Função dos membros superiores em mulheres no período pós-operatório tardio de câncer de mama

Abstract

Introduction: Surgical treatment of breast cancer can result in kinetic-functional complications, including neuromuscular injuries, pain, lymphedema, reduced shoulder range of motion, and impaired upper limb function. Such changes directly affect quality of life and functional independence in the late postoperative period, highlighting the importance of continuous monitoring of clinical outcomes. Objective: To assess upper limb functionality in women in the late postoperative period following breast cancer surgery. Methodology: A cross-sectional study was conducted with 25 women receiving care from specialized centers for women's health in three municipalities in the South of, Brazil. Data collection comprised a general information questionnaire, application of the Disabilities of the Arm, Shoulder and Hand (DASH) instrument, and measurement of shoulder range of motion using goniometry. Results: Among the participants, 76% demonstrated good or excellent functionality, 60% reported pain, and 32% presented lymphedema. Greater kinetic-functional impact was observed on the right side, particularly regarding shoulder range of motion. No association was identified between functional outcomes and age group or time elapsed since surgery. Women with lymphedema and self-reported pain exhibited poorer functional performance. Conclusion: Although most participants maintained satisfactory functionality during the late postoperative period, worse outcomes were observed among those reporting pain and lymphedema. These findings reinforce the need for continuous evaluation, targeted rehabilitation strategies, and specialized follow-up to mitigate functional limitations and enhance quality of life in this population.