Recovery Optimization: Adding Tissue Flossing to Nerve Glide on Axillary Web Syndrome Post Mastectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 155
- 试验地点
- 1
- 主要终点
- Shoulder Pain. Visual Analogic Scale (VAS):
研究概览
简要总结
Axillary web syndrome (AWS) is a complication associated with breast cancer surgery, characterized by pain, functional limitation of the shoulder and decreased quality of life. There are several physical treatment options to reduce pain and improve the functionality of the upper limb in women with AWS. This study evaluates the effectiveness of an early rehabilitation approach to prevent axillary web syndrome consisting in functional and proprioceptive re-education, manual lymphatic drainage and kinesio taping after breast cancer surgery.
详细描述
Tissue flossing for the upper limb involves wrapping a floss band, typically made of elastic material, around the targeted area to provide compression and create a shearing effect on the tissue. This technique is utilized to enhance mobility, reduce pain, and improve recovery. The procedure begins by wrapping the band around the upper limb, starting from the distal part of the limb and moving proximally, ensuring a snug but not overly tight application that allows for some movement. The band is usually left in place for approximately 2-3 minutes. Physiologically, Tissue flossing for the upper limb, often referred to as compression wrapping, plays a significant role in enhancing physiological functions by improving joint mobility and reducing pain. This technique involves tightly wrapping a stretchable band around a muscle or joint to create compression. The compression temporarily restricts blood flow, which, upon release, results in a rush of blood back to the tissues. This process enhances circulation, promoting nutrient delivery and waste removal from the affected area.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 45 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women between the ages of 45 and 65 years with diagnosis of breast cancer underwent to quadrantectomy and axillary lymphadenectomy.
- •No change of arm size.
- •Females only will participate in the study.
- •All patients have axillary web syndrome
- •All patients' relatives enrolled to the study will have their informed consent
排除标准
- •Metastatic disease, infections, past TVP, emboli.
- •Lymphedema.
- •Chemotherapy and Radiotherapy.
- •Pregnant women.
- •Patients who suffer from mental or psychological problems.
- •Patients who have psoriasis, liver disease, diabetes mellitus, hypertensive patients and cardiac -robleme
- •Patients have Genetic disease or deformity
- •Who has previous injury or fracture in shoulder joint
- •Rheumatoid arthritis
- •Osteopenia
- •Frozen shoulder
- •metastases of any kind
- •lymphedema,
- •a traumatic injury to the targeted upper extremity
- •a musculoskeletal disorder
- •taking any anticoagulants
- •had undergone bilateral breast cancer surgery
- •experienced locoregional recurrence
- •had vascular problems in the affected upper extremity
研究组 & 干预措施
Shoulder flossing with ROM exercises
干预措施: Shoulder flossing application (Other)
Nerve Glide exercises
干预措施: Nerve glide application (Other)
Shoulder flossing with Nerve Glide
干预措施: Shoulder flossing with Nerve Glide (Other)
Control group
结局指标
主要结局
Shoulder Pain. Visual Analogic Scale (VAS):
时间窗: at baseline and at 12 weeks
According to the National Cancer Institute (NIH), it is a tool used to help the professional assess the intensity of certain sensations and feelings, such as pain. The Visual Analog Scale in Arabic version for pain is composed of a straight line on which an extreme means no pain and the other extreme means the worst pain imaginable.
axillary cord thickness
时间窗: at baseline and at 12 weeks
Ultrasonography, this device will be used for the assessment of axillary cord thickness, echogenicity and disorganization. One technique used in ultrasonography is utilizing a high-resolution ultrasound system with 18 MHz frequency, which provides high-definition superficial imaging. A gel technique is also used to reduce artifacts caused by tissue compression. This technique can be used to measure cord thickness, echogenicity, and disorganization.
次要结局
- Shoulder Range of Movement (flexion, extension, abduction and external and internal rotation)(at baseline and at 12 weeks)
- Quality of life. Barthel Scale:(at baseline and at 12 weeks)
研究者
Ahmed Mohamed Ahmed Abd El hady El Fahl,ph.d
Assisstant professor
MTI University