Introducción: El cáncer colorrectal es una de las principales causas de mortalidad en el Brasil, y el tratamiento quirúrgico puede afectar el desempeño funcional y la autopercepción de la salud de los pacientes. Objetivo: Analizar el impacto de la cirugía de cáncer colorrectal en el desempeño funcional y la autopercepción de la salud de pacientes con enfermedad oncológica. Método: Estudio descriptivo y transversal con enfoque cuantitativo, realizado entre octubre de 2024 y abril de 2025, con una muestra de conveniencia no probabilística compuesta por pacientes con cáncer colorrectal. Se aplicaron pruebas funcionales, incluyendo evaluación del estado del desempeño funcional, riesgo de sarcopenia, velocidad de marcha, prueba de sentarse y levantarse y autopercepción de la salud, en el pre y posoperatorio. El análisis estadístico se realizó mediante la prueba de Shapiro-Wilk y, debido a la distribución no normal, se utilizó la prueba de Wilcoxon para comparar los momentos evaluados. Resultados: La muestra estuvo compuesta por 24 pacientes, con predominio masculino y bajo nivel educativo. Se observó alteración en el estado del desempeño funcional [0,00 (0,00–0,75) vs. 1,00 (0,00–1,00); p<0,001] y en el puntaje del riesgo de sarcopenia [0,00 (0,00–11,00) vs. 0,00 (2,00–11,00); p=0,012]. No se observaron diferencias significativas en las demás variables evaluadas. Conclusión: Hubo alteración en el desempeño funcional y en el riesgo de sarcopenia en el período posoperatorio, mientras que las demás variables permanecieron estables, reforzando la importancia de estrategias de rehabilitación en el cuidado de estos pacientes.
Instituto Nacional de Câncer. Estimativa 2026: incidência de câncer no Brasil [Internet]. Rio de Janeiro: INCA; 2026 [acesso 2026 abr 30]. Disponível em: https://ninho.inca.gov.br/jspui/handle/123456789/17914 Goede V. Frailty and cancer: current perspectives on assessment and monitoring. Clin Interv Aging. 2023;18:505-21. doi: https://doi.org/10.2147/CIA.S365494 DOI: https://doi.org/10.2147/CIA.S365494 Martins LFL, Chaves GV, Oliveira JFP, et al. Perfil epidemiológico da incidência de câncer no Brasil e regiões: estimativas para o triênio 2026-2028. Rev Bras Cancerol. 2026;72(2):e-025587. doi: https://doi.org/10.32635/2176-9745.RBC.2026v72n2.5587 DOI: https://doi.org/10.32635/2176-9745.RBC.2026v72n2.5587 Bauer J, Morley JE, Schols AMWJ, et al. Sarcopenia: a time for action. An SCWD position paper. J Cachexia Sarcopenia Muscle. 2019;10(5):956-61. doi: https://doi.org/10.1002/jcsm.12483 DOI: https://doi.org/10.1002/jcsm.12483 Vega MCMD, Laviano A, Pimentel GD. Sarcopenia e toxicidade mediada pela quimioterapia. Einstein (Sao Paulo). 2016;14(4):580-4. doi: https://doi.org/10.1590/S1679-45082016MD3740 DOI: https://doi.org/10.1590/s1679-45082016md3740 Marusic U, Narici M, Simunic B, et al. Nonuniform loss of muscle strength and atrophy during bed rest: a systematic review. J Appl Physiol (1985). 2021;131(1):194-206. doi: https://doi.org/10.1152/japplphysiol.00363.2020 DOI: https://doi.org/10.1152/japplphysiol.00363.2020 Labuschagne R, Roos R. Pre-operative physiotherapy for elderly patients undergoing abdominal surgery. S Afr J Physiother. 2022;78(1):1782. doi: https://doi.org/10.4102/sajp.v78i1.1782 DOI: https://doi.org/10.4102/sajp.v78i1.1782 Lewandowska A, Rudzki G, Lewandowski T, et al. Risk factors for the diagnosis of colorectal cancer. Cancer Control. 2022;29:10732748211056692. doi: https://doi.org/10.1177/10732748211056692 DOI: https://doi.org/10.1177/10732748211056692 Campos MSB, Feitosa RHF, Mizzaci CC, et al. The benefits of exercise in breast cancer. Arq Bras Cardiol. 2022;119(6):981-90. doi: https://doi.org/10.36660/abc.20220086 DOI: https://doi.org/10.36660/abc.20220086 Wilcoxon F. Individual comparisons by ranking methods. Biometrics Bulletin. 1945;1(6):80-3. doi: https://doi.org/10.2307/3001968 DOI: https://doi.org/10.2307/3001968 Oken MM, Creech RH, Tormey DC, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5(6):649-55. DOI: https://doi.org/10.1097/00000421-198212000-00014 Barbosa-Silva TG, Menezes AMB, Bielemann RM, et al. Enhancing SARC-F: improving sarcopenia screening in the clinical practice. J Am Med Dir Assoc. 2016;17(12):1136-41. doi: https://doi.org/10.1016/j.jamda.2016.08.004 DOI: https://doi.org/10.1016/j.jamda.2016.08.004 Abellan van Kan G, Rolland Y, Andrieu S, et al. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009;13(10):881-9. doi: https://doi.org/10.1007/s12603-009-0246-z DOI: https://doi.org/10.1007/s12603-009-0246-z Strassmann A, Steurer-Stey C, Dalla Lana K, et al. Population-based reference values for the 1-min sit-to-stand test. Int J Public Health. 2013;58(6):949-53. doi: https://doi.org/10.1007/s00038-013-0504-z DOI: https://doi.org/10.1007/s00038-013-0504-z Bombak AE. Self-rated health and public health: a critical perspective. Front Public Health. 2013;1:15. doi: https://doi.org/10.3389/fpubh.2013.00015 DOI: https://doi.org/10.3389/fpubh.2013.00015 SPSS®: Statistical Package for Social Science (SPSS) [Internet]. Versão 20.0. [Nova York]. International Business Machines Corporation. [acesso 2025 jun 9]. Disponível em: https://www.ibm.com/br-pt/spss?utm_content=SRCWW&p1=Search&p4=43700077515785492&p5=p&gclid=CjwKCAjwgZCoBhBnEiwAz35Rwiltb7s14pOSLocnooMOQh9qAL59IHVc9WP4ixhNTVMjenRp3-aEgxoCubsQAvD_BwE&gclsrc=aw.ds Shapiro SS, Wilk MB. an analysis of variance test for normality (complete samples). Biometrika. 1965;52(3-4):591-611. doi: https://doi.org/10.1093/biomet/52.3-4.591 DOI: https://doi.org/10.1093/biomet/52.3-4.591 Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Diário Oficial da União, Brasília, DF. 2013 jun 13 [acesso 2026 ago 10]; Edição 112; Seção 1:59. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html Souza LR, Santos BO, Oliveira MVM, et al. Perfil epidemiológico dos casos de câncer colorretal notificados na região Sul do Brasil. Rev Eletrônica Acervo Saúde. 2024;24(3):e15088. doi: https://doi.org/10.25248/REAS.e15088.2024 DOI: https://doi.org/10.25248/reas.e15088.2024 Huang YM, Huang YJ, Wei PL, et al. Cigarette smoking associated with colorectal cancer survival: a nationwide, population-based cohort study. J Clin Med. 2022;11(4):913. doi: https://doi.org/10.3390/jcm11040913 DOI: https://doi.org/10.3390/jcm11040913 Michael CM, Lehrer EJ, Schmitz KH, et al. Prehabilitation exercise therapy for cancer: a systematic review and meta-analysis. Cancer Med. 2021;10(13):4195-205. doi: https://doi.org/10.1002/cam4.4021 DOI: https://doi.org/10.1002/cam4.4021 Jochem C, Leitzmann M. Physical activity and sedentary behavior in relation to cancer survival: a narrative review. Cancers (Basel). 2022;14(7):1720. doi: https://doi.org/10.3390/cancers14071720 DOI: https://doi.org/10.3390/cancers14071720 Chen G, Wang J, Chen K, et al. Relationship between postoperative complications and the prognosis of gastric carcinoma patients who underwent surgical resection: a systematic review and meta-analysis. Cancer Control. 2021;28:10732748211011955. doi: https://doi.org/10.1177/10732748211011955 DOI: https://doi.org/10.1177/10732748211011955 Chiu HC, Lin YC, Hsieh HM, et al. The impact of complications on prolonged length of hospital stay after resection in colorectal cancer: a retrospective study of Taiwanese patients. J Int Med Res. 2017;45(2):691-705. doi: https://doi.org/10.1177/0300060516684087 DOI: https://doi.org/10.1177/0300060516684087 Rizzi SKLA. Aceleração da recuperação pós-operatória em pacientes oncológicos: o papel do fisioterapeuta. Rev Bras Cancerol. 2023;69(3):e-254391. doi: https://doi.org/10.32635/2176-9745.RBC.2023v69n3.4391 DOI: https://doi.org/10.32635/2176-9745.RBC.2023v69n3.4391 Schram A, Ferreira V, Minnella EM, et al. In-hospital resistance training to encourage early mobilization for enhanced recovery programs after colorectal cancer surgery: a feasibility study. Eur J Surg Oncol. 2019;45(9):1592-7. doi: https://doi.org/10.1016/j.ejso.2019.04.015 DOI: https://doi.org/10.1016/j.ejso.2019.04.015 Bojesen RD, Dalton SO, Skou ST, et al. Preoperative multimodal prehabilitation before elective colorectal cancer surgery in patients with WHO performance status I or II: randomized clinical trial. BJS Open. 2023;7(6):zrad134. doi: https://doi.org/10.1093/bjsopen/zrad134 DOI: https://doi.org/10.1093/bjsopen/zrad134 Li X, Ding P, Wu J, et al. Preoperative sarcopenia and postoperative accelerated muscle loss negatively impact survival after resection of locally advanced gastric cancer. BMC Cancer. 2025;25(1):269. doi: https://doi.org/10.1186/s12885-025-13674-3 DOI: https://doi.org/10.1186/s12885-025-13674-3 Yamamoto K, Nagatsuma Y, Fukuda Y, et al. Effectiveness of a preoperative exercise and nutritional support program for elderly sarcopenic patients with gastric cancer. Gastric Cancer. 2017;20(5):913-8. doi: https://doi.org/10.1007/s10120-016-0683-4 DOI: https://doi.org/10.1007/s10120-016-0683-4 Meza-Valderrama D, Marco E, Dávalos-Yerovi V, et al. Sarcopenia, malnutrition, and cachexia: adapting definitions and terminology of nutritional disorders in older people with cancer. Nutrients. 2021;13(3):761. doi: https://doi.org/10.3390/nu13030761 DOI: https://doi.org/10.3390/nu13030761
Over the past two decades, inflammation has been recognized as an additional risk indicator for head and neck cancer (HNC). Periodontal diseases, including gingivitis and periodontitis, may contribute to cancer development; however, few studies have incorporated comprehensive clinical periodontal assessments when investigating their association with HNC. This article emphasizes the importance of monitoring periodontal disease in patients with head and neck cancer and explores possible correlations between these conditions. Given the limited evidence available, further studies using gold-standard periodontal examinations in HNC patients are needed, especially studies performing full periodontal examinations and reporting data using the Full-mouth MB-B-D partial protocol. The parallel presentation of both assessment methods would facilitate methodological comparisons, improve the consistency of periodontal data, and support comparisons across different populations. This approach may strengthen the evidence for periodontal disease as a potential predictive risk factor for the development and progression of head and neck cancer.
Introduction: Breast cancer and its antineoplastic treatment are associated with physical and functional adverse events, requiring safe supportive care strategies. Multimodal physiotherapy protocols have been used for this purpose, and vascular photobiomodulation (VPBM) has emerged as a potentially adjunctive resource. Objective: To evaluate the clinical safety, feasibility, and acceptability of a multimodal physiotherapy protocol including VPBM, compared with a placebo application. Method: This pilot randomized, double-blind, placebo-controlled clinical trial with a parallel design allocated participants to either an intervention or placebo group. Participants underwent ten sessions over five weeks, including transdermal application of VPBM over the left radial artery. Outcomes included patient-reported adverse events, tolerability, adherence, and satisfaction. Pain, heaviness sensation, and perceived edema were assessed as exploratory secondary outcomes. Results: Twelve women initiated the protocol, with 100% adherence. No serious adverse events were observed. Across 120 applications, eight episodes of mild, transient, and self-limited discomfort were reported, more frequently in the intervention group, without requiring interruption. An intragroup reduction in the musculoskeletal pain domain was observed (p=0.035), with no differences between groups; this finding was interpreted as exploratory. Acceptability was high, with elevated satisfaction levels in both groups. Conclusion: The multimodal physiotherapy protocol including VPBM was feasible, well tolerated, and well accepted in women undergoing treatment for breast cancer. Due to the pilot nature and multimodal design, no specific effects can be attributed to VPBM, reinforcing the need for confirmatory studies.
