Limited Versus No-limited Shoulder Movement in Breast Cancer Surgery
Kľúčové slová
Abstrakt
Popis
Breast cancer treatment has been accompanying advances in technology, surgeries are more conservative, however postoperative complications are still observed. At early postoperative period, the most common operative wound complications are seroma, infection and necrosis. Shoulder dysfunctions are a frequent complication and difficult women to return to their activities. There is no consensus regarding the onset and type of exercise in postoperative period. Thus, the objective of this study is to compare the active no-limited mobilization with limited mobilization in the immediate post operatory at the incidence of wound complications in women submitted to surgery for the treatment of breast cancer.
It's a randomized clinical trial that will include women aged 18 years or older, submitted a curative surgery for breast cancer at Hospital do Câncer III (HCIII-INCA) located in Rio de Janeiro. All patients admitted for surgical treatment at the institution and during the study period will be evaluated for eligibility criteria. Those considered eligible for the study will be clarified regarding the objectives, treatment groups, adverse effects and non-compulsory participation of the study. Upon acceptance to participate, they will be allocated to the respective intervention groups. Group 1 - upper limbs no-limited movement with amplitude above 90º for flexion and abduction of shoulder; Group 2 - upper limbs limited movement at maximum 90º amplitude flexion and abduction of shoulder, until withdrawal surgical points.
Termíny
Naposledy overené: | 03/31/2020 |
Prvý príspevok: | 07/02/2018 |
Odhadovaná registrácia bola odoslaná: | 01/03/2019 |
Prvý príspevok: | 01/07/2019 |
Posledná aktualizácia bola odoslaná: | 04/03/2020 |
Posledná aktualizácia bola zverejnená: | 04/06/2020 |
Aktuálny dátum začatia štúdie: | 01/31/2019 |
Odhadovaný dátum dokončenia primárneho okruhu: | 06/30/2019 |
Odhadovaný dátum dokončenia štúdie: | 12/19/2019 |
Stav alebo choroba
Intervencia / liečba
Other: No limited movement after surgery
Fáza
Skupiny zbraní
Arm | Intervencia / liečba |
---|---|
Experimental: No-limited movement after surgery Participants should move their arms from the first postoperative day, with unrestricted movement, with an amplitude above 90º for flexion and abduction of shoulder. | |
Active Comparator: Limited movement after surgery Participants should move their arms with restricted movements on the first postoperative day, with maximum amplitude of 90º for flexion and abduction of the shoulder, until withdrawal surgical points. Actual hospital's routine. |
Kritériá oprávnenosti
Vek vhodný na štúdium | 18 Years To 18 Years |
Pohlavia vhodné na štúdium | Female |
Prijíma zdravých dobrovoľníkov | Áno |
Kritériá | Inclusion Criteria: - Women aged 18 and over; - Indication of curative surgical treatment for breast cancer axillary approach at Hospital do Câncer III / INCA. Exclusion Criteria: - Bilateral breast cancer; - Surgical treatment and / or previous radiotherapy for breast cancer; - Reconstruction surgery; - Functional alteration in upper limbs prior to diagnosis of breast cancer; - Illiterate women who are not able to read and complete the protocol of adhesion; - Women who are not able to answer questions clearly; - Age over 80. |
Výsledok
Primárne výstupné opatrenia
1. Presence or absence of wound complications. [Thirty days of follow-up]
Opatrenia sekundárnych výsledkov
1. Measurement of upper limb functionality [Thirty days of follow-up]
2. Measurement of shoulder's range of motion [Thirty days of follow-up]