PHASE II TRIAL ON AQUATIC PHYSIOTHERAPY IN WOMEN AFTER SURGERY FOR BREAST CÂNCER

Siqueira, R.B.A. (Serviço de Ginecologia e Mama do ACCC.), Júnior,R.F (Serviço de Ginecologia e Mama do ACCC.), Viana, F. P. (Serviço de Ginecologia e Mama do ACCC.), Lagares, M.S. (Serviço de Ginecologia e Mama do ACCC.), Lopes, P.S. (Serviço de Ginecolo

Serviço de Ginecologia e Mama do Hospital Araújo Jorge/ ACCG. Departamento de Ginecologia e ObstetrTo evaluate the efficacy and safety of aquatic therapy in women after surgery for breast cancer. This was a not randomized Phase II clinical trial, which included 21 patients undergoing modified radical mastectomy (Patey and Madden) or quadrantectomy associated with axillary lymph node dissection, between the 7th and the 20th day after surgery. The physical therapy protocol consisted of three phases, totaling 24 sessions equivalent to twelve weeks of treatment. To evaluate the safety of aquatic therapy was performed daily progress of each participant in all sessions and to assess the magnitude of shoulder movement was used goniometry computed. To analyze the results, we used the Friedman test. The safety of treatment with aquatic therapy was identified adverse events that are frequent seen during the course of adjuvant treatment with radiotherapy and chemotherapy. Regarding efficacy, the motion of the shoulder at the end of treatment, the gains of the movement angles were 45.4 ° for flexion (p = 0.001), 3.6 ° for extension (p = 0.156), 52, 6 ° for abduction (p = 0.001), 12.4 ° adduction (p = 0.041), 26.4 ° for external rotation (p = 0.001) and internal rotation were reduced angulation of 1.7 °, (p = 0.480). In the safety data related to the occurrence of adverse events suggest that aquatic therapy after surgery for breast cancer is safe, because there was no severe reaction were linked to its implementation. It was observed that aquatic therapy allowed good efficacy as rehabilitation therapy in women in post-operative breast cancer, since there was significant improvement in range of motion of abduction, flexion, external rotation and adduction of the ipsilateral shoulder surgery.breast cancer, hydrotherapy, physiotherapy.

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