Effect of Resisted Deep Breathing and Myofascial Release in Postmastectomy

Riphah International University

Status: Enrolling

Conditions: Post Mastectomy Lymphedema

Treatments: Other: Myofascial release; Other: Resisted Deep Breathing

Study type: Interventional

Funder types: Other

Identifiers

NCT07576270

REC/RCR & AHS/25/0507

Details and patient eligibility

About

This study aims to determine the combined effect of resisted deep breathing and Myofascial release on pain, respiratory efficiency, chest mobility and lymph edema in Postmastectomy.

Full description

The study will be randomized controlled trial and will conducted in Shokat Khanam hospital and Anmol cancer hospital. Non-probability convenience sampling technique will be used and 48 participants will be recruited in study after randomization. The subjects will be divided into two group. Group A will receive myofascial release. Group B will receive myofascial release with resisted deep breathing. Both Group will receive Baseline treatment which is including transcutaneous electrical nerve stimulation. The total duration of treatment will be 12 weeks and there will be 2 sessions each week. The tools that will be used are Numeric Pain Rating Scale (NPRS) for pain, Circumferential limb measurements for chest mobility or lymph edema and Spirometer for respiratory efficiency. After data collection will be analyzed by using SPSS version 21.

Enrollment: 48 estimated patients

Sex: Female

Ages: 45 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Radiation therapy and chemotherapy was finished at least three months
• 6 months after mastectomy for breast cancer being diagnosed without lymphedema or with stage 1 lymphedema
• Complete unilateral Mastectomy
• pain and having one or more of the following symptoms: heaviness, numbness, oppression, stiffness, alterations in the function, or mobility of the limited shoulder range of motion.

Exclusion criteria

• Presence of shoulder pathologies for which surgical indications exist
• Musculoskeletal injury in adjacent areas (shoulder or neck etc.)
• bilateral surgery for the treatment of breast cancer
• Bilateral lymphadenectomy
• Open wounds on upper limbs
• Circulatory disorders
• History of shoulder surgery for reasons other than breast cancer.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Resisted Deep Breathing & Myofascial release

Experimental group

Description:

Myofascial release is a hands-on therapy aimed at relieving pain and tightness in the fascia, the connective tissue surrounding muscles, by targeting trigger points and stiff areas and Resisted Deep Breathing (RDB) is a physiotherapy breathing technique used to improve respiratory muscle strength, lung expansion, and ventilation efficiency

Treatment:

Other: Resisted Deep Breathing

Other: Myofascial release

Myofascial release

Active Comparator group

Description:

Myofascial release is a hands-on therapy aimed at relieving pain and tightness in the fascia, the connective tissue surrounding muscles, by targeting trigger points and stiff areas

Treatment:

Other: Myofascial release