Effectiveness of Myofascial Release Versus Manual Lymphatic Drainage After Breast Cancer Surgery (MRvsMLD)

University of Valencia

Status: Completed

Conditions: Fibromyalgia

Treatments: Other: Myofascial Release; Other: Lymphatic Drainage

Study type: Interventional

Funder types: Other

Identifiers

NCT03182881

ID0016

Details and patient eligibility

About

Objective. To compare the effectiveness of myofascial therapy against manual lymphatic drainage in the reduction of sequelae secondary to conservative surgery and radiotherapy in women who survived breast cancer.

Design. Randomized clinical trial. Site. Faculty of Physiotherapy of the University of Valencia. Participants. Twenty-four patients were included in the study. Interventions. 13 patients were randomly assigned to treatment with myofascial therapy and 11 to receive manual lymphatic drainage.

Main measurements. Pain measured using the Visual Analogue Scale, shoulder joint range, shoulder functionality using the DASH questionnaire, quality of life assessed using the FACT-B questionnaire, and the depressed status of the patients using the PHQ-9 . All of this was assessed before and after treatment, and one month later as follow-up.

Enrollment: 30 patients

Sex: Female

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women between the ages of 30 and 60 diagnosed with breast cancer undergoing conservative / partial surgery.
• Without lymphedema or mild lymphedema.
• They must have finished the coadjuvant treatment.

Exclusion criteria

• Women with muscle or tendon lesions in the arm.
• Kin disorders or circulatory pathology.
• Chemotherapy or radiotherapy.
• Surgical history in the area are excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Miofascial-reléase

Experimental group

Description:

Myofascial Release (MR), with the purpose of releasing fascial restriction zones and major fibrosis (thoraco-brachial) caused by restriction after CM tto. IM therapy was applied to the affected area. The position of the patient was identical during both treatment sessions.

Treatment:

Other: Myofascial Release

Manual Lymphatic Drainage (MLD)

Active Comparator group

Description:

It was applied following the Leduc method with the patient in a supine position with 30º elevation of the arm and very superficial and smooth maneuvers were performed in the axillary lymph nodes, in the chest region and in the arm with the same sequence as Guerero et al. The objective of the application in our study is to obtain a beneficial treatment for the patient since it produces an increase of blood and lymphatic circulation, with positive effects on the peripheral vegetative nervous system.

Treatment:

Other: Lymphatic Drainage