Health and Sports Science Center - CEFID, Universidade Do Estado de Santa Catarina - UDESC, Rua Pascoal Simone, 358 - Coqueiros, Florianópolis, SC, 88080-350, Brazil.
Universidade Do Sul de Santa Catarina - UNISUL, Avenida Pedra Branca, 25 - Pedra Branca, 88137-270, Palhoça, SC, Brasil.
Support Care Cancer. 2021 Aug;29(8):4319-4327. doi: 10.1007/s00520-020-05899-8. Epub 2021 Jan 7.
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.
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.
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.
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.
评估诊断为乳腺癌的女性在术后 3、6 和 9 个月进行任务导向训练（TOT）时，在不同运动平面中躯干和上肢疼痛的频率和特征。
前瞻性队列研究纳入 20 名女性。使用身体疼痛图（BPD）、VAS 和 McGill 问卷进行评估。TOT 包括基于手臂、肩部和手残疾问卷（DASH）问卷的 20 项练习。在 GIMP®图像编辑器中进行 BPD 叠加。卡方检验用于分析人口特征与疼痛之间的关系。采用 Friedman 方差分析和 Cochran's Q 检验比较不同时间点疼痛部位的频率和强度。
共生成 297 张 BPD，确定受影响的上肢是三个时间点疼痛最频繁的身体区域。然而，在 9 个月时，未受影响的上肢与受影响的上肢疼痛频率相同。放疗与 9 个月时的疼痛有统计学显著关系（p<0.05）。疼痛在三个时间点均表现为中度，在 3 和 6 个月时为感性，在 9 个月时为感觉。
在 3 和 6 个月时，最常见的疼痛区域是受影响的上肢，但在 9 个月时，未受影响的上肢与受影响的上肢疼痛频率相同。疼痛在三个评估时间点均表现为中度。
