在接受乳腺癌手术和辅助放疗的患者中,肌筋膜释放与手工淋巴引流在减轻治疗后肩部疼痛和僵硬方面的有效性:随机对照试验。

Q3 Medicine
Chellappa Vijayakumar, Ankit Jain, M Kalaranjani, Uday S Kumbhar, N Kumar, G S Sreenath
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引用次数: 0

摘要

目的:本研究旨在采用按摩形式的肌筋膜释放技术(MRT),与手工淋巴引流(MLD)相比,它可以减轻肩关节的疼痛和功能限制。方法:本研究于2021年9月至2023年9月在印度南部的一家三级保健医院进行。研究人群包括98名年龄大于18岁的接受手术/辅助放疗治疗乳腺癌并出现并发症的患者。排除了颈部/皮肤的肌腱/肌肉损伤患者,这使得MRT变得困难。一名训练有素的物理治疗师进行了干预。在第一次治疗(T0)和第四次治疗(T1)以及治疗完成一个月后(T2)评估患者疼痛、肩关节活动范围、肩关节功能障碍和生活质量。结果:与MLD组相比,MRT组疼痛显著减轻(7-3比6-4;P < 0.001),改善肩关节活动范围(ROM)(1000-1320至1140-1400,P < 0.001),减轻肩关节功能障碍(52-40;P < 0.001 vs 45-40;P < 0.001)和改善的生活质量(22和83.5-26和92;P < 0.001相对于24和79-24和83;P < 0.05)。结论:MRT用于减轻术后疼痛、减轻肩部功能障碍和改善肩部ROM是有效的,可建议在常规实践中采用,以提高术后生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Myofascial Release Compared to Manual Lymphatic Drainage in Reducing Post-Treatment Shoulder Pain and Stiffness Among Patients Who Underwent Breast Cancer Surgery and Adjuvant Radiotherapy: Randomised controlled trial.

Objectives: This study aimed to adapt the myofascial release technique (MRT) in the form of massage, which will reduce pain and functional restriction of the shoulder joint compared to manual lymphatic drainage (MLD).

Methods: This study was conducted in a tertiary care hospital in South India from September 2021 to September 2023. The study population included 98 patients older than 18 years who underwent surgery/adjuvant radiotherapy for breast cancer and developed complications. Patients with tendon/muscle injuries in neck/skin conditions, which made MRT difficult, were excluded. A trained physiotherapist delivered the interventions. Patient pain, range of movements at shoulder joint, shoulder dysfunction and quality of life were assessed at the time of the first (T0) and fourth session (T1) and after one month of the completion of treatment (T2).

Results: Compared to the MLD group, the MRT group experienced significant reduction in pain (7-3 versus 6-4; P < 0.001), improvement in the shoulder range of movement (ROM) (1000-1320 to 1140-1400 with P < 0.001), reduction in shoulder dysfunction (52-40; P < 0.001 versus 45-40; P < 0.001) and improved QOL (22 and 83.5-26 and 92; P < 0.001 versus 24 and 79-24 and 83; P > 0.05).

Conclusions: The use of MRT for a reduction in postoperative pain, reduction in shoulder dysfunction and improvement in shoulder ROM is effective and can be proposed to be employed in routine practice for better QOL postoperatively.

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CiteScore
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