Email Alert RSS
Volume 13 Issue 6
Nov.  2022
Turn off MathJax
Article Contents
Abstract
References
Related Articles
SONG Jian, PENG Li, DENG Ming, LIU Shufen, LIU Ying. Effect of Myofascial Release Technique for Postoperative Treatment of Stage Ⅲ Upper Limb Lymphedema in Patients with Breast Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 1045-1050. DOI: 10.12290/xhyxzz.2022-0326
Citation: SONG Jian, PENG Li, DENG Ming, LIU Shufen, LIU Ying. Effect of Myofascial Release Technique for Postoperative Treatment of Stage Ⅲ Upper Limb Lymphedema in Patients with Breast Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 1045-1050. DOI: 10.12290/xhyxzz.2022-0326
shu

Effect of Myofascial Release Technique for Postoperative Treatment of Stage Ⅲ Upper Limb Lymphedema in Patients with Breast Cancer

  • 1.

    Department of Rehabilitation Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Breast Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 3.

    Office for Cancer Diagnosis and Treatment Quality Control, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100124, China

More Information
  • Corresponding author:

    LIU Ying, E-mail: kite_liu@sina.com

  • Received Date: June 11, 2022
  • Accepted Date: August 30, 2022
  • Issue Publish Date: November 29, 2022
    Graphical Abstract
    • Abstract
  •   Objective  To explore the effect of myofascial release technique in the treatment of stage Ⅲ lymphedema after breast cancer surgery.
      Methods  The clinical data of breast cancer-related stage Ⅲ lymphedema patients treated in the Department of Rehabilitation Medicine of Peking Union Medical College Hospital from January 2016 to December 2021 were retrospectively collected. According to different treatment methods, the patients were divided into manual therapy group and conventional therapy group. The conventional therapy group was treated with conventional bandage compression combined with exercise training, while the manual therapy group was treated with myofascial release technique before bandage compression and exercise training. Both groups were treated 2-3 times a week, 25-30 times in total. Limb volume, pain, range of motion (ROM), and limb function were evaluated before treatment, at the end of treatment, and 3 months after treatment, with limb volume as the primary outcome index.
      Results  A total of 79 breast cancer patients with stage Ⅲ lymphedema who met the inclusion and exclusion criteria were enrolled, including 39 in the conventional therapy group and 40 in the manual therapy group. There was no significant difference in limb volume, visual analogue scale (VAS) score, flexion and abduction ROM, and disability arm shoulder hand (DASH) score between the two groups before treatment (all P > 0.05). Compared with the conventional therapy group, the affected limb volume in the manual therapy group was reduced at the end of treatment[(2511.70±437.08)cm3 vs. (2823.58±537.60)cm3, P=0.006] and 3 months after treatment[(2492.91±446.52)cm3 vs. (2813.90±533.87)cm3, P=0.005], and VAS and DASH scores were decreased (all P < 0.05), while the anteriorflexion and abduction ROM of the affected limb were increased 3 months after treatment (all P < 0.05). Linear regression analysis showed that in the manual therapy group the mean reduction of limb volume after treatment was 156.260 cm3(95% CI: 124.264-188.255, P < 0.001) more than that in the conventional therapy group; the mean reduction of VAS score was 0.557(95% CI: 0.163-0.951, P=0.006) more than that in the conventional therapy group; and the mean reduction of DASH score was 16.590(95% CI: 12.270-20.911, P < 0.001) more than that in the conventional therapy group; the average increase of anteriorflexion ROM was 7.390(95% CI: 2.016-12.763, P=0.007) more than that in the conventional therapy group, and the average increase of abduction ROM was 12.737(95% CI: 6.320-19.153, P < 0.001) more than that in the conventional therapy group.
      Conclusions  Myofascial relaxation may be associated with the reduction of the volume of stage Ⅲ lymphedema in patients with breast cancer. It can relieve pain and restore joint function to a certain extent.
    • FullText(HTML)
    • References (23)
  • [1]
    Ullah MF. Breast Cancer: Current Perspectives on the Disease Status[J]. Adv Exp Med Biol, 2019, 1152: 51-64.
    [2]
    Peart O. Breast intervention and breast cancer treatment options[J]. Radiol Technol, 2015, 86: 535-558.
    [3]
    Shao Y, Zhong DS. Manual lymphatic drainage for breast cancer-related lymphoedema[J]. Euro J Cancer Care, 2017, 26: e12517. DOI: 10.1111/ecc.12517
    [4]
    Kataru RP, Wiser I, Baik JE, et al. Fibrosis and secondary lymphedema: chicken or egg?[J]. Transl Res, 2019, 209: 68-76. DOI: 10.1016/j.trsl.2019.04.001
    [5]
    Leung N, Furniss D, Giele H. Modern surgical management of breast cancer therapy related upper limb and breast lymphoedema[J]. Maturitas, 2015, 80: 384-390. DOI: 10.1016/j.maturitas.2015.01.012
    [6]
    Ezzo J, Manheimer E, McNeely ML, et al. Manual lymph-tic drainage for lymphedema following breast cancer treatment[J]. Cochrane Database Syst Rev, 2015(5): CD003475.
    [7]
    Laimi K, Mäkilä A, Bärlund E, et al. Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review[J]. Clin Rehabil, 2018, 32: 440-450. DOI: 10.1177/0269215517732820
    [8]
    Groef AD, Kampen MV, Verlvoesem N, et al. Effect of myofascial techniques for treatment of upper limb dysfunc-tions in breast cancer survivors: randomized controlled trial[J]. Support Care Cancer, 2017, 25: 2119-2127. DOI: 10.1007/s00520-017-3616-9
    [9]
    Hutchison NA. Diagnosis and Treatment of Edema and Lymphedema in the Cancer Patient[J]. Rehabil Nurs J, 2018, 43: 229-242. DOI: 10.1097/rnj.0000000000000177
    [10]
    Myers T, Earls J. Fascial release for structural balance[M]. North Atlantic Books, 2017.
    [11]
    Chiarotto A, Maxwell LJ, Ostelo RW, et al. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review[J]. J Pain, 2019, 20: 245-263. DOI: 10.1016/j.jpain.2018.07.009
    [12]
    Wittlinger H, Wittlinger D, Wittlinger. . Vodder's Manual Lymph Drainage: A Practical Guide[M]. Heidelberg: Hang Publishers, 2010.
    [13]
    廖春丽, 王聪, 周欣, 等. DASH简式评分表中文版应用于乳腺癌病人上肢功能障碍评价研究的信效度检验[J]. 护理研究, 2014, 28: 3-7. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201428059.htm
    [14]
    Aoishi Y, Oura S, Nishiguchi H, et al. Risk factors for breast cancer-related lymphedema: correlation with docetaxel administration[J]. Breast cancer, 2020, 27: 929-937. DOI: 10.1007/s12282-020-01088-x
    [15]
    詹丽倩, 李巍伟, 许梦雅. "8"字弹力绷带加压包扎法治疗乳腺癌术后上肢淋巴水肿的疗效观察[J]. 中国老年保健医学, 2022, 20: 118-121. https://www.cnki.com.cn/Article/CJFDTOTAL-LNBJ202202033.htm
    [16]
    梁欣, 荆海红. 等速肌力训练对乳腺癌改良根治术后上肢淋巴水肿患者患肢肌力及运动功能的影响[J]. 中国疗养医学, 2021, 30: 966-968. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGLX202109025.htm
    [17]
    Grieve R, Clark J, Pearson E, et al. The immediate effect of soleus trigger point pressure release on restricted ankle joint dorsiflexion: A pilot randomised controlled trial[J]. J Bodyw Mov Ther, 2011, 15: 42-49. DOI: 10.1016/j.jbmt.2010.02.005
    [18]
    Hains G, Descarreaux M, Hains F. Chronic shoulder pain of myofascial origin: a randomized clinical trial using ischemic compression therapy[J]. J Manipulative Physiol Ther, 2010, 33: 362-369. DOI: 10.1016/j.jmpt.2010.05.003
    [19]
    Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effective-ness of myofascial release: Systematic review of randomized controlled trials[J]. J Bodyw Mov Ther, 2015, 19: 102-112. DOI: 10.1016/j.jbmt.2014.06.001
    [20]
    Kim G, Donohoe K, Smith MP, et al. Use of non-contrast MR in diagnosing secondary lymphedema of the upper extremities[J]. Clin Imaging, 2021, 80: 400-405.
    [21]
    Yusof KM, Avery-Kiejda KA, Ahmad Suhaimi S, et al. Assessment of Potential Risk Factors and Skin Ultrasound Presentation Associated with Breast Cancer-Related Lymphedema in Long-Term Breast Cancer Survivors[J]. Diagnostics (Basel), 2021, 11: 1303.
    [22]
    Zullo A, Fleckenstein J, Schleip R, et al. Structural and functional changes in the coupling of fascial tissue, skeletal muscle, and nerves during aging[J]. Front Physiol, 2020, 11: 592.
    [23]
    Guliyeva G, Huayllani MT, Boczar D, et al. Correlation of older age with severity of lymphedema in breast cancer survivors: A systematic review[J]. Breast Dis, 2021, 40: 191-197.
    • Related Articles

  • Related Articles

    [1]ZHANG Yuhang, WANG Han, DING Rongjing. Multiple System Atrophy with Neurogenic Orthostatic Hypotension: A Multidisciplinary Collaborative Rehabilitation Case Report[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0490
    [2]ZHANG Shan, LIU Jie. Interpretation of NCCN Clinical Practice Guidelines for Primary Cutaneous Lymphomas (Version 1.2024) Based on the Current Diagnosis and Treatment Status of China[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1029-1037. DOI: 10.12290/xhyxzz.2024-0605
    [3]ZHANG Ning, YANG Chenhao, ZHOU Liangrui, SUN Xiaohong, LIU Xiaohong, KANG Lin, LI Ji, LI Hailong. Cronkhite-Canada Syndrome Combined with Asymptomatic Novel Coronavirus Infection: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 406-412. DOI: 10.12290/xhyxzz.2023-0476
    [4]LIU Yuan, ZHAO Lin. Update and Interpretation of 2022 National Comprehensive Cancer Network Clinical Practice Guidelines for Gastric Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 999-1004. DOI: 10.12290/xhyxzz.2022-0271
    [5]LIU Ying, PAN Weiren, GUAN Jinghong, ZHAO Wowa, LONG Xiao. Aggravated Primary Lymphedema of Contralateral Upper Limb After the Radical Mastectomy: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 320-323. DOI: 10.12290/xhyxzz.2021-0408
    [6]Rare Diseases Society of Chinese Research Hospital Association, National Rare Diseases Committee, Beijing Rare Disease Diagnosis, Treatment and Protection Society, Gitelman Syndrome Consensus Working Group. Expert Consensus for the Diagnosis and Treatment of Gitelman Syndrome in China (2021)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 902-912. DOI: 10.12290/xhyxzz.2021-0555
    [7]Jia-lin ZHAO, Yan LIN, Chang-jun WANG, Ying XU, Qiang SUN. Locoregional Treatment of Elderly Patients with Triple Negative Breast Cancer and Clinically Positive Axillary Lymph Nodes[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(3): 293-298. DOI: 10.3969/j.issn.1674-9081.2019.03.019
    [8]Ming-sheng MA, Xü-de ZHANG, Min WEI, Shi-min ZHAO, Zheng-qing QIU. Efficacy of Low Dose Corticosteroid Therapy in Duchenne Muscular Dystrophy[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(4): 384-388. DOI: 10.3969/j.issn.1674-9081.2014.04.006
    [9]Ying ZHANG, Jin-song GAO, Jun-tao LIU, Hai-yuan LIU, Ying-na SONG, Xiao-ming GONG, Zhi-jing SUN. Effectiveness of B-lynch Suture in Treatment and Prevention of Postpartum Hemorrhage[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(2): 174-177. DOI: 10.3969/j.issn.1674-9081.2013.02.019
    [10]Jie LIU, Yue-ping ZENG, Chun-xia HE, Qin LONG, Hong-zhong JIN, Qiu-ning SUN. Corticosteroids plus Intravenous Immunoglobulin in the Treatment of 7 Cases with Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(4): 381-385. DOI: 10.3969/j.issn.1674-9081.2012.04.004

  • Cited by

    Periodical cited type(3)

    1. 仇芳娟，郭小靖，彭会琴. 大颗粒绷带包扎联合瑜伽操方案在乳腺癌术后患者中的应用. 当代护士(中旬刊). 2025(01): 88-91 .
    2. 李叶玭，董菲妮，洪志鹏. 改良绷带加压包扎法结合针对性护理对乳腺癌术后上肢淋巴水肿的影响. 中国卫生标准管理. 2024(15): 170-174 .
    3. 吕子岩，蓝敏. 乳腺癌相关淋巴水肿的康复治疗. 加速康复外科杂志. 2024(02): 86-90 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (495) PDF downloads (40) Cited by(3)
    Related
    Links: National Health Commission of the People's Republic of China Chinese Academy of Medical Sciences(CAMS) AMLC Check CNKI Database CNKI Term Online Chinese General Practice
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

    Supported by: Beijing Renhe Information Technology Co., Ltd.  Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close