Breast Cancer, Pain
Conditions
Keywords
Neck, Shoulder, Manual Therapies
Brief summary
The purpose of this study was to show the immediate effects of myofascial induction on perceived pain and anxiety, cervical/shoulder range of motion and mood state in breast cancer survivors suffering shoulder/arm morbidity.
Detailed description
Background: To investigate the immediate effects of myofascial induction on perceived pain and anxiety, cervical/shoulder range of motion and mood state in breast cancer survivors suffering shoulder/arm morbidity. Methods: Randomized, single-blind, placebo-controlled cross-over study. Twenty-one enrolled participants who had a diagnosis of breast cancer stage I-IIIA and had completed adjuvant therapy except hormonal treatment. The study consisted of two intervention sessions of 30 minutes separated by a wash-up period of 4 weeks. The interventions consisted of a Myofascial Induction (experimental group) or placebo pulsed shortwave therapy (control group). The main outcome measures were: Visual Analogue Scale for pain and anxiety, shoulder-cervical goniometry for range of motion, Profile of Mood States for psychological distress and Attitudes Toward Massage Scale.
Interventions
Patients received a Myofascial Induction focused on the upper limb area for 30 minutes using the Pilat approach.
Patients received a placebo session consisted of 30 minutes of unplugged pulsed shortwave therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
* had a diagnosis of breast cancer (cancer stage I-IIIA) * was between the ages of 25 and 65 * had completed adjuvant therapy except hormonal treatment
Exclusion criteria
* had cancer recurrence
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS). Change scores | A wash-up period of 4 weeks between the 2 sessions was established | A numerical rating scale that contains scores in the range of 0 to 10 (0 = 'no pain/anxiety'; 10 = 'worst imaginable pain/anxiety level'). Participants must mark the level of pain that they feel at that moment in the cervical-arm area and use the scale to indicate their anxiety level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goniometry shoulder. Change scores | A wash-up period of 4 weeks between the 2 sessions was established | A plastic universal goniometer with two adjustable overlapping arms to measure the active range of motion of the shoulder joint. |
| Goniometry cervical. Change scores | A wash-up period of 4 weeks between the 2 sessions was established | A cervical goniometric device manufactured by Performance Attainment Associates (St Paul, MN, USA) to measure the active range of motion of the cervical joints. |
| Profile of Mood States (POMS). Change scores | A wash-up period of 4 weeks between the 2 sessions was established | This questionnaire is a measure of psychological distress. This questionnaire contains 65 items assessing mood state, which are grouped into six subscales: tension-anxiety, depression-dejection, anger-hostility, vigour-activity, fatigue-inertia and confusion-bewilderment. |
| Attitudes toward massage (ATOM) scale | Covariates | The Attitudes toward massage (ATOM) scale is a nine-item measure of overall attitude toward massage composed of the 'Massage as Healthful' and the 'Massage as Pleasant' subscales. |
Countries
Spain