CASE REPORT: PHYSIOTHERAPY TELESERVICE IN THE IMMEDIATE POSTOPERATIVE BREAST CANCER SURGERY

Resumo

Introduction: Breast cancer is one of the most incidents and most common among women; surgical intervention is the
main treatment, and physiotherapy plays an important role in the postoperative period, especially in the maintenance of
range of motion and prevention/control of lymphedema. In the face of the contemporary scenario in which social isolation
has been maintained due to the COVID-19 pandemic, the Federal Council of Physiotherapy and Occupational Therapy in
Brazil released forms of remote care for patients who need clinical intervention. Objective: This study aims to report the
experience of telecare in physiotherapy in the postoperative period of breast cancer surgery, focusing on aspects, pain, fatigue, mobility of the upper limb, and development of lymphedema. Case report: This is an experience report based on the
telecare of a 61-year-old mastectomized patient, with 9 consultations, 8 in the remote format. The participant was evaluated regarding health habits, edema, sensation of pain, and tiredness using the Visual Scale of Pain (VAS), the Borg Rating
of Perceived Exertion Scale, and a self-authored mastology questionnaire. In the initial evaluation, we found movement
limitation (flexion-90º, extension-30º, and abduction-90º), the sensation of tightness in the scar, the sensation of a heavy
limb, and dryness on the side of the surgery. In the final evaluation, we observed improvements when compared to the
member opposed to surgery, in the gain of range of motion (flexion-180º, extension-45º, and abduction-180º), reduction of
pain (VAS) and fatigue (BORG), and improvements in activities of daily living. Conclusion: The service in physical therapy
was effective and obtained results similar to those expected in conventional face-to-face physical therapy treatments.