Category
Theoretical Proposal
Description
Focused Clinical Question: Myofascial dysfunction can hinder daily quality of life within post operational patients, especially within post operational breast cancer patients. Myofascial manipulation has been used as an intervention for ROM in other pathologies and could be beneficial for increasing ROM post-operatively. In post-operative breast cancer patients, what effect does myofascial manipulation have on shoulder ROM?
Methods: A literature search was conducted using electronic research databases (PubMed, MEDLINE, SPORTSDiscus, CINAHL, and Jerry Falwell Library) to identify randomized control trials published within the last 10 years that include studies with myofascial manipulation as an intervention and analyzed shoulder range of motion (ROM) in post-operative breast cancer patient. Studies were excluded if it contained a patient population greater than 30 years of age and if it focused on edema or stretching. Outcomes in the final studies included shoulder ROM (goniometer), shoulder function (DASH questionnaire), and quality of life (SF-36 questionnaire). The included studies were appraised using the Physiotherapy Evidence Database (PEDro) scale.
Results: The literature search identified 1012 studies relative to this topic, but through the screening process 3 articles qualified for this critically appraised topic. Each article displayed level 2 evidence and received a 9/10 on the PEDro scale. These studies found that the intervention group (myofascial manipulation and physical therapy) showed no statistically significant difference when compared to the control group (physical therapy). Despite this, all 3 studies agreed that both groups had improved shoulder ROM and decreased pain. However, in these studies, there is a lack of consensus for improvement in shoulder function and quality of life.
Conclusions: According to the literature, myofascial manipulation does not solely significantly increase shoulder ROM in post-operative breast cancer patients when compared to a control group. However, both groups displayed a decrease in pain, and increased ROM when paired with physical therapy. More research is required to understand the true effects of myofascial release on post-operative breast cancer patients.
The Effect of Myofascial Manipulation on Shoulder ROM in Postoperative Breast Cancer Patients
Theoretical Proposal
Focused Clinical Question: Myofascial dysfunction can hinder daily quality of life within post operational patients, especially within post operational breast cancer patients. Myofascial manipulation has been used as an intervention for ROM in other pathologies and could be beneficial for increasing ROM post-operatively. In post-operative breast cancer patients, what effect does myofascial manipulation have on shoulder ROM?
Methods: A literature search was conducted using electronic research databases (PubMed, MEDLINE, SPORTSDiscus, CINAHL, and Jerry Falwell Library) to identify randomized control trials published within the last 10 years that include studies with myofascial manipulation as an intervention and analyzed shoulder range of motion (ROM) in post-operative breast cancer patient. Studies were excluded if it contained a patient population greater than 30 years of age and if it focused on edema or stretching. Outcomes in the final studies included shoulder ROM (goniometer), shoulder function (DASH questionnaire), and quality of life (SF-36 questionnaire). The included studies were appraised using the Physiotherapy Evidence Database (PEDro) scale.
Results: The literature search identified 1012 studies relative to this topic, but through the screening process 3 articles qualified for this critically appraised topic. Each article displayed level 2 evidence and received a 9/10 on the PEDro scale. These studies found that the intervention group (myofascial manipulation and physical therapy) showed no statistically significant difference when compared to the control group (physical therapy). Despite this, all 3 studies agreed that both groups had improved shoulder ROM and decreased pain. However, in these studies, there is a lack of consensus for improvement in shoulder function and quality of life.
Conclusions: According to the literature, myofascial manipulation does not solely significantly increase shoulder ROM in post-operative breast cancer patients when compared to a control group. However, both groups displayed a decrease in pain, and increased ROM when paired with physical therapy. More research is required to understand the true effects of myofascial release on post-operative breast cancer patients.
