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The purpose of this study was to show the immediate effects of myofascial induction on perceived pain and anxiety, cervical/shoulder range of motion and mood state in breast cancer survivors suffering shoulder/arm morbidity.
Background: To investigate the immediate effects of myofascial induction on perceived pain and anxiety, cervical/shoulder range of motion and mood state in breast cancer survivors suffering shoulder/arm morbidity.
Methods: Randomized, single-blind, placebo-controlled cross-over study. Twenty-one enrolled participants who had a diagnosis of breast cancer stage I-IIIA and had completed adjuvant therapy except hormonal treatment. The study consisted of two intervention sessions of 30 minutes separated by a wash-up period of 4 weeks. The interventions consisted of a Myofascial Induction (experimental group) or placebo pulsed shortwave therapy (control group). The main outcome measures were: Visual Analogue Scale for pain and anxiety, shoulder-cervical goniometry for range of motion, Profile of Mood States for psychological distress and Attitudes Toward Massage Scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Myofascial Induction session | Experimental | Patients received a Myofascial Induction focused on the upper limb area for 30 minutes using the Pilat approach. |
|
| Placebo session | Placebo Comparator | Patients received a placebo session consisted of 30 minutes of unplugged pulsed shortwave therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myofascial Induction | Behavioral | Patients received a Myofascial Induction focused on the upper limb area for 30 minutes using the Pilat approach. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale (VAS). Change scores | A numerical rating scale that contains scores in the range of 0 to 10 (0 = 'no pain/anxiety'; 10 = 'worst imaginable pain/anxiety level'). Participants must mark the level of pain that they feel at that moment in the cervical-arm area and use the scale to indicate their anxiety level. | A wash-up period of 4 weeks between the 2 sessions was established |
| Measure | Description | Time Frame |
|---|---|---|
| Goniometry shoulder. Change scores | A plastic universal goniometer with two adjustable overlapping arms to measure the active range of motion of the shoulder joint. | A wash-up period of 4 weeks between the 2 sessions was established |
| Goniometry cervical. Change scores |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Manuel Arroyo-Morales, PhD | Deparment of Physical Therapy, Faculty of Health Sciences, University of Granada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Health Sciences. University of Granada | Granada | 18016 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28003133 | Result | Castro-Martin E, Ortiz-Comino L, Gallart-Aragon T, Esteban-Moreno B, Arroyo-Morales M, Galiano-Castillo N. Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design. Arch Phys Med Rehabil. 2017 May;98(5):832-840. doi: 10.1016/j.apmr.2016.11.019. Epub 2016 Dec 18. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009371 | Neoplasms by Site |
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| Unplugged pulsed shortwave therapy | Device | Patients received a placebo session consisted of 30 minutes of unplugged pulsed shortwave therapy. |
|
A cervical goniometric device manufactured by Performance Attainment Associates (St Paul, MN, USA) to measure the active range of motion of the cervical joints. |
| A wash-up period of 4 weeks between the 2 sessions was established |
| Profile of Mood States (POMS). Change scores | This questionnaire is a measure of psychological distress. This questionnaire contains 65 items assessing mood state, which are grouped into six subscales: tension-anxiety, depression-dejection, anger-hostility, vigour-activity, fatigue-inertia and confusion-bewilderment. | A wash-up period of 4 weeks between the 2 sessions was established |
| Attitudes toward massage (ATOM) scale | The Attitudes toward massage (ATOM) scale is a nine-item measure of overall attitude toward massage composed of the 'Massage as Healthful' and the 'Massage as Pleasant' subscales. | Covariates |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |