Aplikacja pomagająca fizjoterapeutom w ocenie dysfunkcji miednicy mniejszej po przebytym raku szyjki macicy [ARTYKUŁ 2-JĘZ.]
Another problem that occurs due to the removal of the inguinal lymph nodes or radiotherapy in the region of the lymph nodes is the possibility of the appearance of lymphedema in the lower limbs, which is also addressed in the instrument developed (17). Lymphedema is mainly associated with the surgical treatment of lymphadenectomy, radiotherapy and progression disease (17). In the study by Rebegea et al.,(17) the incidence of lymphedema in post-CC patients was 15%. Bona et al.18 concluded from their study that the frequency of lymphedema after CC treatment is variable and that it is mainly associated with the extent of lymphadenectomy, number of lymph nodes removed and adjuvant radio-therapy. The assessment of lymphedema addressed in the instrument is the perimetry of the lower limbs, which determines the difference between limbs, with results greater than two centimeters indicating the presence of lymphedema (19). In this way, the instrument contemplates several dysfunctions that may be present in women after CC treatment, emphasizing that with advances in early detection and oncological treatment, there has been a significant increase in patient survival. Thus, this advance must be accompanied by therapeutic developments that improve the quality of life of patients, addressing changes caused by treatment (3, 15).
Therefore, the evaluation of pelvic floor dysfunctions is a necessary tool in patients who have completed such treatment, as it allows the identification of patients who show some alteration and an indication for appropriate physical therapy. It is [...]
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