Correlation Between Upper Limb Volume and Arterial and Venous Blood Flow Velocity in Lymphedema Secondary to Breast Cancer Treatment.

OBJECTIVE: The purpose of this study was to correlate upper limb volume and arterial and venous blood flow velocity in breast cancer survivors. METHODS: A cross-sectional study was conducted on 30 women with lymphedema and a mean age of 55.60 years (standard deviation = 8.12). For the assessment of upper limb volume, perimetry was performed with measures at 6 points on the limb, which were mathematically calculated as volume. The blood flow velocity of the axillary and brachial arteries and veins were assessed by Doppler ultrasound with a probe at 4 MHz. In the statistical analysis, a Shapiro-Wilk test determined a non-normal data distribution. Spearman correlation coefficients (ρ) were calculated to determine the association between the variables blood flow velocity and lymphedema volume. RESULTS: We identified significant and positive associations between all variables correlated with limb volume: blood flow velocity of the axillary artery (ρ = 0.381, P = .041), axillary vein (ρ = 0.383, P = .039), brachial artery (ρ = 0.375, P = .044), and the brachial vein (ρ = 0.373, P = .045). CONCLUSION: There is a positive association between limb volume and blood flow velocity in the upper limbs of women with lymphedema secondary to breast cancer treatment.

Ischemic compression and kinesiotherapy on chronic myofascial pain in breast cancer survivors.

OBJECTIVE: assess the effects of ischemic compression and kinesiotherapy on the rehabilitation of breast cancer survivors with chronic myofascial pain. METHODS: A randomized, controlled, blinded clinical trial was performed with 20 breast cancer survivors with myofascial trigger point in the upper trapezius muscle. Patients were randomly allocated to ischemic compression + kinesiotherapy (G1, n = 10) and kinesiotherapy (G2, n = 10). Both groups were submitted to 10 sessions of treatment. The variables evaluated were: Numeric Rating Scale, Pain Related Self-Statement Scale, pressure pain threshold, Functional Assessment of Cancer Therapy-Breast and Infrared thermography. RESULTS: A significant reduction (p < 0.05) was observed in pain intensity after 10 sessions in Groups 1 and 2, a significant increase (p < 0.05) in pressure pain threshold in both the operated and non-operated side after 10 sessions for Group 1. CONCLUSION: Ischemic compression associated with kinesiotherapy increases the pressure pain threshold on the myofascial trigger point in the upper trapezius muscle and reduces the intensity of pain in breast cancer survivors with myofascial pain.

Frequência de incontinência urinária em mulheres praticantes de crossfit: um estudo transversal / Frecuencia de incontinencia urinaria en mujeres que practican crossfit: un estudio transversal / Frequency of urinary incontinence in women who practice crossfit: a cross-sectional study

RESUMO O objetivo deste estudo foi verificar a frequência de Incontinência Urinaria (IU) em mulheres praticantes de Crossfit. Realizou-se um estudo de corte transversal com mulheres que praticavam Crossfit há, pelo menos, 6 meses ininterruptos, com idade entre 18 a 35 anos e frequência de treino de, no mínimo, três vezes por semana. Foram aplicados questionários de avaliação individual compostos por dados sociodemográficas, antropométricos e esportivos, além do International Consultation on Incontinence Questionnaire - Short Form (ICIQ-UI-SF), para identificar a presença de IU. Também por meio do ICIQ-IU-SF foram identificados a frequência e quantidade de perda de urina e interferência da IU na qualidade de vida (QV) das mulheres incontinentes. Essas mulheres também responderam a um questionário acerca da gravidade da IU. A amostra total do estudo foi de 50 mulheres, das quais 10 (20%) apresentaram IU. A maioria das mulheres incontinentes apresentou IU de gravidade moderada e de interferência leve na QV. Ademais, observou-se associação entre ter histórico de IU e apresentar IU (RP=5,33; IC95%=1,41 a 20,10). Diante do exposto, conclui-se que a frequência de IU em mulheres praticantes de Crossfit foi de 20%, sendo a IU, em sua maioria, de gravidade moderada e de leve interferência na QV.

RESUMEN El objetivo de este estudio fue evaluar la frecuencia de incontinencia urinaria (IU) en mujeres que practican crossfit. Se realizó un estudio transversal con mujeres que habían practicado crossfit, como mínimo, durante 6 meses ininterrumpidos, con edades entre 18 y 35 años y una frecuencia de entrenamiento de al menos tres veces por semana. Se aplicaron cuestionarios de evaluación individual que constó de datos sociodemográficos, antropométricos y deportivos, además del International Consultation on Incontinence Questionnaire - Short Form (ICIQ-UI-SF) para identificar la presencia de IU. También se identificaron la frecuencia y cantidad de pérdida de orina y la interferencia de la IU en la calidad de vida (CV) de las mujeres con incontinencia utilizando el ICIQ-IU-SF. Esas mujeres también respondieron a un cuestionario sobre la gravedad de la IU. La muestra total del estudio se compuso de 50 mujeres, de las cuales 10 (20%) tenían IU. La mayoría de las mujeres con incontinencia presentaban IU de gravedad moderada e interferencia mínima en la CV. Además, se observó una asociación entre haber presentado antecedentes de IU y tener IU (RP=5,33; IC95%=1,41 a 20,10). Se concluye que la frecuencia de IU en mujeres que practican crossfit fue del 20%, y que la IU se presentó, en su mayoría, de gravedad moderada y de interferencia mínima en la CV de ellas.

ABSTRACT The aim of this study was to determine the frequency of urinary incontinence (UI) in women who practice crossfit. This was a cross-sectional study with women aged between 18 and 35 years, who had been practicing crossfit for at least six months without interruption, and at least three times a week. Individual assessment questionnaires were used, composed of sociodemographic, anthropometric and exercise data, as well as the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-UI-SF) to identify the presence of UI. The frequency and amount of urine loss and UI interference in quality of life (QoL) were also identified via ICIQ-IU-SF. These women also responded to a questionnaire about the severity of UI. The total sample of the study was 50 women, of whom 10 (20%) had UI. Most incontinent women had moderate UI and mild interference in QoL. Moreover, we observed an association between having UI history and presenting UI (PR=5.33, 95% CI=1.41 to 20.10). Given the above, we concluded that the frequency of UI in female crossfit athletes was 20%, with UI being mostly of moderate severity and mild interference in QoL.

Undertreatment of depressive symptomatology in the elderly living in long stay institutions (LSIs) and in the community in Brazil.

The aim of the present study was to assess the presence of depressive symptomatology among elderly residents in long stay institution (LSI) and in the community of Recife, Brazil. In total, 81 LSI elderly patients (mean age of 75.55 + or - 9.18 years) and 132 elderly (mean age of 73.14 + or - 8.27 years) individuals from the community were evaluated. Depressive symptomatology was assessed by the geriatric depression scale (GDS-15), cognitive status by the mini mental state examination (MMSE) and capacity to perform the activities of daily living (ADL) by the Katz Index. Comorbidities and the use of medication were recorded. The LSI elderly exhibited more depressive symptoms (p < 0.001) and more dependency (p < 0.001). We observed no differences in MMSE (p = 0.058). The elderly in the community displayed more comorbidities and the LSI elderly consumed more medication (p < 0.001 and < 0.001, respectively). According to multivariate analysis (logistic regression), being male, having no spouse and having a low schooling level are risk factors for depressive symptoms. In conclusion, most elderly with depressive symptoms received no medication for depression.