Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design
Abstract Objectives To (1) investigate the immediate effects of myofascial induction (MI), with placebo electrotherapy as a control, on perceived pain, cervical/shoulder range of motion (ROM), and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relations...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2017-05, Vol.98 (5), p.832-840 |
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| creator | Castro-Martín, Eduardo, MSc Ortiz-Comino, Lucía, MSc Gallart-Aragón, Tania, MSc Esteban-Moreno, Bernabé, PhD Arroyo-Morales, Manuel, PhD Galiano-Castillo, Noelia, PhD |
| description | Abstract Objectives To (1) investigate the immediate effects of myofascial induction (MI), with placebo electrotherapy as a control, on perceived pain, cervical/shoulder range of motion (ROM), and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relationships between pain modifications and cervical/shoulder ROM on the side affected by breast cancer. Design Randomized, single-blind, placebo-controlled crossover study. Setting Physical therapy laboratory. Participants BCSs (N=21) who had a diagnosis of stage I–IIIA breast cancer and had completed adjuvant therapy (except hormonal treatment). Intervention During each session, the BCSs received either an MI (fascial unwinding) intervention focused on the upper limb area following the Pilat approach or placebo pulsed shortwave therapy (control group). Each session lasted 30 minutes, and an adequate washout period of 4 weeks between sessions was established. Main Outcome Measures The visual analog scale (VAS) for pain and anxiety, shoulder-cervical goniometry for ROM, the Profile of Mood States for psychological distress, and the Attitudes Towards Massage Scale were used. Results An analysis of covariance (ANCOVA) revealed significant time × group interactions for VAS affected arm ( P =.031) but not for VAS cervical ( P =.332), VAS nonaffected arm ( P =.698), or VAS anxiety ( P =.266). The ANCOVA also revealed significant interactions for affected shoulder flexion ( P |
| doi_str_mv | 10.1016/j.apmr.2016.11.019 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1851697251</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999316313132</els_id><sourcerecordid>1851697251</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-9e1b2bc2896abcab681bbea8639e56211b2474b3d76d75dd1939e3fa091e9c8e3</originalsourceid><addsrcrecordid>eNp9UsGO0zAQjRCILQs_wAHlyIGUjN2kMUJIbFhgpQVWFCRulmNPFncdu9hJpfINfDQTdeHAAcmSZzxvnu33JsseQ7mEEurn26XaDXHJKF4CLEsQd7IFVJwVDYNvd7NFWZa8EELwk-xBSltK64rD_eyENVQBzhfZrw-H0KukrXL5hTeTHm3w-Xnfox5TTuFH1DfF5nuYnMGYXynrc1pnEVUa81Z5TaebKe7tPsT0Iv-svAmD_YnmWb6x_tphceasp-zKKY1dKNrgxxicQ5O3MaQU9sTwBpO99g-ze71yCR_d7qfZ17fnX9r3xeWndxft68tCrwDGQiB0rNOsEbXqtOrqBroOVVNzgVXNgKqr9arjZl2bdWUMCCrwXpUCUOgG-Wn29Mi7i-HHhGmUg00anVMew5QkNBXUYs0qICg7QvX81oi93EU7qHiQUMrZBbmVswtydkECSHKBmp7c8k_dgOZvyx_ZCfDyCED65d5ilOQAkpbGRhJemmD_z__qn3ZNGlut3A0eMG3DFD3pJ0EmJku5medgHgOo6XbgjP8GyfGvOw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1851697251</pqid></control><display><type>article</type><title>Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Castro-Martín, Eduardo, MSc ; Ortiz-Comino, Lucía, MSc ; Gallart-Aragón, Tania, MSc ; Esteban-Moreno, Bernabé, PhD ; Arroyo-Morales, Manuel, PhD ; Galiano-Castillo, Noelia, PhD</creator><creatorcontrib>Castro-Martín, Eduardo, MSc ; Ortiz-Comino, Lucía, MSc ; Gallart-Aragón, Tania, MSc ; Esteban-Moreno, Bernabé, PhD ; Arroyo-Morales, Manuel, PhD ; Galiano-Castillo, Noelia, PhD</creatorcontrib><description>Abstract Objectives To (1) investigate the immediate effects of myofascial induction (MI), with placebo electrotherapy as a control, on perceived pain, cervical/shoulder range of motion (ROM), and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relationships between pain modifications and cervical/shoulder ROM on the side affected by breast cancer. Design Randomized, single-blind, placebo-controlled crossover study. Setting Physical therapy laboratory. Participants BCSs (N=21) who had a diagnosis of stage I–IIIA breast cancer and had completed adjuvant therapy (except hormonal treatment). Intervention During each session, the BCSs received either an MI (fascial unwinding) intervention focused on the upper limb area following the Pilat approach or placebo pulsed shortwave therapy (control group). Each session lasted 30 minutes, and an adequate washout period of 4 weeks between sessions was established. Main Outcome Measures The visual analog scale (VAS) for pain and anxiety, shoulder-cervical goniometry for ROM, the Profile of Mood States for psychological distress, and the Attitudes Towards Massage Scale were used. Results An analysis of covariance (ANCOVA) revealed significant time × group interactions for VAS affected arm ( P =.031) but not for VAS cervical ( P =.332), VAS nonaffected arm ( P =.698), or VAS anxiety ( P =.266). The ANCOVA also revealed significant interactions for affected shoulder flexion ( P <.001), abduction ( P <.001), external rotation ( P =.004), and internal rotation ( P =.001). Significant interactions for affected cervical rotation ( P =.022) and affected cervical lateral flexion ( P =.038) were also found. A significant negative correlation was found between changes in VAS affected arm and shoulder/arm internal rotation ROM ( r =−.46; P =.03). Conclusions A single MI session decreases pain intensity and improves neck-shoulder ROM to a greater degree than placebo electrotherapy for BCSs experiencing pain.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2016.11.019</identifier><identifier>PMID: 28003133</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Affect ; Aged ; Anxiety - psychology ; Anxiety - rehabilitation ; Breast neoplasms ; Breast Neoplasms - complications ; Breast Neoplasms - psychology ; Breast Neoplasms - rehabilitation ; Cross-Over Studies ; Electric Stimulation Therapy - methods ; Female ; Humans ; Middle Aged ; Musculoskeletal manipulations ; Neck ; Neck Pain - etiology ; Neck Pain - psychology ; Neck Pain - rehabilitation ; Pain ; Pain Measurement ; Physical Medicine and Rehabilitation ; Range of Motion, Articular ; Rehabilitation ; Shoulder ; Shoulder Pain - etiology ; Shoulder Pain - psychology ; Shoulder Pain - rehabilitation ; Single-Blind Method ; Therapy, Soft Tissue - methods</subject><ispartof>Archives of physical medicine and rehabilitation, 2017-05, Vol.98 (5), p.832-840</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2016 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-9e1b2bc2896abcab681bbea8639e56211b2474b3d76d75dd1939e3fa091e9c8e3</citedby><cites>FETCH-LOGICAL-c411t-9e1b2bc2896abcab681bbea8639e56211b2474b3d76d75dd1939e3fa091e9c8e3</cites><orcidid>0000-0002-6825-4213</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2016.11.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28003133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Castro-Martín, Eduardo, MSc</creatorcontrib><creatorcontrib>Ortiz-Comino, Lucía, MSc</creatorcontrib><creatorcontrib>Gallart-Aragón, Tania, MSc</creatorcontrib><creatorcontrib>Esteban-Moreno, Bernabé, PhD</creatorcontrib><creatorcontrib>Arroyo-Morales, Manuel, PhD</creatorcontrib><creatorcontrib>Galiano-Castillo, Noelia, PhD</creatorcontrib><title>Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objectives To (1) investigate the immediate effects of myofascial induction (MI), with placebo electrotherapy as a control, on perceived pain, cervical/shoulder range of motion (ROM), and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relationships between pain modifications and cervical/shoulder ROM on the side affected by breast cancer. Design Randomized, single-blind, placebo-controlled crossover study. Setting Physical therapy laboratory. Participants BCSs (N=21) who had a diagnosis of stage I–IIIA breast cancer and had completed adjuvant therapy (except hormonal treatment). Intervention During each session, the BCSs received either an MI (fascial unwinding) intervention focused on the upper limb area following the Pilat approach or placebo pulsed shortwave therapy (control group). Each session lasted 30 minutes, and an adequate washout period of 4 weeks between sessions was established. Main Outcome Measures The visual analog scale (VAS) for pain and anxiety, shoulder-cervical goniometry for ROM, the Profile of Mood States for psychological distress, and the Attitudes Towards Massage Scale were used. Results An analysis of covariance (ANCOVA) revealed significant time × group interactions for VAS affected arm ( P =.031) but not for VAS cervical ( P =.332), VAS nonaffected arm ( P =.698), or VAS anxiety ( P =.266). The ANCOVA also revealed significant interactions for affected shoulder flexion ( P <.001), abduction ( P <.001), external rotation ( P =.004), and internal rotation ( P =.001). Significant interactions for affected cervical rotation ( P =.022) and affected cervical lateral flexion ( P =.038) were also found. A significant negative correlation was found between changes in VAS affected arm and shoulder/arm internal rotation ROM ( r =−.46; P =.03). Conclusions A single MI session decreases pain intensity and improves neck-shoulder ROM to a greater degree than placebo electrotherapy for BCSs experiencing pain.</description><subject>Adult</subject><subject>Affect</subject><subject>Aged</subject><subject>Anxiety - psychology</subject><subject>Anxiety - rehabilitation</subject><subject>Breast neoplasms</subject><subject>Breast Neoplasms - complications</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - rehabilitation</subject><subject>Cross-Over Studies</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Musculoskeletal manipulations</subject><subject>Neck</subject><subject>Neck Pain - etiology</subject><subject>Neck Pain - psychology</subject><subject>Neck Pain - rehabilitation</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Range of Motion, Articular</subject><subject>Rehabilitation</subject><subject>Shoulder</subject><subject>Shoulder Pain - etiology</subject><subject>Shoulder Pain - psychology</subject><subject>Shoulder Pain - rehabilitation</subject><subject>Single-Blind Method</subject><subject>Therapy, Soft Tissue - methods</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsGO0zAQjRCILQs_wAHlyIGUjN2kMUJIbFhgpQVWFCRulmNPFncdu9hJpfINfDQTdeHAAcmSZzxvnu33JsseQ7mEEurn26XaDXHJKF4CLEsQd7IFVJwVDYNvd7NFWZa8EELwk-xBSltK64rD_eyENVQBzhfZrw-H0KukrXL5hTeTHm3w-Xnfox5TTuFH1DfF5nuYnMGYXynrc1pnEVUa81Z5TaebKe7tPsT0Iv-svAmD_YnmWb6x_tphceasp-zKKY1dKNrgxxicQ5O3MaQU9sTwBpO99g-ze71yCR_d7qfZ17fnX9r3xeWndxft68tCrwDGQiB0rNOsEbXqtOrqBroOVVNzgVXNgKqr9arjZl2bdWUMCCrwXpUCUOgG-Wn29Mi7i-HHhGmUg00anVMew5QkNBXUYs0qICg7QvX81oi93EU7qHiQUMrZBbmVswtydkECSHKBmp7c8k_dgOZvyx_ZCfDyCED65d5ilOQAkpbGRhJemmD_z__qn3ZNGlut3A0eMG3DFD3pJ0EmJku5medgHgOo6XbgjP8GyfGvOw</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Castro-Martín, Eduardo, MSc</creator><creator>Ortiz-Comino, Lucía, MSc</creator><creator>Gallart-Aragón, Tania, MSc</creator><creator>Esteban-Moreno, Bernabé, PhD</creator><creator>Arroyo-Morales, Manuel, PhD</creator><creator>Galiano-Castillo, Noelia, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6825-4213</orcidid></search><sort><creationdate>20170501</creationdate><title>Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design</title><author>Castro-Martín, Eduardo, MSc ; Ortiz-Comino, Lucía, MSc ; Gallart-Aragón, Tania, MSc ; Esteban-Moreno, Bernabé, PhD ; Arroyo-Morales, Manuel, PhD ; Galiano-Castillo, Noelia, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-9e1b2bc2896abcab681bbea8639e56211b2474b3d76d75dd1939e3fa091e9c8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Affect</topic><topic>Aged</topic><topic>Anxiety - psychology</topic><topic>Anxiety - rehabilitation</topic><topic>Breast neoplasms</topic><topic>Breast Neoplasms - complications</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - rehabilitation</topic><topic>Cross-Over Studies</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Musculoskeletal manipulations</topic><topic>Neck</topic><topic>Neck Pain - etiology</topic><topic>Neck Pain - psychology</topic><topic>Neck Pain - rehabilitation</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Range of Motion, Articular</topic><topic>Rehabilitation</topic><topic>Shoulder</topic><topic>Shoulder Pain - etiology</topic><topic>Shoulder Pain - psychology</topic><topic>Shoulder Pain - rehabilitation</topic><topic>Single-Blind Method</topic><topic>Therapy, Soft Tissue - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Castro-Martín, Eduardo, MSc</creatorcontrib><creatorcontrib>Ortiz-Comino, Lucía, MSc</creatorcontrib><creatorcontrib>Gallart-Aragón, Tania, MSc</creatorcontrib><creatorcontrib>Esteban-Moreno, Bernabé, PhD</creatorcontrib><creatorcontrib>Arroyo-Morales, Manuel, PhD</creatorcontrib><creatorcontrib>Galiano-Castillo, Noelia, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Castro-Martín, Eduardo, MSc</au><au>Ortiz-Comino, Lucía, MSc</au><au>Gallart-Aragón, Tania, MSc</au><au>Esteban-Moreno, Bernabé, PhD</au><au>Arroyo-Morales, Manuel, PhD</au><au>Galiano-Castillo, Noelia, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>98</volume><issue>5</issue><spage>832</spage><epage>840</epage><pages>832-840</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objectives To (1) investigate the immediate effects of myofascial induction (MI), with placebo electrotherapy as a control, on perceived pain, cervical/shoulder range of motion (ROM), and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relationships between pain modifications and cervical/shoulder ROM on the side affected by breast cancer. Design Randomized, single-blind, placebo-controlled crossover study. Setting Physical therapy laboratory. Participants BCSs (N=21) who had a diagnosis of stage I–IIIA breast cancer and had completed adjuvant therapy (except hormonal treatment). Intervention During each session, the BCSs received either an MI (fascial unwinding) intervention focused on the upper limb area following the Pilat approach or placebo pulsed shortwave therapy (control group). Each session lasted 30 minutes, and an adequate washout period of 4 weeks between sessions was established. Main Outcome Measures The visual analog scale (VAS) for pain and anxiety, shoulder-cervical goniometry for ROM, the Profile of Mood States for psychological distress, and the Attitudes Towards Massage Scale were used. Results An analysis of covariance (ANCOVA) revealed significant time × group interactions for VAS affected arm ( P =.031) but not for VAS cervical ( P =.332), VAS nonaffected arm ( P =.698), or VAS anxiety ( P =.266). The ANCOVA also revealed significant interactions for affected shoulder flexion ( P <.001), abduction ( P <.001), external rotation ( P =.004), and internal rotation ( P =.001). Significant interactions for affected cervical rotation ( P =.022) and affected cervical lateral flexion ( P =.038) were also found. A significant negative correlation was found between changes in VAS affected arm and shoulder/arm internal rotation ROM ( r =−.46; P =.03). Conclusions A single MI session decreases pain intensity and improves neck-shoulder ROM to a greater degree than placebo electrotherapy for BCSs experiencing pain.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28003133</pmid><doi>10.1016/j.apmr.2016.11.019</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6825-4213</orcidid></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Affect Aged Anxiety - psychology Anxiety - rehabilitation Breast neoplasms Breast Neoplasms - complications Breast Neoplasms - psychology Breast Neoplasms - rehabilitation Cross-Over Studies Electric Stimulation Therapy - methods Female Humans Middle Aged Musculoskeletal manipulations Neck Neck Pain - etiology Neck Pain - psychology Neck Pain - rehabilitation Pain Pain Measurement Physical Medicine and Rehabilitation Range of Motion, Articular Rehabilitation Shoulder Shoulder Pain - etiology Shoulder Pain - psychology Shoulder Pain - rehabilitation Single-Blind Method Therapy, Soft Tissue - methods |
| title | Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design |
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