ADHERENCE TO THE PRACTICE OF EXERCISES FOR FUNCTIONAL REHABILITATION OF WOMEN WITH BREAST CANCER: A LITERATURE REVIEW

Abstract

Introduction: Surgical treatment for breast cancer may lead to post-operative complications such as the diminution of the range of movement and the functionality of the arm. Objectives: To identify studies related to the adherence to functional rehabilitation programs, to describe the instruments that were used to evaluate the adherence and the factors that can facilitate or make it difficult. Methods: Literature review in the PUBMED, MEDLINE and LILACS databases, searching the period from 1997 to 2008, using the combined terms: breast, neoplasm, exercise, rehabilitation and adherence. Findings: From the 52 papers found, only 8 were related to the adherence to the exercises practice as well as to scales and tools to measure it. The diaries with auto report by the patients were the more used instruments. The adhesion is favored by factors such as the perception of benefts, the health professionals and family involvement and the participation at support groups. And that the lack of available time, the side effects of antineoplastic treatments and the home and family tasks are the main factors that difficult to continuing the exercises program. Conclusion: Constance and regularity in the exercises practice is emphasized for achieving positive results in rehabilitation. Evaluate adherence to it refers to the observation of many factors, not only the frequency. There are actions that are necessary in order to reinforce the facilitating aspects and to diminish the barriers, approaching patients and health professionals.