Effects of a Manual Therapy Program to Reduce the Evolution Time of Axillary Web Syndrome
University of Malaga
46 participants
Dec 1, 2021
INTERVENTIONAL
Conditions
Summary
ABSTRACT Breast cancer is the most common malignant tumor in women, with more than a million new cases annually. One of the most frequent surgical and post-actinic sequelae and well known is postmastectomy lymphedema. The axillary web syndrome is another sequel that limits the functionality of the patient and delays the protocol times of application of treatments cancer, and in many cases this sequela is misdiagnosed. This surgical sequelusually disappears spontaneously after the third month of appearance, but this implies a long period of discomfort and limitations for the user, at the same time that it may delay the application of Radiotherapy within the indicated protocol deadlines (due to the need for a body posture with abduction and flexion of the affected upper limb for its application and with the lymphatic thrombus is impossible to get). With the present quasi-experimental study, the investigator intend to show that the application of Kinesitherapy and stretching from the beginning of the appearance of the cord, in a controlled and scheduled way by the physiotherapist, it is possible to reduce the time in which the lymphatic thrombus is present, and therefore, recover functionality, mobility, reduce pain and be able to apply the patients´ treatments within of the established deadlines. The investigator intend to apply this therapy in the intervention group and compare thrombus evolution times with the control group.
Eligibility
Inclusion Criteria3
- Patient over 18 years old.
- Mastectomized patients (either radical or conservative surgery).
- Patient with lymphatic thrombus in the upper limb ipsilateral to the surgical intervention.
Exclusion Criteria4
- Significant psychological alterations that would prevent the retrieval of the information necessary for the investigation.
- Significant neurological alterations that would prevent the retrieval of the information necessary for the investigation.
- Patients in a situation of legal dispute that would affect their intervention in this study.
- Metastasis not treated with chemotherapy treatment.
Interventions
The physiotherapist performs passive kinesitherapy on the mastectomized patient with lymphatic thrombus, and scar massage when the arm maintains its greater range of mobility. The patient will never present pain during the rehabilitation session above 5 in Pain Scale Analog Scale.
These users will be instructed in hygienic-postural care and active auto-kinesitherapy assisted to perform daily for 30 minutes. The investigators will value following the instructions every 30 days
Locations(1)
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NCT05115799