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Application of a domicile-based exercise program for shoulder rehabilitation after breast cancer surgery

DOI: 10.1590/S0104-11692012000100006

Keywords: breast neoplasm, rehabilitation, physiotherapy, postoperative care, oncologic nursing.

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Abstract:

the aim of this study was to evaluate the effectiveness of an exercise program for the recuperation of the range of motion (rom) of the shoulder. this is a quasi-experimental study developed at the mastology outpatient clinic of the federal university of s?o paulo - brazil, from august 2006 to june 2008, with 64 breast cancer patients undergoing surgery. the intervention consisted of: preoperative evaluation of the rom, verbal and written guidance, demonstration and implementation of the exercises and revaluation at the outpatient follow-up appointments until the 105th postoperative day (po). from the 7th po a significant increase was observed in the rom, which continued until the 105th po. the minimum time for recovery was 105 days for the women undergoing mastectomy, and 75 days for those undergoing quadrantectomy. there was satisfactory adherence of 78.6% of the women. the domicile program was effective for the recovery of rom in the study population, benefiting women who can not attend a presential program.

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