The impact of combined Gua Sha and myofascial release techniques on upper limb dysfunction in patients with breast cancer and axillary web syndrome: a prospective case series study.

Abstract

Objective: To investigate the effects of a combined Gua Sha and myofascial release approach on upper limb dysfunction in patients with breast cancer and axillary web syndrome (AWS).

Methods: In this prospective case series study, 30 patients with breast cancer diagnosed with AWS post-surgery were recruited. Participants underwent a 12-week intervention combining Gua Sha and myofascial release techniques. Upper limb function (primary outcome) was assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Secondary outcomes included pain intensity (Visual Analog Scale [VAS]), range of motion (goniometry) and quality of life. Assessments were conducted at baseline, 6 weeks and 12 weeks.

Results: Significant improvements were observed in upper limb function, with mean DASH scores decreasing from 52.3 ± 15.7 at baseline to 28.6 ± 12.4 at 12 weeks (p < 0.001). Pain intensity showed a marked reduction, with mean VAS scores decreasing from 6.8 ± 1.5 to 3.2 ± 1.8 (p < 0.001). Range of motion improved across all measured joints, with shoulder abduction showing the most substantial gain (mean increase: 35.2° ± 12.8°, p < 0.001). Quality of life scores also demonstrated significant enhancement, particularly in physical functioning and pain domains.

Conclusion: The combined approach of Gua Sha and myofascial release techniques shows promising results in improving upper limb function, reducing pain and enhancing the quality of life in patients with breast cancer and AWS. These findings warrant further investigation through randomised controlled trials to establish the efficacy of this intervention compared with standard care.