MÉTODO PILATES NOS DISTÚRBIOS MUSCULOESQUELÉTICOS E PSICOSSOMÁTICOS EM INDIVÍDUOS COM CÂNCER DE MAMA: REVISÃO SISTEMÁTICA E METANÁLISE DE ENSAIOS CLÍNICOS RANDOMIZADOS

Palavras-chave: Neoplasias da Mama, Técnicas de movimento do exercício, Fisioterapia, Linfedema, Ansiedade

Resumo

Introdução: O câncer de mama é um dos tipos mais comuns e seu tratamento convencional pode causar complicações musculoesqueléticas e psicossomáticas importantes. O Método Pilates mostra-se como uma estratégia capaz de atenuar os sintomas adversos de saúde e produzir benefícios sobre estes aspectos nesta população. Objetivo: Revisar sistematicamente os efeitos do Método Pilates sobre os distúrbios musculoesqueléticos e psicossomáticos em indivíduos com câncer de mama. Método: Revisão sistemática e metanálise de ensaios clínicos randomizados realizada nas bases de dados Embase, Scopus, LILACS, Web of Science, Cochrane Library, Medline, PEDro e SciELO, utilizando os descritores “Breast Neoplasms” e “Pilates Method”. Dos 202 artigos encontrados, 10 foram incluídos neste estudo e seis analisados na metanálise para os desfechos dor, linfedema do membro acometido, amplitude de movimento do ombro acometido, força de preensão manual, funcionalidade e sintomas de ansiedade. A qualidade metodológica dos estudos foi analisada pela Escala PEDro e a metanálise realizada pelo software Review Manager versão 5.4 (Colaboração Cochrane). Resultados: O grupo Método Pilates apresentou superioridade sobre o grupo controle ou intervenção mínima no linfedema do membro acometido, nos movimentos de flexão, rotação externa e amplitude total do ombro acometido e nos sintomas de ansiedade (p≤0,05). Essa diferença não foi observada na dor, na força de preensão manual e na funcionalidade (p>0,05). Conclusão: O Método Pilates produz melhores efeitos sobre o linfedema do membro acometido, a amplitude de movimento do ombro acometido e os sintomas de ansiedade em comparação ao controle ou intervenção mínima em indivíduos com câncer de mama.

Downloads

Não há dados estatísticos.

Biografia do Autor

Matheus Santos Gomes Jorge, Doutorando em Envelhecimento Humano pela Universidade de Passo Fundo - Brasil

Mestre em Envelhecimento Humano. Professor na Universidade de Passo Fundo.

Referências

Ministério da Saúde. O que é câncer? [Internet]. Instituto Nacional de Câncer José Alencar Gomes da Silva. 2019 [cited 2020 Dez 10]. p. 1. Available from: https://www.inca.gov.br/o-que-e-cancer

Ministério da Saúde. Estimativa 2020: Incidência de Câncer no Brasil [Internet]. Instituto Nacional de Câncer José Alencar Gomes da Silva. 2019 [cited 2020 Dez 10]. p. 120. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf

Soriano-Maldonado A, Carrera-Ruiz Á, Díez-Fernández DM, Esteban-Simón A, Maldonado-Qesada M, Moreno-Poza N, et al. Effects of a 12-week resistance and aerobic exercise program on muscular strength and quality of life in breast cancer survivors. Medicine (Baltimore). 2019;98(44):e17625. doi: https://doi.org/10.1097/MD.0000000000017625

Bueno JN, Haddad CAS, Rizzi SKLDA, Giron PS, Facina G, Nazário ACP. Evaluation of body image, quality of life, tactile sensitivity and pain in women with breast cancer submitted to surgical intervention. Rev Assoc Med Bras. 2018;64(6):530–6. doi: https://doi.org/10.1590/1806-9282.64.06.530

Lipsett A, Barrett S, Haruna F, Mustian K, O’Donovan A. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: A systematic review and meta-analysis. The Breast. 2017;32(1):144–55. doi: https://doi.org/10.1016/j.breast.2017.02.002

Patsou ED, Alexias GD, Anagnostopoulos FG, Karamouzis M V. Effects of physical activity on depressive symptoms during breast cancer survivorship: a meta-analysis of randomised control trials. ESMO Open. 2017;2(5):e000271. doi: https://doi.org/10.1136/esmoopen-2017-000271

Cruz JC, Liberali R, Cruz TMF da, Netto MIA. The Pilates method in the rehabilitation of musculoskeletal disorders: a systematic review. Fisioter em Mov. 2016;29(3):609–22. doi: https://doi.org/10.1590/1980-5918.029.003.AO19

Boing L, do Bem Fretta T, de Carvalho Souza Vieira M, Pereira GS, Moratelli J, Sperandio FF, et al. Pilates and dance to patients with breast cancer undergoing treatment: study protocol for a randomized clinical trial – MoveMama study. Trials. 2020 Dec 7;21(1):35. doi: https://doi.org/10.1186/s13063-019-3874-6

Espíndula RC, Nadas GB, Rosa MI da, Foster C, Araújo FC de, Grande AJ. Pilates for breast cancer: A systematic review and meta-analysis. Rev Assoc Med Bras. 2017;63(11):1006–12. doi: https://doi.org/10.1590/1806-9282.63.11.1006

Galvão TF, Pansani T de SA. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiol e Serviços Saúde. 2015;24(2):335–42. doi: https://doi.org/10.5123/S1679-49742015000200017

PEDro. Escala PEDro [Internet]. PEDro. 2020 [cited 2020 Nov 10]. p. 1. Available from: https://pedro.org.au/portuguese/resources/pedro-scale/

Odynets T, Briskin Y, Perederiy A, Pityn M, Svistelnyk I. Effect of water physical therapy on quality of life in breast cancer survivors. Physiother Q. 2018;26(4):11–6. doi: https://doi.org/10.5114/pq.2018.79741

Odynets T, Briskin Y, Yefremova A, Goncharenko I. The effectiveness of two individualized physical interventions on the upper limb condition after radical mastectomy. Physiother Q. 2019;27(1):12–7. doi: https://doi.org/10.5114/pq.2019.83056

Odynets T, Briskin Y, Todorova V. Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial. Integr Cancer Ther. 2019;18(1):153473541988059. doi: https://doi.org/10.1177/1534735419880598

Odynets T, Briskin Y, Todorova V, Bondarenko O. Impact of different exercise interventions on anxiety and depression in breast cancer patients. Physiother Q. 2019;27(4):31–6. doi: https://doi.org/10.5114/pq.2019.87737

Zengin Alpozgen A, Razak Ozdincler A, Karanlik H, Yaman Agaoglu F, Narin AN. Effectiveness of Pilates-based exercises on upper extremity disorders related with breast cancer treatment. Eur J Cancer Care (Engl). 2017;26(6):e12532. doi: https://doi.org/10.1111/ecc.12532

Eyigor S, Karapolat H, Yesil H, Uslu R, Durmaz B. Effects of pilates exercises on functional capacity, flexibility, fatigue, depression and quality of life in female breast cancer patients: a randomized controlled study. Eur J Phys Rehabil Med. 2010;46(4):481–7.

Sener HO, Malkoc M, Karadibak D, Ergin G, Yavuzsen T. Klinik pilates egzersizlerinin meme kanseri tedavi yaklasimlari sonrasinda gelisen lenfodeme etkisi. Fiz Rehabil. 2015;26(2):161–2.

Sener HO, Malkoc M, Ergin G, Karadibak D, Yavuzsen T. Effects of Clinical Pilates Exercises on Patients Developing Lymphedema after Breast Cancer Treatment: A Randomized Clinical Trial. J Breast Heal. 2017;13(1):16–22. doi: https://doi.org/10.5152/tjbh.2016.3136

Ghorbani M, Sokhangouei Y, Sadeghi H. Effect of Pilates Exercise on Range of Motion and Edema of Upper Limb in Mastectomy Side. J Ardabil Univ Med Sci. 2013;13(3):297–304.

Martin E, Battaglini C, Groff D, Naumann F. Improving muscular endurance with the MVe Fitness ChairTM in breast cancer survivors: A feasibility and efficacy study. J Sci Med Sport. 2013;16(4):372–6. doi: https://doi.org/10.1016/j.jsams.2012.08.012

Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates Method for Women’s Health: Systematic Review of Randomized Controlled Trials. Arch Phys Med Rehabil. 2015;96(12):2231–42. doi: https://doi.org/10.1016/j.apmr.2015.04.005

Miranda S, Marques A. Pilates in noncommunicable diseases: A systematic review of its effects. Complement Ther Med. 2018;39(1):114–30. doi: https://doi.org/10.1016/j.ctim.2018.05.018

Chavira LA, Pérez-Zumano SE, Hernández-Corral S. Complicaciones postoperatorias en mujeres con cirugía por cáncer de mama. Enfermería Univ. 2019;16(2):149–56. doi: https://doi.org/10.22201/eneo.23958421e.2019.2.633

Pinto-Carral A, Molina AJ, de Pedro Á, Ayán C. Pilates for women with breast cancer: A systematic review and meta-analysis. Complement Ther Med. 2018;41(1):130–40. doi: https://doi.org/10.1016/j.ctim.2018.09.011

Leysen L, Beckwée D, Nijs J, Pas R, Bilterys T, Vermeir S, et al. Risk factors of pain in breast cancer survivors: a systematic review and meta-analysis. Support Care Cancer. 2017;25(12):3607–43. doi: https://doi.org/10.1007/s00520-017-3824-3

Feeney LR, Tormey SM, Harmon DC. Breast cancer and chronic pain: a mixed methods review. Irish J Med Sci (1971 -). 2018;187(4):877–85. doi: https://doi.org/10.1007/s11845-018-1760-y

Panchik D, Masco S, Zinnikas P, Hillriegel B, Lauder T, Suttmann E, et al. Effect of Exercise on Breast Cancer–Related Lymphedema: What the Lymphatic Surgeon Needs to Know. J Reconstr Microsurg. 2019;35(1):37–45. doi: https://doi.org/10.1055/s-0038-1660832

Rett MT, Oliveira ÍA de, Mendonça ACR, Biana CB, Moccellin AS, DeSantana JM. Physiotherapeutic approach and functional performance after breast cancer surgery. Fisioter em Mov. 2017;30(3):493–500. doi: https://doi.org/10.1590/1980-5918.030.003.ao07

Stan DL, Rausch SM, Sundt K, Cheville AL, Youdas JW, Krause DA, et al. Pilates for Breast Cancer Survivors. Clin J Oncol Nurs. 2012;16(2):131–41. doi: https://doi.org/10.1188/12.CJON.131-141

Keays KS, Harris SR, Lucyshyn JM, MacIntyre DL. Effects of Pilates Exercises on Shoulder Range of Motion, Pain, Mood, and Upper-Extremity Function in Women Living With Breast Cancer: A Pilot Study. Phys Ther. 2008;88(4):494–510. doi: https://doi.org/10.2522/ptj.20070099

Testa A, Iannace C, Di Libero L. Strengths of early physical rehabilitation programs in surgical breast cancer patients: results of a randomized controlled study. Eur J Phys Rehabil Med. 2014;50(3):275–84

Owusu C, Schluchter M, Koroukian SM, Mazhuvanchery S, Berger NA. Racial disparities in functional disability among older women with newly diagnosed nonmetastatic breast cancer. Cancer. 2013;119(21):3839–46. doi: https://doi.org/10.1002/cncr.28232

Owusu C, Margevicius S, Schluchter M, Koroukian SM, Berger NA. Short Physical Performance Battery, usual gait speed, grip strength and Vulnerable Elders Survey each predict functional decline among older women with breast cancer. J Geriatr Oncol. 2017;8(5):356–62. doi: https://doi.org/10.1016/j.jgo.2017.07.004

Gomes PRL, Freitas Junior IF, Silva CB da, Gomes IC, Rocha APR, Salgado ASI, et al. Short-term changes in handgrip strength, body composition, and lymphedema induced by breast cancer surgery. Rev Bras Ginecol e Obs. 2014;36(6):244–50. doi: https://doi.org/10.1590/S0100-720320140005004

Celis-Morales CA, Welsh P, Lyall DM, Steell L, Petermann F, Anderson J, et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: Prospective cohort study of half a million UK Biobank participants. BMJ. 2018;361(1):3–12. doi: https://doi.org/10.1136/bmj.k1651

Perez CS, das Neves LMS, Vacari AL, de Cássia Registro Fonseca M, de Jesus Guirro RR, de Oliveira Guirro EC. Reduction in handgrip strength and electromyographic activity in women with breast cancer. J Back Musculoskelet Rehabil. 2018;31(3):447–52. doi: https://doi.org/10.3233/BMR-170848

Yi JC, Syrjala KL. Anxiety and Depression in Cancer Survivors. Med Clin North Am. 2017;101(6):1099–113. doi: https://doi.org/10.1016/j.mcna.2017.06.005

Knobf MT. Clinical Update: Psychosocial Responses in Breast Cancer Survivors. Semin Oncol Nurs. 2011;27(3):1–14. doi: https://doi.org/10.1016/j.soncn.2011.05.001

Villar RR, Fernández SP, Garea CC, Pillado MTS, Barreiro VB, Martín CG. Quality of life and anxiety in women with breast cancer before and after treatment. Rev Lat Am Enfermagem. 2017 Dec;25(1):e2958. doi: https://doi.org/10.1590/1518-8345.2258.2958

Marrs JA. Stress, Fears, and Phobias: The Impact of Anxiety. Clin J Oncol Nurs. 2006;10(3):319–22. doi: https://doi.org/10.1188/06.CJON.319-322

Tsaras K, Papathanasiou I V., Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of depression and anxiety in breast cancer patients: Prevalence and associated factors. Asian Pacific J Cancer Prev. 2018;19(6):1661–9. doi: https://doi.org/10.22034/APJCP.2018.19.6.1661

Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, de la Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas. 2019;124(1):62–7. doi: https://doi.org/10.1016/j.maturitas.2019.03.019

Fleming KM, Herring MP. The effects of pilates on mental health outcomes: A meta-analysis of controlled trials. Complement Ther Med. 2018;37(1):80–95. doi: https://doi.org/10.1016/j.ctim.2018.02.003

Publicado
2022-01-25
Métricas
  • Visualizações do Artigo 94
  • PDF downloads: 85
Como Citar
Cimarosti Borges, A., & Santos Gomes Jorge, M. (2022). MÉTODO PILATES NOS DISTÚRBIOS MUSCULOESQUELÉTICOS E PSICOSSOMÁTICOS EM INDIVÍDUOS COM CÂNCER DE MAMA: REVISÃO SISTEMÁTICA E METANÁLISE DE ENSAIOS CLÍNICOS RANDOMIZADOS. Práticas E Cuidado: Revista De Saúde Coletiva, 3, e12335. Recuperado de https://revistas.uneb.br/index.php/saudecoletiva/article/view/12335
Seção
Revisão de Literatura