The Physiotherapy Intervention for Shoulder Pain in Patients Treated for Breast Cancer: Systematic Review

Giacalone, Andrea; Alessandria, Paola; Ruberti, Enzo

doi:10.7759/cureus.6416

Cited by 18 publications

(19 citation statements)

References 37 publications

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“…For example, Brown et al (1) described less reporting of discomfort in patients with breast cancer after substituting machine-based lateral raises by shoulder scaption movement or front raises with dumbbells. Especially patients with breast cancer who suffer from predamages from surgery, radiotherapy, and aromatase inhibitors (14) may profit from alternative exercises. The management of the described risks makes training supervision by very well-educated trainers indispensable (1).…”

Section: Discussionmentioning

confidence: 99%

Feasibility of High-Intensity Resistance Training Sessions in Cancer Survivors

Schlüter

Schneider

Rosenberger

et al. 2022

Journal of Strength and Conditioning Research

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Schl üter, K, Schneider, J, Rosenberger, F, and Wiskemann, J. Feasibility of high-intensity resistance training sessions in cancer survivors. J Strength Cond Res 36(9): 2643-2652, 2022-Moderate-intensity resistance training (MIRT) is regarded as safe in cancer survivors (CS), but for high-intensity resistance training (HIRT), evidence is lacking. Hence, in the current exploratory analyses, single sessions of HIRT are compared with MIRT regarding safety and feasibility. Twenty-three of 24 included CS (14 breast and 10 prostate CS, 61.6 6 9.5 years, body mass index 27.0 6 4.3 kg•m 22 , 6-52 weeks after end of primary therapy) started a 12-week resistance training (RT) with a daily undulating periodization model including HIRT (90% of 1 repetition maximum [1RM]) and MIRT (67% 1RM) sessions. Parameters of safety (adverse events [AEs] and training-related pain), feasibility (physical and mental exhaustion, sensation of effort, enjoyment, and dropout rate), and adherence were assessed. An alpha level of 0.05 was applied for analyses. Nineteen of 23 training starters (83%) completed all sessions. Fourteen minor AEs occurred. A significantly higher increase for physical exhaustion appeared in HIRT (p , 0.001). For 18% (HIRT) and 19% (MIRT) of the sessions, training-related pain was reported with no significant difference between intensities. In total, 34% of HIRT and 35% of MIRT sessions were perceived as overstraining or partly overstraining with no significant difference between intensities, but enjoyment (median and quartiles on a 1-7 scale) was high for both (HIRT 5 5 [5;6] and MIRT 5 5 [4,6]). Our analysis indicates that HIRT sessions do not differ from MIRT sessions concerning safety or feasibility, but training-related pain should be monitored. RT protocols incorporating high-intensity training loads can be applied safely in breast and prostate CS.

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Section: Discussionmentioning

confidence: 99%

Feasibility of High-Intensity Resistance Training Sessions in Cancer Survivors

Schlüter

Schneider

Rosenberger

et al. 2022

Journal of Strength and Conditioning Research

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“…cal use and good safety profile (11)(12)(13). Physiotherapy seems somewhat interesting, as much as educational programs are presented, especially for working adults (14,15). The use of endoscopy to detect the nerve trunk can be a good option to increase the positive results of PRF.…”

Section: Discussionmentioning

confidence: 99%

“…Pharmacological treatment is not always efficacious and may have side effects, especially in long-term treatment, even in the case of prescribing NSAIDs with long-lasting clinical use and good safety profile ( 11 - 13 ). Physiotherapy seems somewhat interesting, as much as educational programs are presented, especially for working adults ( 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Neuromodulation of Suprascapular Nerve in Chronic Shoulder Pain: A Case Report

et al. 2020

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Shoulder pain is very frequent, especially in middle-aged male adults. Its treatment may be very problematic, mainly in patients who cannot rest and stop their work. At present, it is treated with analgesics, physiotherapy, infiltration of corticosteroids, and/or radiofrequency neuromodulation of the suprascapular nerve. This may be effective but not easy to do. Its efficacy is limited in time, especially because the approach to the nerve trunk may be problematic for its anatomical nature. Ultrasonography has helped, but it is not always completely helpful, due to the small dimension and the complexity of the anatomical structure. In this case report, we describe a more helpful approach to the nerve trunk using an endoscopic technique. The results are very promising. However, larger studies would be necessary to make clear its usefulness.

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“…BC survivors who are experiencing PPBCT are treated with a variety pharmacological and non-pharmacological options [ 9 ]. Among the non-pharmacological options, physiotherapy [ 10 , 11 , 12 , 13 , 14 , 15 ], education [ 16 ], and psychosocial [ 17 ] support for cancer patients and their families have become the standard multimodal approach of BC care.…”

Section: Introductionmentioning

confidence: 99%

Assessment Tools of Patient Competences: The Spanish Version of the R-NPQ and Three Practical Cases in Women with Breast Cancer and Persistent Pain

Torres-Lacomba

Navarro-Brazález

Bailón-Cerezo

et al. 2021

IJERPH

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Persistent pain following treatment for breast cancer (PPBCT) is a prevalent and complex clinical issue. Education together with physiotherapy have been shown to lessen pain and disability in chronic pain. Although the evaluation of the patient’s competences is a major part of the educational program, the published educational programs rarely describe the tools used to assess competences, especially regarding those related to decision-making and problem-solving. The aim of this study was to provide two competences assessment tools: the cross-cultural adaptation and validation of the Spanish version of the Revised Neurophysiology of Pain Questionnaire (R-NPQ) and practical cases of women with PPBCT. The Spanish cross-cultural adaptation was conducted following recognized criteria. Measurement properties testing included an analysis of construct validity (known-groups approach), reliability (internal consistency and test-retest reliability), responsiveness, interpretability, and feasibility. To promote a tool that would allow evaluation of the educational program competences, a group of experts developed three cases extracted from real contexts by means of an iterative process. A total of 80 women with PPBCT (mean age 56 years) and 81 physiotherapy students (mean age 20 years) participated in the measurement properties analysis. The three developed cases were presented to the same 80 women with PPBCT before and after the educational program. As we expected, students showed a significantly higher score (p < 0.001) than did women with PPBCT in the R-NPQ questionnaire, with a large effect size (d = 2.49), demonstrating good construct validity. The Cronbach alpha was 0.90 (95% CI, 0.87–0.92) and the intraclass correlation coefficient was 0.82 (95% CI, 0.73–0.88). A large effect size (5.2) was found, as we expected, between baseline and post-treatment scores, suggesting adequate responsiveness. In addition, identifying and analyzing, decision making, communicating needs, knowing how to manage, and problem-solving skills were evaluated through the three practical cases. Most women (88.75%) reached the highest level in the assessment rubric of the proposed practical cases. The Spanish R-NPQ is a comprehensible, valid, reliable, and responsive tool for Spanish women with PPBCT. The practical cases are a useful competence assessment tool and were well accepted by women with PPBCT. Further studies are needed to investigate more competence assessment tools and to investigate whether the achievement of different levels of competences has an effect on health behaviors.

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The Physiotherapy Intervention for Shoulder Pain in Patients Treated for Breast Cancer: Systematic Review

Cited by 18 publications

References 37 publications

Feasibility of High-Intensity Resistance Training Sessions in Cancer Survivors

Feasibility of High-Intensity Resistance Training Sessions in Cancer Survivors

Endoscopic Neuromodulation of Suprascapular Nerve in Chronic Shoulder Pain: A Case Report

Assessment Tools of Patient Competences: The Spanish Version of the R-NPQ and Three Practical Cases in Women with Breast Cancer and Persistent Pain

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