Sensory analysis in the conventional post-surgery for breast cancer
Keywords:
Breast cancer, Physiotherapy, Intercostobraquial nerveAbstract
Objective: To analyze the response sensory conventional, post-surgery for breast cancer in women who
underwent axillary lymph node dissection in the different techniques of rehabilitation in the sensory nerve
pathway intercostobraquial (NICB) and check after three months. Methods: Clinicalstudy, prospective,
randomized, finalized in 2006, in hospital in Santos, Sao Paulo, composed of120 women who underwent
surgery for breast cancer with axillary lymph node dissection by the same surgical procedure to preserve
the NICB, subdivided into four equal groups. The GI (sensory stimulation with balls, sensiball, fisiobol
and smooth), GII (lymphatic drainage), GII (kit of different textures) and GIV (control), all subject to
ten physiotherapy interventions. The conventional assessment used two tubes for testing with hot and cold
water, brush and needle. The evaluations were conducted on three occasions. The M1 (pre-intervention),
the M2 (post-intervention) after the ten sessions and M3 (washout) after three months of M2. The region
targeted for sensory evaluation and intervention were two points (P1 and P2) in the NICB dermatome,
located on the medial side and back of the super-arm. Results: With statistical treatment of Goodman,
was reported improvement (p < 0.005) in thermalsensitivity in GIII (PI) and GIV (P1), tactile sensitivityGII (P1), painful sensitivity only in GII (P1) and worse (p > 0.005) in GIII (P2) and GIV (P2) towards
thermal sensitivity, tactile and painful. Conclusion: Only after the technique of sensory stimulation
with lymphatic drainage, there was positive response to the amendment forward sensory (hypoesthesia) in
dermatome nerve ICB, remaining after three months.
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