Article

OBJECTIVES: To (1) investigate the immediate effects of myofascial induction
(MI), with placebo electrotherapy as a control, on perceived pain,
cervical/shoulder range of motion (ROM), and mood state in breast cancer
survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relationships
between pain modifications and cervical/shoulder ROM on the side affected by
breast cancer. DESIGN: Randomized, single-blind, placebo-controlled crossover
study. SETTING: Physical therapy laboratory. PARTICIPANTS: BCSs (N=21) who had a
diagnosis of stage I-IIIA breast cancer and had completed adjuvant therapy
(except hormonal treatment). INTERVENTION: During each session, the BCSs received
either an MI (fascial unwinding) intervention focused on the upper limb area
following the Pilat approach or placebo pulsed shortwave therapy (control group).
Each session lasted 30 minutes, and an adequate washout period of 4 weeks between
sessions was established. MAIN OUTCOME MEASURES: The visual analog scale (VAS)
for pain and anxiety, shoulder-cervical goniometry for ROM, the Profile of Mood
States for psychological distress, and the Attitudes Towards Massage Scale were
used. RESULTS: An analysis of covariance (ANCOVA) revealed significant time x
group interactions for VAS affected arm (P=.031) but not for VAS cervical
(P=.332), VAS nonaffected arm (P=.698), or VAS anxiety (P=.266). The ANCOVA also
revealed significant interactions for affected shoulder flexion (P<.001),
abduction (P<.001), external rotation (P=.004), and internal rotation (P=.001).
Significant interactions for affected cervical rotation (P=.022) and affected
cervical lateral flexion (P=.038) were also found.
A significant negative
correlation was found between changes in VAS affected arm and shoulder/arm
internal rotation ROM (r=-.46; P=.03). CONCLUSIONS: A single MI session decreases
pain intensity and improves neck-shoulder ROM to a greater degree than placebo
electrotherapy for BCSs experiencing pain.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS