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Supportive Care in Cancer
Published in: Supportive Care in Cancer 7/2017

01-07-2017 | Original Article

Effect of myofascial techniques for treatment of upper limb dysfunctions in breast cancer survivors: randomized controlled trial

Authors: An De Groef, Marijke Van Kampen, Nele Verlvoesem, Evi Dieltjens, Lore Vos, Tessa De Vrieze, Marie-Rose Christiaens, Patrick Neven, Inge Geraerts, Nele Devoogdt

Published in: Supportive Care in Cancer | Issue 7/2017

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Abstract

Purpose

Besides pain, myofascial dysfunctions may contribute to the presence of upper limb impairments such as impaired range of motion, decreased strength, lymphedema, and altered postures and kinematics. Therefore, the aim of this study was to investigate the effect of myofascial therapy in addition to a standard physical therapy program for treatment of upper limb dysfunctions in breast cancer survivors.

Methods

Fifty women treated for a unilateral breast cancer with pain and myofascial dysfunctions at the upper limb region. The intervention group received 12 sessions of myofascial therapy consisting of release techniques on myofascial trigger points and adhesions in addition to a standard physical therapy program for 3 months. The control group received 12 sessions of a placebo intervention in addition to the same standard physical therapy program during the 3 months. Outcome parameters are active shoulder range of motion (inclinometer); arm lymphedema (perimeter); upper limb strength (handheld dynamometer); scapular statics and dynamics (acromion-table and pectoralis minor index, inclinometer); shoulder function (Disability of Shoulder, Arm and Hand questionnaire); and quality of life (Short Form 36). Measures were taken before and after the intervention at 6 and 12 months follow-up.

Results

No differences between groups were found for all outcome parameters over the course of 1 year. However, overall beneficial effects of the standard physical therapy program for active shoulder range of motion and shoulder function were found in both groups up to 1 year follow-up.

Conclusion

Myofascial therapy has no additional beneficial effect for improvement of upper limb function in breast cancer survivors.
Literature
1.
Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A (2015) Global cancer statistics, 2012. CA Cancer J Clin 65(2):87–108CrossRefPubMed
2.
Stubblefield MD, Keole N (2013) Upper body pain and functional disorders in patients with breast cancer. PM & R: the journal of injury, function, and rehabilitation 6(2):170–183CrossRef
3.
De Groef A, Van Kampen M, Dieltjens E, et al. (2015) Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review. Archives of Physical Medicine and Rehabilitation
4.
Hidding JT, Beurskens CH, van der Wees PJ, van Laarhoven HW, Nijhuis-van der Sanden MW (2014) Treatment related impairments in arm and shoulder in patients with breast cancer: a systematic review. PLoS One 9(5):e96748CrossRefPubMedPubMedCentral
5.
Torres Lacomba M, Mayoral del Moral O, Coperias Zazo JL, Gerwin RD, Goni AZ (2010) Incidence of myofascial pain syndrome in breast cancer surgery: a prospective study. Clin J Pain 26(4):320–325CrossRefPubMed
6.
De Groef A, Van Kampen, M., Vervloesem, N., Dieltjens, E., Christiaens, MR., Neven, P., Geraerts, I, Devoogdt, N (2016) Effect of myofascial techniques for treatment of persistent upper limb pain after breast cancer treatment: randomized controlled trial. Submitted
7.
Shamley D, Srinaganathan R, Oskrochi R, Lascurain-Aguirrebena I, Sugden E (2009) Three-dimensional scapulothoracic motion following treatment for breast cancer. Breast Cancer Res Treat 118(2):315–322CrossRefPubMed
8.
Crosbie J, Kilbreath SL, Dylke E et al (2010) Effects of mastectomy on shoulder and spinal kinematics during bilateral upper-limb movement. Phys Ther 90(5):679–692CrossRefPubMed
9.
Cheville AL, Tchou J (2007) Barriers to rehabilitation following surgery for primary breast cancer. J Surg Oncol 95(5):409–418CrossRefPubMed
10.
Bron C, de Gast A, Dommerholt J, Stegenga B, Wensing M, Oostendorp RA (2011) Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC Med 9:8CrossRefPubMedPubMedCentral
11.
Grieve R, Clark J, Pearson E, Bullock S, Boyer C, Jarrett A (2011) The immediate effect of soleus trigger point pressure release on restricted ankle joint dorsiflexion: a pilot randomised controlled trial. J Bodyw Mov Ther 15(1):42–49CrossRefPubMed
12.
Hains G, Descarreaux M, Hains F (2010) Chronic shoulder pain of myofascial origin: a randomized clinical trial using ischemic compression therapy. J Manip Physiol Ther 33(5):362–369CrossRef
13.
Valentine RE, Lewis JS (2006) Intraobserver reliability of 4 physiologic movements of the shoulder in subjects with and without symptoms. Arch Phys Med Rehabil 87(9):1242–1249CrossRefPubMed
14.
Tengrup I, Tennvall-Nittby L, Christiansson I, Laurin M (2000) Arm morbidity after breast-conserving therapy for breast cancer. Acta Oncol 39(3):393–397CrossRefPubMed
15.
Devoogdt N, Lemkens H, Geraerts I et al (2010) A new device to measure upper limb circumferences: validity and reliability. International angiology: a journal of the International Union of Angiology 29(5):401–407
16.
17.
De Groef A, Van Kampen M, Vervloesem N, et al. (2016) Inter-rater reliability of shoulder measurements in middle-aged women. Physiotherapy
18.
Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J (2011) Measures of adult shoulder function: disabilities of the arm, shoulder, and hand questionnaire (DASH) and its short version (QuickDASH), shoulder pain and disability index (SPADI), American shoulder and elbow surgeons (ASES) society standardized shoulder assessment form, constant (Murley) score (CS), simple shoulder test (SST), Oxford shoulder score (OSS), shoulder disability questionnaire (SDQ), and western Ontario shoulder instability index (WOSI). Arthritis Care Res (Hoboken) 63(Suppl 11):S174–S188CrossRef
19.
Treanor C, Donnelly M (2015) A methodological review of the short form health survey 36 (SF-36) and its derivatives among breast cancer survivors. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 24(2):339–362CrossRef
20.
Ebaugh D, Spinelli B, Schmitz KH (2011) Shoulder impairments and their association with symptomatic rotator cuff disease in breast cancer survivors. Med Hypotheses 77(4):481–487CrossRefPubMed
21.
Borstad JD, Ludewig PM (2005) The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. The Journal of orthopaedic and sports physical therapy 35(4):227–238CrossRefPubMed
22.
Lee SA, Kang JY, Kim YD et al (2010) Effects of a scapula-oriented shoulder exercise programme on upper limb dysfunction in breast cancer survivors: a randomized controlled pilot trial. Clin Rehabil 24(7):600–613CrossRefPubMed
23.
Struyf F, Nijs J, Mottram S, Roussel NA, Cools AM, Meeusen R (2014) Clinical assessment of the scapula: a review of the literature. Br J Sports Med 48(11):883–890CrossRefPubMed
24.
Ratcliffe E, Pickering S, McLean S, Lewis J (2014) Is there a relationship between subacromial impingement syndrome and scapular orientation? A systematic review. Br J Sports Med 48(16):1251–1256CrossRefPubMed
25.
Nesvold IL, Reinertsen KV, Fossa SD, Dahl AA (2011) The relation between arm/shoulder problems and quality of life in breast cancer survivors: a cross-sectional and longitudinal study. Journal of cancer survivorship: research and practice 5(1):62–72CrossRef
26.
Mols F, Vingerhoets AJ, Coebergh JW, van de Poll-Franse LV (2005) Quality of life among long-term breast cancer survivors: a systematic review. European journal of cancer (Oxford, England: 1990) 41(17):2613–2619CrossRef
27.
De Groef A, Van Kampen M, Dieltjens E et al (2015) Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review. Arch Phys Med Rehabil 96(6):1140–1153CrossRefPubMed
28.
Muir SW, Corea CL, Beaupre L (2010) Evaluating change in clinical status: reliability and measures of agreement for the assessment of glenohumeral range of motion. North American journal of sports physical therapy: NAJSPT 5(3):98–110PubMedPubMedCentral
Metadata
Title
Effect of myofascial techniques for treatment of upper limb dysfunctions in breast cancer survivors: randomized controlled trial
Authors
An De Groef
Marijke Van Kampen
Nele Verlvoesem
Evi Dieltjens
Lore Vos
Tessa De Vrieze
Marie-Rose Christiaens
Patrick Neven
Inge Geraerts
Nele Devoogdt
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 7/2017
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3616-9

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