Bruna Baungarten Hugen Back1, Kamilla Zomkowski2, Mariana Dos Santos Hermes1, Natália de Souza Cunha3, Anke Bergmann4, Fabiana Flores Sperandio1. 1. Health and Sports Science Center - CEFID, Universidade Do Estado de Santa Catarina - UDESC, Rua Pascoal Simone, 358 - Coqueiros, Florianópolis, SC, 88080-350, Brazil. 2. Universidade Do Sul de Santa Catarina - UNISUL, Avenida Pedra Branca, 25 - Pedra Branca, 88137-270, Palhoça, SC, Brasil. 3. Health and Sports Science Center - CEFID, Universidade Do Estado de Santa Catarina - UDESC, Rua Pascoal Simone, 358 - Coqueiros, Florianópolis, SC, 88080-350, Brazil. ndscunha@gmail.com. 4. National Cancer Institute - INCA, Praça Cruz Vermelha, 23, Centro, 20230-130, Rio de Janeiro, RJ, Brasil.
Abstract
PURPOSE: To evaluate the frequency and characteristics of trunk and upper limb pain in women diagnosed with breast cancer, in different movement planes, during task-oriented training (TOT) 3, 6, and 9 months after surgery. METHODS: A prospective cohort study with 20 women. The body pain diagram (BPD), VAS, and McGill questionnaire were used. The TOT consisted of 20 exercises based on the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) questionnaire. BPD overlay was performed in GIMP® image editor. The chi-square test was applied to the relationship between population characteristics and pain. Freedman's ANOVA and the Cochran's Q test were used in the comparison of pain site frequencies and intensity over time. RESULTS: In total, 297 BPDs were generated, which identified the affected upper limb as the body area with the highest frequency of pain at the three moments. However, at 9 months, the unaffected upper limb presented the same frequency as the affected limb. Radiotherapy presented a statistically significant relationship (p < 0.05) with pain at 9 months. The pain was characterized as moderate at the three moments, affective at 3 and 6 months, and sensory at 9 months. CONCLUSION: The most frequent area of pain at 3 and 6 months was the affected upper limb however, at 9 months, the unaffected upper limb presented the same frequency of pain as the affected upper limb. Pain was characterized as moderate at the three evaluation moments.
PURPOSE: To evaluate the frequency and characteristics of trunk and upper limb pain in women diagnosed with breast cancer, in different movement planes, during task-oriented training (TOT) 3, 6, and 9 months after surgery. METHODS: A prospective cohort study with 20 women. The body pain diagram (BPD), VAS, and McGill questionnaire were used. The TOT consisted of 20 exercises based on the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) questionnaire. BPD overlay was performed in GIMP® image editor. The chi-square test was applied to the relationship between population characteristics and pain. Freedman's ANOVA and the Cochran's Q test were used in the comparison of pain site frequencies and intensity over time. RESULTS: In total, 297 BPDs were generated, which identified the affected upper limb as the body area with the highest frequency of pain at the three moments. However, at 9 months, the unaffected upper limb presented the same frequency as the affected limb. Radiotherapy presented a statistically significant relationship (p < 0.05) with pain at 9 months. The pain was characterized as moderate at the three moments, affective at 3 and 6 months, and sensory at 9 months. CONCLUSION: The most frequent area of pain at 3 and 6 months was the affected upper limb however, at 9 months, the unaffected upper limb presented the same frequency of pain as the affected upper limb. Pain was characterized as moderate at the three evaluation moments.
Entities:
Keywords:
Breast neoplasia; Musculoskeletal pain; Pain mapping; Task oriented training
Authors: Annick A A Timmermans; Annemie I F Spooren; Herman Kingma; Henk A M Seelen Journal: Neurorehabil Neural Repair Date: 2010-10-04 Impact factor: 3.919