Effect of Myofascial Therapy on Pain and Functionality of the Upper Extremities in Breast Cancer Survivors: A Systematic Review and Meta-Analysis

Lara‐Palomo, Inmaculada Carmen; Castro‐Sánchez, Adelaida María; Córdoba-Peláez, Marta María; Casaña, José; Ortiz-Comino, Lucía

doi:10.3390/ijerph18094420

Cited by 5 publications

(5 citation statements)

References 47 publications

(161 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…For humerothoracic movements, a recent review with meta‐analyses showed conflicting results for range of motion, assessed with clinical methods (e.g., goniometer) 20 . Beneficial effects of myofascial therapy were seen for abduction range of motion, but not for flexion, compared to placebo treatment or other interventions 20 . These results should be interpreted with caution because of the low‐methodological quality of the included studies and the wide variety in myofascial techniques used.…”

Section: Discussionmentioning

confidence: 99%

“…It is of interest to determine if targeting the soft tissue restrictions with myofascial therapy can improve soft‐tissue mobility and prevent the consequent development and maintenance of specific movement alterations and upper limb dysfunction 18,19 . A recent systematic review with meta‐analysis described greater overall effects in support of the intervention with myofascial therapy for pain and functionality than other control groups/types of interventions 20 . For pain, in particular, our own study results showed beneficial effects of myofascial therapy in addition to a standard physical therapy program at short term (i.e., after the 12‐week intervention).…”

Section: Introductionmentioning

confidence: 99%

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The effect of myofascial and physical therapy on trunk, shoulder, and elbow movement patterns in women with pain and myofascial dysfunctions after breast cancer surgery: Secondary analyses of a randomized controlled trial

Baets

Groef

Hagen

et al. 2023

PM&R

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IntroductionSecondary upper limb dysfunctions are common after breast cancer treatment. Myofascial treatment may be a valuable physical therapy modality for this problem.ObjectiveTo investigate the effect of myofascial therapy in addition to physical therapy on shoulder, trunk, and elbow movement patterns in women with pain and myofascial dysfunctions at the upper limb after breast cancer surgery.DesignA double‐blinded randomized controlled trial.SettingRehabilitation unit of a university hospital.ParticipantsForty‐eight women with persistent pain after finishing breast cancer treatment.InterventionsOver 3 months, all participants received a standard physical therapy program. The experimental (n = 24) and control group (n = 24) received 12 additional sessions of myofascial therapy or placebo therapy, respectively.Main outcome measuresOutcomes of interest were movement patterns of the humerothoracic joint, scapulothoracic joint, trunk, and elbow, measured with an optoelectronic measurement system during the performance of a forward flexion and scaption task. Statistical parametric mapping (SPM) analyses were used for assessing the effect of treatment on movement patterns between both groups (group × time interaction effect).ResultsA significantly decreased protraction and anterior tilting was found after experimental treatment. No beneficial effects on movement patterns of the humerothoracic joint, trunk, or elbow were found.ConclusionMyofascial therapy in addition to a 12‐week standard physical therapy program can decrease scapular protraction and anterior tilting (scapulothoracic joint) during arm movements. Given the exploratory nature of these secondary analyses, the clinical relevance of these results needs to be investigated further.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of myofascial and physical therapy on trunk, shoulder, and elbow movement patterns in women with pain and myofascial dysfunctions after breast cancer surgery: Secondary analyses of a randomized controlled trial

Baets

Groef

Hagen

et al. 2023

PM&R

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“…The axillary lymph node (ALN) status is crucial for predicting the clinical classification and decisions on treatment of early-stage breast cancer (EBC) and could be the primary indicator of locoregional recurrence [ 1 , 2 ]. Lymph node dissection can cause lymphedema, which can further contribute to pain, bloating, pressure, fatigue, and functional restriction [ 3 , 4 ]. To reduce the occurrence of lymphedema, sentinel lymph node biopsy (SLNB) is mainly used before surgery.…”

Section: Introductionmentioning

confidence: 99%

Prediction model of axillary lymph node status using automated breast ultrasound (ABUS) and ki-67 status in early-stage breast cancer

Wang

Liu

et al. 2022

BMC Cancer

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Background Automated breast ultrasound (ABUS) is a useful choice in breast disease diagnosis. The axillary lymph node (ALN) status is crucial for predicting the clinical classification and deciding on the treatment of early-stage breast cancer (EBC) and could be the primary indicator of locoregional recurrence. We aimed to establish a prediction model using ABUS features of primary breast cancer to predict ALN status. Methods A total of 469 lesions were divided into the axillary lymph node metastasis (ALNM) group and the no ALNM (NALNM) group. Univariate analysis and multivariate analysis were used to analyze the difference of clinical factors and ABUS features between the two groups, and a predictive model of ALNM was established. Pathological results were as the gold standard. Results Ki-67, maximum diameter (MD), posterior feature shadowing or enhancement and hyperechoic halo were significant risk factors for ALNM in multivariate logistic regression analysis (P < 0.05). The four risk factors were used to build the predictive model, and it achieved an area under the receiver operating characteristic (ROC) curve (AUC) of 0.791 (95% CI: 0.751, 0.831). The accuracy, sensitivity and specificity of the prediction model were 72.5%, 69.1% and 75.26%. The positive predictive value (PPV) and negative predictive value (NPV) were 66.08% and 79.93%, respectively. Distance to skin, MD, margin, shape, internal echo pattern, orientation, posterior features, and hyperechoic halo showed significant differences between stage I and stage II (P < 0.001). Conclusion ABUS features and Ki-67 can meaningfully predict ALNM in EBC and the prediction model may facilitate a more effective therapeutic schedule.

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“…In clinical practice, these two techniques are often combined to achieve a faster and better therapeutic outcome 15 . In recent years, soft tissue therapy, including myofascial release, trigger point therapy, and soft tissue mobilization, has gained increasing use, despite the fact that there are reports in the available literature showing that the role of these techniques is not fully explained 16 , 17 or their influence is limited 18 , 19 .…”

Section: Introductionmentioning

confidence: 99%

The influence of myofascial release on pain and selected indicators of flat foot in adults: a controlled randomized trial

Bac¹,

Kaczor²,

Pasiut³

et al. 2022

Sci Rep

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Flat foot pain is a common complaint that requires therapeutic intervention. Currently, myofascial release techniques are often used in the therapy of musculoskeletal disorders. A group of 60 people suffering from flat feet with associated pain. Patients were assigned to four groups (15 people each): MF—myofascial release, E—the exercise program, MFE—myofascial release and the exercise program, C—no intervention. The rehabilitation program lasted 4 weeks. The NRS scale was used to examine pain intensity and FreeMed ground reaction force platform was used to examine selected static and dynamic foot indicators. Statistically significant pain reduction was obtained in all research. A static test of foot load distribution produced statistically significant changes only for selected indicators. In the dynamic test, statistically significant changes were observed for selected indicators, only in the groups subjected to therapeutic intervention. Most such changes were observed in the MF group. In the dynamic test which assessed the support phase of the foot, statistically significant changes were observed only for selected subphases. Most such changes were observed in the MFE group. Both exercise and exercise combined with myofascial release techniques, and especially myofascial release techniques alone, significantly reduce pain in a flat foot. This study shows a limited influence of both exercises and myofascial release techniques on selected static and dynamic indicators of a flat foot.

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Effect of Myofascial Therapy on Pain and Functionality of the Upper Extremities in Breast Cancer Survivors: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 47 publications

The effect of myofascial and physical therapy on trunk, shoulder, and elbow movement patterns in women with pain and myofascial dysfunctions after breast cancer surgery: Secondary analyses of a randomized controlled trial

The effect of myofascial and physical therapy on trunk, shoulder, and elbow movement patterns in women with pain and myofascial dysfunctions after breast cancer surgery: Secondary analyses of a randomized controlled trial

Prediction model of axillary lymph node status using automated breast ultrasound (ABUS) and ki-67 status in early-stage breast cancer

The influence of myofascial release on pain and selected indicators of flat foot in adults: a controlled randomized trial

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