Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain.
Rehabilitation Clinical Management Unit, Interlevels-Intercenters Hospital Puerta del Mar, Hospital Puerto Real, Cadiz Bay-La Janda Health District, 11006 Cadiz, Spain.
Int J Environ Res Public Health. 2022 Mar 23;19(7):3800. doi: 10.3390/ijerph19073800.
Breast cancer treatments can trigger respiratory sequelae. Respiratory physiotherapy helps to eliminate or mitigate the sequelae by optimizing respiratory function. This systematic review aims to synthesize the scientific evidence and assess its quality regarding the use of respiratory physiotherapy in the sequelae of breast cancer. The Cochrane Library, Physiotherapy Evidence Database, PubMed, Web of Science, Scientific Electronic Library Online, Cumulative Index of Nursing and Allied Literature Complete, and Scopus were searched. Study quality was determined using the PEDro scale, STROBE Statement, and Single-Case Experimental Design Scale. Ten studies, six clinical trials, one case study, and three observational studies were selected. The mean methodological quality of the clinical trials was 5.6, that of the case study was 7, and that of the observational studies was 56%. Respiratory physiotherapy has been observed to improve respiratory capacity, lung function, respiratory muscle strength, effort tolerance, dyspnea, fatigue, thoracic mobility, upper limb volume, sleep quality and quality of life, as well as sensitivity to adverse physiological reactions, nausea, vomiting, and anxiety. However, it is not effective for vasomotor symptoms. More clinical trials are needed. These studies should homogenize the techniques used, as well as improve their methodological quality.
乳腺癌治疗可能引发呼吸系统后遗症。呼吸理疗通过优化呼吸功能有助于消除或减轻这些后遗症。本系统综述旨在综合科学证据并评估其质量，以了解呼吸理疗在乳腺癌后遗症中的应用。检索了 Cochrane 图书馆、物理治疗证据数据库、PubMed、Web of Science、科学电子图书馆在线、护理学和相关文献累积索引完整版、以及 Scopus。使用 PEDro 量表、STROBE 声明和单病例实验设计量表来确定研究质量。选择了 10 项研究，其中 6 项为临床试验，1 项为病例研究，3 项为观察性研究。临床试验的平均方法学质量为 5.6，病例研究为 7，观察性研究为 56%。呼吸理疗可改善呼吸能力、肺功能、呼吸肌力量、耐受能力、呼吸困难、疲劳、胸壁活动度、上肢容量、睡眠质量和生活质量，以及对不良反应的敏感性、恶心、呕吐和焦虑。然而，它对血管舒缩症状无效。需要更多的临床试验。这些研究应使所使用的技术同质化，并提高其方法学质量。
