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Comparison of kynesiotherapy and manual lymphatic drainage in the lymphatic compensations after breast cancer surgery

Grant number: 09/14864-1
Support type:Regular Research Grants
Duration: June 01, 2011 - November 30, 2013
Field of knowledge:Health Sciences - Medicine - Maternal and Child Health
Principal Investigator:Maria Salete Costa Gurgel
Grantee:Maria Salete Costa Gurgel
Home Institution: Centro de Atenção Integral à Saúde da Mulher (CAISM). Hospital da Mulher Professor Doutor José Aristodemo Pinotti. Universidade Estadual de Campinas (UNICAMP). Campinas , SP, Brazil
Assoc. researchers:Mariana Maia de Oliveira Sunemi


The incidence of ipsilateral limb lymphedema post breast cancer surgery, range between 24 to 49%, and can be notice immediately after or years after the surgery, damaging the physical and psychological quality of life. Many factors are related to the development of limphoedema: axilary empting and its level, radiotherapy, extension of the surgery technique among others. Objective: evaluated the effects of kynesiotherapy and manual lymphatic drainage (MLD) in the lymphatic compensations of the shoulder after breast cancer surgery. Subjects and Methods: it will be a case-control study, in which 118 women from the Center of Assistance Health from the University of Campinas, submitted to breast cancer surgery will be invited to participate. If included, they will be located to two different groups: Group 1, submitted to kynesiotherapy (n=59), and Group 2, submitted to MLD (n=59). The socio-demographics and clinical datas will be collected before surgery, at the Physiotherapy Ambulatory. The lymphatic compensations will be evaluated through lymphoscintigraphy exam before and 60 days after surgery. The statistical analysis will be performed using the absolute (n) and relative (%) frequencies for categorical variables and mean, median and standard padron for continuous variable. The homogeneity between groups will be analyzed through q-square test or fisher test for ordinals and nominees variables and t student or Mann Whitney for discrete variable. For the analyses of continuous variables it will be calculate the odds ratio. The significance level assumed will be 5%. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
FREIRE DE OLIVEIRA, MARIANA MAIA; COSTA GURGEL, MARIA SALETE; AMORIM, BARBARA JUAREZ; RAMOS, CELSO DARIO; DERCHAIN, SOPHIE; FURLAN-SANTOS, NATACHIE; DOS SANTOS, CESAR CABELLO; SARIAN, LUIS OTAVIO. Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial. PLoS One, v. 13, n. 1 JAN 5 2018. Web of Science Citations: 1.
FREIRE DE OLIVEIRA, MARIANA MAIA; COSTA GURGEL, MARIA SALETE; PACE DO AMARAL, MARIA TERESA; AMORIM, BARBARA JUAREZ; RAMOS, CELSO DARIO; ALMEIDA FILHO, JOSE GERALDO; DE REZENDE, LAURA FERREIRA; ZANATTA SARIAN, LUIS OTAVIO. Manual Lymphatic Drainage and Active Exercise Effects on Lymphatic Function Do Not Translate Into Morbidities in Women Who Underwent Breast Cancer Surgery. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 98, n. 2, p. 256-263, FEB 2017. Web of Science Citations: 0.

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