Respiratory Physiotherapy Intervention Strategies in the Sequelae of Breast Cancer Treatment: A Systematic Review

Maria Jesus Vinolo-Gil, Rocío Martín-Valero, Francisco Javier Martín-Vega, Manuel Rodríguez-Huguet, Veronica Perez-Cabezas and Gloria Gonzalez-Medina
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Maria Jesus Vinolo-Gil: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
Rocío Martín-Valero: Department of Physiotherapy, Faculty of Health Science, Ampliacion de Campus de Teatinos, University of Malaga, C/Arquitecto Francisco Peñalosa 3, 29071 Malaga, Spain
Francisco Javier Martín-Vega: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
Manuel Rodríguez-Huguet: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
Veronica Perez-Cabezas: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
Gloria Gonzalez-Medina: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain

IJERPH, 2022, vol. 19, issue 7, 1-17

Abstract: Breast cancer treatments can trigger respiratory sequelae. Respiratory physiotherapy helps to eliminate or mitigate the sequelae by optimizing respiratory function. This systematic review aims to synthesize the scientific evidence and assess its quality regarding the use of respiratory physiotherapy in the sequelae of breast cancer. The Cochrane Library, Physiotherapy Evidence Database, PubMed, Web of Science, Scientific Electronic Library Online, Cumulative Index of Nursing and Allied Literature Complete, and Scopus were searched. Study quality was determined using the PEDro scale, STROBE Statement, and Single-Case Experimental Design Scale. Ten studies, six clinical trials, one case study, and three observational studies were selected. The mean methodological quality of the clinical trials was 5.6, that of the case study was 7, and that of the observational studies was 56%. Respiratory physiotherapy has been observed to improve respiratory capacity, lung function, respiratory muscle strength, effort tolerance, dyspnea, fatigue, thoracic mobility, upper limb volume, sleep quality and quality of life, as well as sensitivity to adverse physiological reactions, nausea, vomiting, and anxiety. However, it is not effective for vasomotor symptoms. More clinical trials are needed. These studies should homogenize the techniques used, as well as improve their methodological quality.

Keywords: breast neoplasms; cancer treatment protocols; physiotherapy; breathing exercises; complications (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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