title: Effectiveness of acupuncture in rehabilitation of physical and functional disorders of women undergoing breast cancer surgery.
abstract: OBJECTIVE
  The purpose of the study is to verify the effectiveness of acupuncture in rehabilitation of physical and functional disorders of women undergoing breast cancer surgery on the following parameters: pain, range of motion, upper limb function, and depressive symptoms.
  
  
  METHODS
  The following are the inclusion criteria: women aged more than 18 years with scapular girdle and upper limb pain after 3 months of surgery and with pain ≥3 in visual analog scale. Patients were divided into two randomized groups which received weekly treatment during 10 sessions. Kinesiotherapy group (G1)-treated with a predefined kinesiotherapy protocol of 30 min. Group Acupuncture + Kinesiotherapy (G2)-treated with the same kinesiotherapy group protocol followed by another 30 min of acupuncture, used in predefined points. Both groups performed physical examination and answered the upper limb function and depressive symptoms questionnaires.
  
  
  RESULTS
  Forty-eight patients completed the treatment, 24 in each group. Regarding the pain, the two groups had statistically significant improvement in all evaluated moments. In the analysis of depression, it improved significantly only in G1 in the comparison between the first and the tenth session. The upper limb function had improvement in G1 only in the comparison between the first and the tenth session and in G2, in the three evaluation moments. The range of motion (ROM) showed improvement in all evaluated movements.
  
  
  CONCLUSIONS
  There was no difference between groups. Both groups showed statistically significant improvement of the items assessed: pain, depression, upper limb function, and ADM, and there was no difference between them.
authors.affiliation: , Rua Marselhesa, 249- Vila Mariana, São Paulo, SP, Brazil, 04020060. patysantolia@hotmail.com.
authors.forename: Patricia Santolia
authors.identifier: http://orcid.org/0000-0002-1074-1975
authors.initials: PS
authors.lastname: Giron
authors.affiliation: Department of Gynecology, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Cinira Assad Simão
authors.initials: CA
authors.lastname: Haddad
authors.affiliation: Department of Gynecology, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Samantha Karlla
authors.initials: SK
authors.lastname: Lopes de Almeida Rizzi
authors.affiliation: Department of Gynecology, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Afonso Celso Pinto
authors.initials: AC
authors.lastname: Nazário
authors.affiliation: Department of Gynecology, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Gil
authors.initials: G
authors.lastname: Facina
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D000368:Aged; D001132:Arm / Q000503:physiopathology; D001943:Breast Neoplasms / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D003863:Depression / Q000209:etiology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular; D016896:Treatment Outcome
keywords: Acupuncture; Breast cancer; Depression; Rehabilitation; Upper limb function