Breast Cancer Survivors Clinical Trial
Official title:
The Effect of Myofascial Chain Release Techniques on Shoulder Joint Range of Motion Following Mastectomy Surgery in Breast Cancer Survivors
In breast cancer patients, limitation of shoulder joint movement occurs following mastectomy surgery. Studies have reported that damage to the fascia on the pectoralis major muscle during mastectomy surgery contributes to the development of the limitation. The aim of this study is to investigate the effect of release techniques applied to the fascia on the pectoralis major muscle and the fascial chain on the incerasing of shoulder joint range of motion.
Status | Not yet recruiting |
Enrollment | 48 |
Est. completion date | February 15, 2024 |
Est. primary completion date | August 15, 2023 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 30 Years to 60 Years |
Eligibility | Inclusion Criteria: - Women between the ages of 30-60 - Having breast surgery within 2 years - Not have received conservative treatment for shoulder rehabilitation in the last 6 months - Having limitation of movement of the shoulder joint due to breast surgery Exclusion Criteria: - Not having agreed to participate in the study - Having undergone radical mastectomy surgery - Having connective tissue disease - Presence of brachial plexus paresis/plegia - Presence of radiogenic fibrosis - Presence of additional orthopedic (scoliosis, etc.), neurological (multiple sclerosis, stroke, etc.) and rheumatological diseases (ankylosing spondylitis, rheumatoid arthritis, etc.) that will affect upper extremity functions - Presence of active metastases - Having undergone reconstruction surgery - Continuation of radiotherapy (must have ended at least 3 months ago) or chemotherapy applications - Having had a bilateral mastectomy - To develop lymphedema in the arm-trunk - Use of muscle relaxants - Patients with severe chemotherapy side effects (hyperesthesia, nausea, skin changes, weakness, etc.) |
Country | Name | City | State |
---|---|---|---|
Turkey | Istanbul Medeniyet University | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Istanbul Medeniyet University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | measurement of tissue stiffness (N/m) | Stiffness values will be measured with myotonPro on centers of coordination located along the myofascial chain . | changes from baseline stiffness values will be measured at 6 week and 10 week | |
Primary | measurement of passive muscle tone (Hz) | muscle tones will be measured with myotonPro on centers of coordination located along the myofascial chain | changes from baseline tone values will be measured at 6 week and 10 week | |
Primary | measurement of creep of tissue | creep of tissue will be measured with myotonPro on centers of coordination located along the myofascial chain | changes from baseline creep values will be measured at 6 week and 10 week | |
Primary | measurement of the range of shoulder joint motion | The range of shoulder flexion, abduction, extension and external-internal rotation movements will be measured with a universal goniometer. | changes from baseline range of the shoulder joint motion values will be measured at 6 week and 10 week | |
Primary | assessment of activity of daily living | upper extremity daily living functional capacity of participation will be assessed with the Quick-DASH (Shortened Disabilities Arm, Shoulder and Hand Questionnaire). The scale consists of 11 items. In the scale, a 5-point Likert scale is evaluated and scored 1-5. The scores that can be obtained from the scale are between 0-100. Lower scores indicate better daily activity participation. | changes from baseline Quick-DASH Questionnaire scores will be assessment at 6 week and 10 week | |
Primary | assessment of depression and anxiety | quality of life will be assessed using the Hospital Anxiety and Depression Scale (HAD). The scale consists of 14 items (7 items depression and 7 items anxiety). The scale is evaluated on a 4-point Likert scale and is scored 0-3. Depression and anxiety scores are calculated separately. While the score range that can be taken in the lower scales is 0-21, low scores are considered positive. | changes from baseline HAD scale scores will be assessment at 6 week and 10 week | |
Secondary | measurement of skin temperature | measurements will be taken from the area covering 3 cm of the surgical incision with a P45 thermographic camera with high thermal sensitivity (Flir Sistem, ThermaCAM, Sweden). | changes from baseline skin temperature values will be measured at 6 week and 10 week | |
Secondary | measurement of pain | Pain will be evaluated by visual analog scale (VAS). In the scale, the patient is asked to mark the most appropriate pain intensity on a scale ranging from 0 (no pain) to 10 (tolerable pain). The higher the score, the greater the pain intensity. | changes from baseline pain values will be measured at 6 week and 10 week | |
Secondary | measurement of pain pressure threshold | Pain pressure threshold will be evaluated by a digital algometer (Algometer Commander, Jtech Medical, MM036_K, 2016). | changes from baseline pain pressure threshold values will be measured at 6 week and 10 week | |
Secondary | measurement of grip strength | The grip strength of both hand will be evaluated by "hand-held" dynamometer. | changes from baseline grip strength values will be measured at 6 week and 10 week |
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