BACKGROUND AND OBJECTIVES:There are few studies evaluating the effects of physiotherapy with multidimensional instruments on cancer pain. The objective of this study was to evaluate the effects of physiotherapy on pain and functional capacity in hospitalized cancer patients. METHODS: This is a quasi-experimental study including 40 participants with a mean age of 51±18 years assessed before and after physiotherapy interventions, using the verbal numerical rating scale, the McGill Pain Questionnaire -Short Form, the International Physical Activity Questionnaire, the Sit-to-Stand test, and the Eastern Cooperative Oncology Group questionnaire for functional capacity evaluation. The participants were classified according to the number of performed sessions: group 1≤ 5 sessions (n=25) and group 2 ≥ 6 sessions (n=15). RESULTS: There was a reduction in cancer pain measured by sensory (p=0.02) and mixed descriptors (p=0.05) of the McGill questionnaire as well as by the numerical visual scale (p=0.03) in patients who performed at least six physiotherapy sessions. There was a significant correlation (r=0.81; p<0.001) between the reduction in pain measured by the numerical visual scale and the reduction in pain measured by the Total McGill questionnaire.
Introduction: Head and neck cancer is responsible for an increasing incidence of primary malignant neoplasm cases worldwide. Radiotherapy is one of the treatments of choice for this type of cancer, but it can cause adverse effects, such as temporomandibular disorder. The objective of this study was to characterize the degree and frequency of temporomandibular disorder in patients with head and neck cancer undergoing radiotherapy. Method: This research was quantitative, descriptive and exploratory. The sample consisted of 22 patients that answered assessment questions and the Helkimo anamnestic questionnaire, modified by Fonseca (1992). The data were collected from May to October 2014, and statistically analyzed using the Chi-square test, with a significance level of p ≤ 0.05. Results: Of the 22 patients, 86.4 % were male, with a mean age of 58.86 ± 9.41 years. Temporomandibular disorder was present in 31.8% of the subjects, based on the assessment prior to radiotherapy, and in 59.1% in the post-treatment assessment. Among all questions, the most frequent was "Do you use only one side of the mouth to chew?" with 22.7% "yes" answers, both at the first assessment and at the post treatment. Conclusion: According to the results of this study, temporomandibular disorder is a disease that is present with a high prevalence in people diagnosed with head and neck cancer undergoing radiotherapy.
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