Effects Of Lymphatic Drainage on Axillary Web Syndrome

Riphah International University

Status: Enrolling

Conditions: Axillary Web Syndrome

Treatments: Other: Stretching exercises; Other: Soft tissue mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT05463185

REC/RCR&AHS/22/0511

Details and patient eligibility

About

Axillary web syndrome (AWS) is a common condition related to cording in axilla as a result of axillary lymph nodes dissection surgery in breast cancer patients. This condition comprises of 86% population who underwent breast cancer surgery, but this condition is usually under diagnosed. Usually characterized by pain full cording of soft tissue and contractures at axillary region. This study aims to see the effects of manual lymphatic drainage with or without soft tissue mobilization on patients with axillary web syndrome.

It will be a randomized control trial which will be conducted in cancer centers in government sector hospitals. 30 participants will be enrolled by non probability sampling technique through lottery method into two groups, 15 participants in each group. One group will receive manual lymphatic drainage, while other group will receive manual lymphatic drainage in addition to soft tissue mobilization (3-5 treatment sessions per week for 4 weeks). Base line treatment regimen include stretching, range of motion and strengthening exercises. For outcome measures treatment will be assessed on questionnaires including Disabilities of Arm Shoulder and Hand questionnaire (DASH), Numeric Pain Rating scale (NRS), Breast cancer specific QOL questionnaires (EORTC QLQ-C30, EORTC QLQ BR-23), Patient specific Functional Scale (PSFS), Goniometer and Dynamometer.

Enrollment: 20 estimated patients

Sex: Female

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Breast cancer patients with pain over >3 points, 4 weeks after surgery using
• Numeric Pain Rating scale on upper limb.
• With visible and palpable cords in axilla, arm and breast after surgery.

Exclusion criteria

• Acute Thrombosis, Musculoskeletal Disorders,Skin
• Problems: Infections, Osteoarthritis, Rheumatoid Arthritis, Rotator Cuff Syndrome, Adhesive Capsulitis,
• Any other Injury, Trauma and
• Any other Surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

stretching exercises

Experimental group

Description:

Stretching exercise along with manual lymph drainage

Treatment:

Other: Stretching exercises

soft tissue mobilization

Experimental group

Description:

soft tissue mobilization along with manual lymph drainage

Treatment:

Other: Soft tissue mobilization