Robotic rehabilitation in clinical complications after breast cancer: exoskeleton of upper limbs

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dc.contributor.authorMendes, Izabela dos Santos
dc.contributor.authorOliveira, Fabio Henrique Monteiro
dc.contributor.authorSouza, Gabriela Aparecida de
dc.contributor.authorSene, Thaisa Prado
dc.contributor.authorLima, Fernanda Pupio Silva
dc.contributor.authorAndrade, Adriano de Oliveira
dc.contributor.authorLima, Mario Oliveira
dc.date.accessioned2026-01-13T18:09:00Z
dc.date.available2026-01-13T18:09:00Z
dc.date.issued22024
dc.description.abstractBackground: Breast cancer promotes several physical and functional changes. Innovative tech- niques of physiotherapeutic treatment, such as robotic rehabilitation may contribute to the pre- vention or treatment of these complications. Here we aim to evaluate the effects of robotic re- habilitation on clinical complications secondary to breast cancer. Methods: This is a longitudinal clinical study consisting of 26 subjects divided into the following groups: 13 patients (women after breast cancer - G1, Robotic Rehabilitation Group) and 13 healthy women who did not undergo surgery due to breast cancer and constituted the GC (Control Group) to obtain data from elec- tromyography and dynamometry. Ten consecutive therapeutic sessions were performed. The fol- lowing parameters were evaluated in three sessions (session 1 - S1, session 5 - S5 and session 10 - S10): scapular and manual force, myoelectric activity, pain, range of motion, lymphedema and quality of life. Results: Pain threshold attenuation was obtained by comparing S5 with S10 (p = 0.002) and at the end of treatment (p = 0.01); lymphedema reduction after 10 sessions (p = 0.04); increase of abduction ROM when comparing S1 with S10 (p = 0.05); flexion (p = 0.002) in S1 in relation to S10 and shoulder extension (p = 0.05) in S5. Regarding the electromyographic analysis, there were increases in scapular and manual force of the GC versus G1, and changes in variables estimated from the collected signals, especially the increase in signal amplitude for the MAV, PEAK and RMS characteristics of the brachial biceps muscles, anterior and middle del- toid when comparing S1 versus S10. Before the evaluation using the dynamometer, the healthy women presented increase of scapular and manual force in relation to the volunteers after breast cancer. Conclusion: The use of robotic therapy was significantly efficient for pain attenuation, lymphedema, increase range of motion, increased recruitment of muscle fibers and improvement of muscle synergism, which contributed to the improvement of the quality of life.
dc.description.physical25 p.
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (FAPEMG)
dc.format.mimetypePDF
dc.identifier.affiliationUniversidade do Vale do Paraíba
dc.identifier.affiliationInstituto Federal de Brasília
dc.identifier.affiliationUniversidade Federal de Uberlândia
dc.identifier.bibliographicCitationMENDES, I. S. et al. Robotic rehabilitation in clinical complications after breast cancer: exoskeleton of upper limbs. Medicina (Ribeirão Preto), v. 57, v. 3, p. 1-25, 2024. Disponível em: https://www.revistas.usp.br/rmrp/article/view/216066.
dc.identifier.doi10.11606/issn.2176-7262.rmrp.2024.216066
dc.identifier.urihttps://repositorio.univap.br/handle/123456789/1083
dc.language.isoen_US
dc.publisherUniversidade de São Paulo
dc.rights.holderMedicina (Ribeirão Preto)
dc.subject.keywordBreast cancer
dc.subject.keywordExoskeleton Device
dc.subject.keywordElectromyography
dc.subject.keywordRange of motion
dc.titleRobotic rehabilitation in clinical complications after breast cancer: exoskeleton of upper limbs
dc.title.alternativeReabilitação robótica nas complicações clínicas após câncer de mama: exoesqueleto de membros superiores
dc.typeArtigos de Periódicos

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