Acute effect of mobilization technique in deep fascial interfaces of the pectoral region in patients submitted to mastectomy

Abstract

Introduction: Breast cancer has become a major focus of worldwide attention due to the increase in incidence observed in recent decades. This makes it necessary a more aggressive treatment, thereby leading to higher likelihood of onset of complications. In the field of cancer therapy, there are no reports in the literature regarding therapeutic approaches in the treatment of myofascial dysfunctions of the shoulder in patients after mastectomy, especially at the interfaces of the skeleton pectoral fascial, since that region is susceptible to adhesions and consequently will compromise the function. Objective: To evaluate the use of the intervention technique of deep muscle group interfaces pectorals postoperative mastectomy, in the arc of flexion of the upper limb and decreased spontaneous pain and functional. Methods: An experimental study with cross-type 28 women with a mean age of 63.71 ± 9.6 years who underwent surgical treatment of breast cancer, the Cancer Hospital III (HCIII) of the National Cancer Institute (INCA), and referred to the service of Physical Therapy Oncology Rehabilitation Center Nize da Silveira. Myofascial therapy was applied through manual therapy and pain scale was assessed by Visual Analogue Scale (VAS). Statistical analysis Paired t tests were Student. Results: Increased range of motion of the shoulder of 117.49 ± 23.37 (PRE THERAPY) to 157.81 ± 12.39 (AFTER THERAPY) and pain reduction of 3.11 ± 2.81 (PRE THERAPY) to 0.57 ± 1.50 (AFTER THERAPY), with p <0.0001. Conclusion: The Myofascial Therapy Intervention interfaces of the deep pectoral muscle group for increasing range of motion of shouder`s flexion of mastectomy patients and reduces pain.