Ciencias de la Salud

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Start date: 2024Subject: search.filters.subject.MASTECTOMÍA

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    PLAN DE EJERCICIOS DE MOVILIDAD ARTICULAR EN TREN SUPERIOR PARA LA LIMITACIÓN FUNCIONAL EN PACIENTES POST MASTECTOMIA
    (2025-02-27) Lagua Saant, Evelyn Dayana; Caiza Lema, Stalin Javier; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia
    Breast cancer (BC) is a malignant neoplasm, that is, the abnormal growth of cells causing a tumor, which appears as a lump in the armpit or breast and in most cases is usually painless. Globally, BC has more than 2.26 million registered cases, becoming the main cancer mortality rate among women. For this reason, the present project aimed to develop a plan of joint mobility exercises in the upper body for functional limitation in post-mastectomy patients. The research was framed in a nonexperimental, prospective and longitudinal analytical design because a pre-and-post physiotherapy intervention evaluation was carried out on the participants. The population was selected by a convenience sample, being a total of 25 participants with unilateral mastectomy from the Solca Núcleo Tungurahua Hospital. The ranges of mobility (ROM) such as flexion, extension and abduction were evaluated with the goniometer and strength with a digital dynamometer. For functional disability, the DASH Scale questionnaire was used. The results showed a difference in the ranges of mobility and manual strength with a positive statistical significance after the intervention. Regarding the values obtained in DASH, a positive significance level of (p <0.000) was obtained post-intervention. This demonstrated that early comprehensive therapy in post-mastectomy women improves joint mobility, strength and decreases the level of disability of the affected limb.
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    EFECTOS DEL EJERCICIO TERAPÉUTICO EN LA MOVILIDAD ARTICULAR DEL HOMBRO EN PACIENTES POST MASTECTOMÍA
    (Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-08-27) Colina Silvera, Génesis Mayerly; Cedeño Zamora, María Narciza
    Breast cancer is a disease that mainly affects women and can have a negative impact on their quality of life. Mastectom y, as part of the treatment, can lead to limitations in shoulder mobilit y. In this context, therapeutic exercise is presented as an important intervention to improve joint mobility and quality of life and facilitate the recovery of patients. Therefore, the aim of this systematic review is to describe the effects of therapeutic exercise on shoulder joint mobility in post-mastectomy patients. Following the PRISMA model, we searched databases such as PubMed and Cochrane Library for information from the last 5 years using MeSH terms. We included studies published in English or Spanish; controlled trials and randomized control le d trials (RCTs); Applying inclusion and exclusion criteria, 16 articles investigating shoulder exercise and mobility in post-mastectomy patients were selected. A positive trend was observed in most of the studies analyzed, demonstrating significant benefits of therapeutic exercise in shoulder joint mobility, mainly in flexion, extension and abduction movements. The results indicate that rehabilitation programs, which include various exercise modalities, significa n tl y improve range of motion in patients, regardless of the duration of interventions.