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The modified radical mastectomy (MRM) is a major surgical approach that necessitates the dissection of axillary lymph nodes. As a result, there is more bleeding and the treatment takes longer time. This treatment is used to treat locally advanced breast cancer. Numerous factors, including pain and respiratory depression from general anaesthesia, can impair respiratory function during the post-operative period. Pain causes the thoracic cage's post-operative movement to be restricted and the breathing muscles to become inhibited.
KT is a new technology that is being used in the treatment of post-surgical and respiratory problems, among other innovative evidence-based therapeutic options in patient care. Recently, this method is useful for treating a variety of sports-related and musculoskeletal disorders, as well as pain management. According to a small body of research on the usefulness and efficacy of KT in treating respiratory conditions in patients with chronic obstructive pulmonary disease (COPD), it can lead to improvements in respiratory muscle strength and pulmonary function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A (Kinesiotaping group) | Experimental | Participants will be seated on a chair, KT will be applied bilaterally at the end of the expiration on the fifth to sixth and ninth to tenth intercostal muscles transversally and on the anterior and posterior axillary line longitudinally with 50% tension. In order to stimulate the muscle and support the function, the stimulation technique is usually applied from the origin to the insertion of the muscle with the recommended stretching of 25 to 50%. Additionally, traditional physical therapy program will be conducted to participants in the study group. |
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| Group B (control group) | Active Comparator | They will receive the chest physical therapy program which is consisted of deep breathing exercises, postural drainage, cough, 3 times /week for 4 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kinesiotaping | Other | Participants will be seated on a chair, KT will be applied bilaterally at the end of the expiration on the fifth to sixth and ninth to tenth intercostal muscles transversally and on the anterior and posterior axillary line longitudinally with 50% tension. In order to stimulate the muscle and support the function, the stimulation technique is usually applied from the origin to the insertion of the muscle with the recommended stretching of 25 to 50%. |
| Measure | Description | Time Frame |
|---|---|---|
| visual analogue scale | The visual representation of the pain range that a patient thinks they might experience is called a linear scale. The score is ranged from 0 to 10. The least the score, the better results. While, the higher the score, the worst the results. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Forced vital capacity (FVC) | The forced vital capacity (FVC) will be measured by spirometer. | 4 weeks |
| forced expiratory volume at first second (FEV1) | forced expiratory volume at first second (FEV1) will be measured by spirometer. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hadaya M Eladl, PhD | Assisstant professor of physical therapy for surgery, Faculty of physical therapy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy | Giza | Giza Governorate | 1124 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41657582 | Derived | Elsherbini DMA, Eladl HM, Allam NM, Abulfaraj M, El-Sherbiny M, Nosseir N, Maghrabi A, Jamal W, Abdelrahman MMA, Eladl MA. Efficacy of combined Kinesio-taping with chest physiotherapy program on pain, pulmonary function, respiratory muscle strength and quality of life after mastectomy: a randomized controlled trial. Front Med (Lausanne). 2026 Jan 22;12:1664210. doi: 10.3389/fmed.2025.1664210. eCollection 2025. |
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6 months after publication
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| chest physical therapy | Other | The chest physical therapy program is consisted of deep breathing exercises, postural drainage, and cough. |
|
| 4 weeks |
| Forced expiratory volume at first second /Forced vital capacity ratio. | Forced expiratory volume at first second /Forced vital capacity ratio will be measured by spirometer. | 4 weeks |
| Respiratory muscle strength | Respiratory muscle strength will be measured by assessing the maximal inspiratory and maximal expiratory pressures (MIP) and maximal expiratory pressures (MEP). | 4 weeks |
| Quality of life | Quality of life will be measured by the Short Form-36 (SF-36). It is a questionnaire with eight subscales that gives information about the health status and quality of life of the person. Scores on each subscale range from 0 to 100, with 0 corresponding to the worst health status and 100 to the best health status. | 4 weeks |