Acupuncture in the rehabilitation of women after breast cancer surgery--a case series.

Michele Alem, Maria Salete Costa Gurgel
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Abstract

Objective: To evaluate the effect of acupuncture on rehabilitation of motor function, reduction in lymphoedema and improvement in perceived heaviness and tightness in the arms of women who had undergone breast cancer surgery.

Subjects and methods: Twenty nine women who had had mastectomy or segmentectomy with axillary dissection, presenting with lymphoedema and/or a decrease in movement amplitude of the upper limb ipsilateral to surgery were studied. The patients underwent 24 acupuncture sessions once a week from February to December 2004. The movement amplitude of shoulder flexion and abduction and circumferential measurements of the arm, forearm and wrist were evaluated before and after one, three and six months of treatment. Statistical analysis was performed by Friedman's test.

Results: Significant improvements in range of movement of shoulder flexion and abduction (P<0.001), degree of lymphoedema (P=0.016), and sense of heaviness and tightening (P<0.001) in the affected limb after six months of therapy were observed. For circumferential measurements of the arm, forearm and wrist, no significant improvement between the different periods of treatment was observed.

Conclusions: Acupuncture in rehabilitation after breast cancer surgery was shown to be associated with improvements in movement amplitude of the shoulder, symptoms of heaviness and tightness in the arm, and the degree of lymphoedema. However, controlled trials should be performed to ascertain whether the results were due to the natural history of the complaint or the acupuncture treatment.

针灸在女性乳腺癌术后康复中的应用——一个案例系列。
目的:探讨针刺对乳腺癌术后患者运动功能恢复、淋巴水肿减轻及手臂感觉沉重、紧绷的改善作用。对象和方法:对29例乳房切除术或节段切除术合并腋窝夹层的女性进行了研究,这些女性在手术的同侧表现为淋巴水肿和/或上肢运动幅度下降。2004年2月至12月,患者接受24次针灸治疗,每周1次。在治疗1个月、3个月和6个月前后评估患者肩关节屈曲和外展的运动幅度以及手臂、前臂和手腕的周长测量。采用Friedman检验进行统计分析。结果:肩关节屈曲、外展活动范围明显改善(p结论:针刺治疗乳腺癌术后康复与肩关节活动幅度、上臂沉重、紧绷症状及淋巴水肿程度的改善有关。然而,应该进行对照试验,以确定结果是由于自然病史的投诉或针灸治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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