of 55 years and a standard deviation of 9, who underwent mastectomy for more than 6 months, who were not undergoing adjuvant treatments and without contraindications for physical exercise. The instruments used were: European Organization for Research and Treatment of Cancer (EORCT QLQ-BR23); Disabilities of the arm shoulder and hand (DASH), and Modified Fatigue Impact Scale (MFIS). The program was carried out in 60 minutes once a week, for 7 weeks, at the ESTeSL gymnasium. In the comparison of the two evaluation moments for the same sample, the Shapiro-Wilk adjustment tests were used, and the T Student test or the Wilcoxon test for the two paired samples, for a significance level of 0.05 %. All calculations were made using the SPSS version 26 program. To study the correlation between the various scales and subscales, Spearman's correlation coefficient was used. Results: There were statistically significant changes between the initial evaluation moment and the second evaluation moment at the end of the program. Regarding quality of life, there was an improvement in body image (z = -2.315, p = 0.021) and in the future perspective (z = -2.121, p = 0.034); there were also improvements in the functionality of the upper limb (t (10) = 2.826, p = 0.018); and improvements in cognitive fatigue (z = -2.852; p = 0.004) and physical fatigue (z = -2.362; p = 0.018). Discussion and Conclusion: The physiotherapy intervention program with traditional and historical dances, oriented and chosen for this sample, had a positive impact on the quality of life, in relation to body image and future perspective, on the functionality of the upper limb and fatigue, demonstrating to be a promising program to develop in rehabilitation.
ABSTRACT - Introduction: Currently, there is a longer survival in women undergoing breast cancer treatments that often leave sequelae. Moderate intensity exercise not only improves fatigue and self-esteem, but it can also help to decrease the risk of disease recurrence and increase survival, being a safe and effective way to improve functionality and quality of life. Dance is one of the most fun and creative low-impact physical activities through art that provides greater adherence to regular physical activity. The objective of this project was to learn about the effects of an intervention program in physiotherapy, with the adaptation of traditional and historical dances, on the quality of life, on the functionality of the upper limb, and on the fatigue of mastectomized women surviving breast cancer. Materials and Methods: The quasi-experimental method was used, without a control group, with a longitudinal design. The sample included a total of 11 women with an average age of 55 years and a standard deviation of 9, who underwent mastectomy for more than 6 months, who were not undergoing adjuvant treatments and without contraindications for physical exercise. The instruments used were: European Organization for Research and Treatment of Cancer (EORCT QLQ-BR23); Disabilities of the arm shoulder and hand (DASH), and Modified Fatigue Impact Scale (MFIS). The program was carried out in 60 minutes once a week, for 7 weeks, at the ESTeSL gymnasium. In the comparison of the two evaluation moments for the same sample, the Shapiro-Wilk adjustment tests were used, and the T Student test or the Wilcoxon test for the two paired samples, for a significance level of 0.05 %. All calculations were made using the SPSS version 26 program. To study the correlation between the various scales and subscales, Spearman's correlation coefficient was used. Results: There were statistically significant changes between the initial evaluation moment and the second evaluation moment at the end of the program. Regarding quality of life, there was an improvement in body image (z = -2.315, p = 0.021) and in the future perspective (z = -2.121, p = 0.034); there were also improvements in the functionality of the upper limb (t (10) = 2.826, p = 0.018); and improvements in cognitive fatigue (z = -2.852; p = 0.004) and physical fatigue (z = -2.362; p = 0.018). Discussion and Conclusion: The physiotherapy intervention program with traditional and historical dances, oriented and chosen for this sample, had a positive impact on the quality of life, in relation to body image and future perspective, on the functionality of the upper limb and fatigue, demonstrating to be a promising program to develop in rehabilitation.
Description
Mestrado em Fisioterapia. - Área de especialização: Saúde da Mulher
Keywords
Fisioterapia Medicina de reabilitação Cancro da mama Dança Qualidade de vida Physiotherapy Rehabilitation Breast cancer Dance Quality of life
Citation
Nogueira PP. Programa de intervenção de fisioterapia com dança para mulheres mastectomizadas sobreviventes de cancro da mama [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2020.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa