breast cancer, unilateral lymph node dissection, upper limb dysfunctions, physiotherapy, myofascial therapy
Conditions
Interventions
PREVENTIVE STUDY:
1. Patients of the intervention group receive a standard physical therapy programme and myofascial techniques
2. Patients of the control group receive a standard physical therapy programme and a placebo treatment.
The standard physical therapy programme (intervention and control group) is started immediately
Sponsors
Kath. Universiteit Leuven,
Faculteit Bewegings- en Revalidatiewetenschappen
Tervuursevest 101
3001 Leuven-Heverlee
Belgium
Eligibility
Inclusion criteria
Inclusion criteria: PREVENTIVE STUDY: 1. Primary breast surgery with axillary dissection in the University Hospital Leuven (UZ Leuven); 2. Patient is measured before surgery. TREATMENT STUDY: 1. Unilateral axillary lymph node dissection at least 1 year ago; 2. Patient has pain of the upper limb.
Exclusion criteria
Exclusion criteria: PREVENTIVE STUDY: 1. Metastasis of breast cancer; 2. Patients who cannot participate during the entire study period; 3. Patients who are mentally or physically not able to participate in the study. TREATMENT STUDY: 1. Metastasis; 2. Patients who cannot participate during the entire study period; 3. Patients who are mentally or physically not able to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PREVENTIVE STUDY: Do breast cancer patients with a unilateral axillary lymph node dissection and receiving postoperatively standard physiotherapy and myofascial techniques during 4 months have a significantly lower prevalence of pain than patients only receiving standard physiotherapy and placebo? ll patients from the control group and from the experimental group are measured first preoperatively and then postoperatively, 2 months, 4 months, 9 months and 1 year after the breast surgery. TREATMENT STUDY: Do breast cancer patients with chronic pain of the upper limb and with a unilateral axillary lymph node dissection, receiving standard physical therapy and myofascial techniques during 4 months have more decrease of pain of the upper limb than patients only receiving standard physical therapy and placebo? All patients are measured before the start of the treatment programme and after 1, 3, 6 en 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| PREVENTIVE STUDY: Do breast cancer patients with a unilateral axillary lymph node dissection and receiving postoperatively standard physical therapy and myofascial techniques during 4 months have: 1. A significantly lower prevalence of impaired shoulder mobility; 2. A significantly lower prevalence of impaired shoulder function; 3. A significantly lower prevalence of arm lymphoedema; 4. A significantly better quality of life; 5. A significantly better (more normal) shoulder alignment than patients only receiving standard physical therapy and placebo? TREATMENT STUDY: Do breast cancer patients with chronic pain of the upper limb and with an unilateral axillary lymph node dissection at least one year ago, receiving standard physical therapy and myofascial techniques during 4 months have: 1. Significantly more improvement of shoulder mobility; 2. Significantly larger improvement of shoulder function; 3. Significantly more decrease of arm volume; 4. Significantly more improvement of quality of life; 5. Significantly more improvement of shoulder alignment; 6. Significantly more recruitment of muscles around the shoulder than patients only receiving standard physical therapy and placebo? Which factors predict the treatment response in both patient groups? | — |
Contacts
Public ContactAn Groef, de
UZ Leuven Dienst Fysische Geneeskunde en Revalidatie Herestraat 49
Outcome results
None listed