Ischemic compression and kinesiotherapy on chronic myofascial pain in breast cancer survivors

Rangon, Flávia Belavenuto; Ferreira, Vânia Tie Koga; Rezende, Monique Silva; Apolinário, Amanda; Ferro, Ana Paula; Guirro, Elaine Caldeira de Oliveira

doi:10.1016/j.jbmt.2017.04.005

Cited by 17 publications

(25 citation statements)

References 36 publications

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“… Ammitzboll et al., 2019 33 I, double-blinded RCT 158 12 Progressive resistance training did not reduce pain. Rangon et al., 2018 35 I, double-blinded RCT 20 2 Ischemic compression + kinesiotherapy group had increased pressure pain threshold over myofascial trigger points compared with kinesiotherapy group (p < 0.05). Cognitive Therapy Johannsen et al., 2016 49 II, RCT with waitlist control 129 6 Cognitive therapy group had significantly reduced pain intensity (p = 0.002), improved QOL, and reduced nonprescription pain medication use compared with control group.…”

Section: Resultsmentioning

confidence: 99%

“…Four blinded RCTs testing the benefits of various forms of PT on PMPS met the inclusion criteria. 32 , 33 , 34 , 35 Combining the studies yielded a total of 294 patients, with a mean follow-up time of 28 weeks. PT in addition to myofascial therapy, and 8-week water PT, both demonstrated significant improvements in regional pain scores.…”

Section: Resultsmentioning

confidence: 99%

“…The results in our review support the role of PT in treating PMPS patients experiencing neck and shoulder/axillary pain, and highlight the benefits of water exercises that allow patients to perform exercises they would be unable to perform on land. 32 , 33 , 34 , 35 …”

Section: Discussionmentioning

confidence: 99%

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Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes

et al. 2021

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Summary Background Post-mastectomy pain syndrome (PMPS) is a known debilitating surgical complication. While research on prevention, risk factors, and treatments have been conducted, there remains no cohesive treatment paradigm. The aim of our study is to synthesize the existing evidence on PMPS treatment, which may facilitate the implementation of standardized, effective management strategies. Methods Using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a comprehensive search was developed and translated for MEDLINE, Cochrane Library, EMBASE, CINAHL, PsycINFO, Web of Science, and ClinicalTrials.gov. The databases were searched using a combination of free terms, phrase searching, and database-specific controlled vocabulary related to PMPS. All unique records were by two independent reviewers. Publications on chronic (>3 months duration) pain after breast cancer-related surgery were included. Limited case series, case reports, and editorials were not included. Results A total of 3402 articles from the years 1946–2019 resulted from the literature search after deduplication. Twenty-seven articles met final inclusion criteria for analysis, which revealed 10 major treatment modalities: fat grafting, neuroma surgery, lymphedema surgery, nerve blocks and neurolysis, laser, antidepressants, neuromodulators, physical therapy, mindfulness-based cognitive therapy, and capsaicin. Conclusions In this review, we present a comprehensive assessment of the treatments available for PMPS that may help guide breast surgeons and reconstructive surgeons to employ the most effective treatment strategies for these patients. This review supports the importance of multimodal, multidisciplinary care in improving the management of PMPS.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes

et al. 2021

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“…45 O manejo da dor também foi citado em seis estudos que empregaram o uso de tecnologias leve-duras. Os recursos empregados foram os exercícios físicos baseados na técnica do pilates (34) , cinesioterapia isolada, 38 cinesioterapia associada à terapia manual, 46 drenagem linfática manual juntamente com a facilitação neuromuscular 45 e a liberação miofascial. [42][43][44] As tecnologias leve-duras também foram utilizadas em estudos referentes à alteração da força muscular no pós-operatório com o uso programas de exercícios físicos com orientações verbais e manuais de orientação 28 e exercícios baseados nas técnicas de pilates.…”

Section: Resultsunclassified

Tecnologias em saúde aplicadas na reabilitação de mulheres com câncer de mama: scoping review

et al. 2020

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Objetivo: Identificar as tecnologias em saúde na reabilitação física de mulheres que desenvolveram alterações no membro superior homolateral após a cirurgia para o câncer de mama. Método: Trata-se de uma Scoping literature review. Realizou-se a busca nas bases de dados LILACS, PubMed e Web of Science e o mecanismo de busca Google Scholar. Os descritores utilizados foram: Breast neoplasms, Biomedical technology e Rehabilitation. Resultados: Foram selecionados 33 estudos. Entre as tecnologias leve-duras, a mais utilizada foram os programas de exercícios físicos, tanto para a limitação da amplitude de movimentos do membro superior quanto para o linfedema, sendo estas as mais estudadas. Já as tecnologias duras mais avaliadas foram acupuntura, terapia de laser de baixo nível e plataformas de exercício on line, sendo empregadas, principalmente, para complicações como dor e linfedema. Destaque para a inter-relação entre as diferentes tecnologias, e como estas compõem a assistência prestadas às mulheres com câncer de mama durante a reabilitação física. Conclusão: A maioria dos estudos utilizaram as tecnologias leve-duras, com destaque para os programas de exercícios, e a associação de diferentes tecnologias, de intensidade variadas, empregadas com bons resultados físicos. Além de atuarem no estímulo ao autocuidado e na orientação das mulheres quanto a autogestão das complicações, promovendo a autonomia, confiança e retomada de seus papéis sociais.

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“…Ischemic compression is a manual therapy technique that inactivates MTrP by pressing it with a finger to make it ischemic. This ischemic compression has been reported to improve MPS pain and pressure pain thresholds within a short period (14)(15)(16)(17). The less invasiveness related to the non-penetration and convenience has been identified as a feature of ischemic compression.…”

Section: Introductionmentioning

confidence: 95%

Effect of ischemic compression performed by family caregivers on myofascial pain syndrome and the care burden of the families of patients: a multicenter open-label randomized comparative study

Hasuo

Hashimoto²,

Iwamoto

et al. 2022

Ann Palliat Med

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Background: Ischemic compression is a manual therapy technique for myofascial pain. This study aimed to verify the effect of ischemic compression performed by family caregivers on myofascial pain syndrome (MPS) in patients and on the family's care burden. Methods:This multicenter, open-label, randomized, comparative study included patients with myofascial pain and their family caregivers who were randomized into the following groups: ischemia compression (performed by a family caregiver), sham ischemia compression, or untreated control. The effectiveness and safety of ischemic compression and the burden on family caregivers were evaluated. The primary endpoint was the rate of 50% or more improvement in the patient's mean numerical rating scale pain score in the previous 24 hours, 14 days after starting the intervention. The secondary endpoint was the rate of change in the family caregivers' reaction assessments.Results: A total of 75 patients and caregivers (70 patients with cancer and family caregivers) who received home medical care were enrolled at three facilities. The study completion rate was 94.7%, and there were no adverse events. The rate of 50% or more improvement in the numerical rating scale score was 64.0% in the ischemic compression group, 16.0% in the sham ischemic compression group, and 4.0% in the control group (P<0.001). Caregivers' self-esteem was significantly lower in the ischemic compression and sham ischemic compression groups than in the control group. However, there was no significant difference between the two groups (P=0.370).Conclusions: Ischemic compression for myofascial pain in patients performed by family caregivers can increase the analgesic effect in patients and self-esteem in family caregivers.

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Ischemic compression and kinesiotherapy on chronic myofascial pain in breast cancer survivors

Cited by 17 publications

References 36 publications

Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes

Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes

Tecnologias em saúde aplicadas na reabilitação de mulheres com câncer de mama: scoping review

Effect of ischemic compression performed by family caregivers on myofascial pain syndrome and the care burden of the families of patients: a multicenter open-label randomized comparative study

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