Effects of a Single Myofascial Induction Session on Neural Mechanosensitivity in Breast Cancer Survivors: A Secondary Analysis of a Crossover Study

Castro-Martín, Eduardo; Galiano‐Castillo, Noelia; Ortiz-Comino, Lucía; Cantarero‐Villanueva, Irene; Lozano‐Lozano, Mario; Arroyo-Morales, Manuel; Fernández-Lao, Carolina

doi:10.1016/j.jmpt.2019.03.016

Cited by 6 publications

(10 citation statements)

References 44 publications

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“…This study was designed as a single-blind, placebo-controlled, cross-over trial (ClinicalTrials.gov NCT04145180). This type of design allows inter-individual variation in outcome measures to be taken into account [ 22 , 23 ] and adheres to the CONSORT 2010 statement “extension to randomized crossover trials” [ 28 ] ( Supplementary Table S1 ).…”

Section: Methodsmentioning

confidence: 99%

“…With the patient in the supine position, the physical therapist lifted the head, applied gentle and sustained traction, and moved the head as previously described [ 22 ]. The mock pulsed shortwave therapy for the placebo treatment was administered as previously described [ 22 , 23 ]. All sessions were conducted at the same time of day at 20–22 °C in a physical therapy laboratory.…”

Section: Methodsmentioning

confidence: 99%

“…Taking into account that the origin of sequelae could be multiple and so different areas could be damaged, MIT would be the most suitable manual technique to influence other areas at some distance, owing to its systemic effects (theory of tissue tensegrity) [ 21 ]. For example, it has been shown to reduce pain and improve cervical and shoulder ROM in patients with breast cancer [ 22 , 23 , 24 , 25 ]. In addition, it can help the function of scarred areas once the remodeling process is complete [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Myofascial Induction Therapy Improves the Sequelae of Medical Treatment in Head and Neck Cancer Survivors: A Single-Blind, Placebo-Controlled, Randomized Cross-Over Study

Castro-Martín

Galiano‐Castillo

Fernández-Lao

et al. 2021

JCM

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Head and neck cancer (HNC) is the sixth most common cancer worldwide. Yet, less than 60% of HNC survivors receive adequate therapy for treatment-related sequelae. The objective of this study was to determine the efficacy of myofascial induction therapy (MIT) in improving cervical and shoulder pain and range of motion, maximal mouth opening, and cervical muscle function in HNC survivors. This crossover, blinded, placebo-controlled study involved 22 HNC survivors (average age 56.55 ± 12.71) of which 13 were males (59.1%) who received, in a crossover fashion, both a single 30-min session of MIT in the form of manual unwinding and simulated pulsed shortwave therapy (placebo), with a 4-week washout interval between the two. Cervical and shoulder pain (visual analogue scale) and range of motion (cervical range of motion device and goniometer), maximum mouth opening (digital caliper), and cervical muscle function (deep cervical flexor endurance test) were measured before and after the treatment and placebo sessions. A single session of MIT improved cervical and affected side shoulder pain, cervical range of motion, maximum mouth opening, and cervical muscle function. The associated effect sizes ranged from moderate to large. The present study suggests that MIT, in the form of manual unwinding, improves cervical (−3.91 ± 2.77) and affected-side shoulder (−3.64 ± 3.1) pain, cervical range of motion (flexion: 8.41 ± 8.26 deg; extension: 12.23 ± 6.55; affected-side rotation: 14.27 ± 11.05; unaffected-side rotation: 11.73 ± 8.65; affected-side lateroflexion: 7.95 ± 5.1; unaffected-side lateroflexion: 9.55 ± 6.6), maximum mouth opening (3.36 ± 3.4 mm), and cervical muscle function (8.09 ± 6.96 s) in HNC survivors.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Myofascial Induction Therapy Improves the Sequelae of Medical Treatment in Head and Neck Cancer Survivors: A Single-Blind, Placebo-Controlled, Randomized Cross-Over Study

Castro-Martín

Galiano‐Castillo

Fernández-Lao

et al. 2021

JCM

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“…In the present study, a map previously used in people suffering from subacromial syndrome was considered [ 8 ]. Previous studies have described the general areas of sensitization in postoperative breast cancer patients around the pectoralis major, posterior deltoid, dorsal region [ 37 ], and over peripheral nerve trunks of the median, radial, and ulnar nerves [ 38 ]. However, the addition of a more accurate description of the distribution of pressure pain sensitivity is of interest to design specific rehabilitation programs.…”

Section: Discussionmentioning

confidence: 99%

Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study

Ribeiro

González

Torres

et al. 2021

International Journal of Breast Cancer

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Background. With treatment for breast cancer, women treated may present significant sensory abnormalities in the upper extremity. However, there are no conclusive studies that have evaluated pressure pain thresholds (PPT) in the shoulder of postoperated women for breast cancer. The aim of this study was to compare PPT in the shoulder, stress, anxiety, depression symptoms, and quality of sleep among postoperated women for breast cancer (PO group) and asymptomatic women of shoulder pain (control group). Methods. 40 women participated ( n = 20 , PO group, age: average ± standard deviation , 49.2 ± 8.3 years; body mass index (BMI): 27.5 ± 3.0 kg/cm2; surgery time: 22.2 ± 34.4 months; n = 20 , control group, 46.9 ± 8.1 years; BMI: 26.8 ± 3.5 kg/cm2). The PPT was evaluated with a digital algometer at 32 points in the shoulder region and one control point in the tibialis anterior. Stress, anxiety, and depression were evaluated with the Depression, Anxiety and Stress Scale 21 (DASS-21) and the quality of sleep by the Pittsburgh Sleep Quality Index. Results. Significant differences were observed over 1.5 kgf/cm2 in 33 points evaluated ( p < 0.01 ) with a small to high effect size (Cliff’s delta range = 0.16 ; 0.92) and higher levels of anxiety and stress in the PO group (anxiety: median [first; third quartile], 5[3; 12.5]; stress: 9.7 ± 4.7 (7.8; 11.8)) in comparison with the control group (anxiety: 2.5[1; 4.8]; stress: 6.7 ± 3.31 (5.2; 8.3), ( p < 0.05 )). No significant differences were found between the groups in depression and sleep quality ( p > 0.05 ). Conclusion. Postoperated women for breast cancer present hyperalgesia in the shoulder anterior and posterior region, low PPT in the tibialis anterior, and higher levels of stress and anxiety compared to the control group.

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“…Similarly, the occurrence of active MTrPs in patients with neck and shoulder pain syndromes in the corresponding painful areas was greater than 40% (Ribeiro et al, 2018). Significantly increased rates of MPS have also been identified in the context of cancer pain (Castro-Martín et al, 2020;Vulfsons & Minerbi, 2020).…”

Section: Epidemiologymentioning

confidence: 89%

Efeito analgésico prolongado do dry needling em dor de ombro: estudo randomizado, duplo-cego, sham controlado

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Effects of a Single Myofascial Induction Session on Neural Mechanosensitivity in Breast Cancer Survivors: A Secondary Analysis of a Crossover Study

Cited by 6 publications

References 44 publications

Myofascial Induction Therapy Improves the Sequelae of Medical Treatment in Head and Neck Cancer Survivors: A Single-Blind, Placebo-Controlled, Randomized Cross-Over Study

Myofascial Induction Therapy Improves the Sequelae of Medical Treatment in Head and Neck Cancer Survivors: A Single-Blind, Placebo-Controlled, Randomized Cross-Over Study

Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study

Efeito analgésico prolongado do dry needling em dor de ombro: estudo randomizado, duplo-cego, sham controlado

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