RecruitingNot ApplicableNCT05386628

The Effect of Myofascial Chain Release Techniques on Shoulder Joint Range of Motion in Breast Cancer Survivors

The Effect of Myofascial Chain Release Techniques on Shoulder Joint Range of Motion Following Mastectomy Surgery in Breast Cancer Survivors

Sponsor

Istanbul Medeniyet University

Enrollment

48 participants

Start Date

Aug 15, 2022

Study Type

INTERVENTIONAL

Conditions

Breast Cancer Survivors

Summary

In breast cancer patients, limitation of shoulder joint movement occurs following mastectomy surgery. Studies have reported that damage to the fascia on the pectoralis major muscle during mastectomy surgery contributes to the development of the limitation. The aim of this study is to investigate the effect of release techniques applied to the fascia on the pectoralis major muscle and the fascial chain on the incerasing of shoulder joint range of motion.

Eligibility

Sex: FEMALEMin Age: 30 YearsMax Age: 60 Years

Inclusion Criteria4

Women between the ages of 30-60
Having breast surgery within 2 years
Not have received conservative treatment for shoulder rehabilitation in the last 6 months
Having limitation of movement of the shoulder joint due to breast surgery

Exclusion Criteria13

Not having agreed to participate in the study
Having undergone radical mastectomy surgery
Having connective tissue disease
Presence of brachial plexus paresis/plegia
Presence of radiogenic fibrosis
Presence of additional orthopedic (scoliosis, etc.), neurological (multiple sclerosis, stroke, etc.) and rheumatological diseases (ankylosing spondylitis, rheumatoid arthritis, etc.) that will affect upper extremity functions
Presence of active metastases
Having undergone reconstruction surgery
Continuation of radiotherapy (must have ended at least 3 months ago) or chemotherapy applications
Having had a bilateral mastectomy
To develop lymphedema in the arm-trunk
Use of muscle relaxants
Patients with severe chemotherapy side effects (hyperesthesia, nausea, skin changes, weakness, etc.)

Interventions

OTHERconventional physiotherapy

A basic physiotherapy program consisting of shoulder exercises will be applied to the participants. content of the physiotherapy program * Shoulder passive/active abduction, flexion, internal and external rotation exercises * Posture exercises * Neck stretching exercises * Pectoralis major stretching exercises * Shoulder capsule stretching exercises * Scapular Mobilization exercises

OTHERManual lymphatic drainage

manual lymph drainage is a manual technique that is applied to the lymphatic system with a pressure of 40-50 mmHg and increases the working speed of lymphatic nodules/collectors. Manual lymph drainage will be made to the anterior axillar-axillar, posterior axillar-axillar and axilla-inguinal anastomosis collectors and the arm region (up to the elbow) lymph collectors.

OTHERMyofascial relasing

it will be done with the thumb or 3rd finger from the acu points of the superficial arm-anterior myofascial chain. 6-8 seconds with thumb to these points. pressure will be applied and vibration will be given clockwise.