Elabd Omar M, Etoom Mohammad, Jahan Alhadi M, Elabd Aliaa M, Khedr Alaa M, Elgohary Hany M
Department of Physical Therapy, Aqaba University of Technology, Aqaba 11191, Jordan.
Department of Physical Therapy for Orthopedics and Its Surgeries, Faculty of Physical Therapy, Delta University for Science and Technology, Gamasa 35712, Egypt.
J Clin Med. 2024 Feb 8;13(4):980. doi: 10.3390/jcm13040980.
: Breast cancer surgeries affect the upper extremities and posture. This study aimed to examine the efficacy of muscle energy and Mulligan mobilization techniques on the upper extremities and posture after breast cancer surgery with axillary dissection. : A total of 90 female participants who had undergone breast cancer surgery with axillary dissection were recruited and randomly assigned to three groups. Group A received a combination of the Mulligan and muscle energy techniques, while Groups B and C received either the Mulligan or muscle energy techniques for six weeks, respectively. The study measured the shoulders' range of motion, posture, and upper-extremity disabilities. Outcome measurements were taken at three different time points: baseline, post-intervention, and at eight-week follow-up. : All the interventions significantly improved the study outcomes. The combination of the Mulligan and muscle energy techniques was significantly better than a single intervention. Mulligan mobilization was superior to the muscle energy techniques in terms of improving the shoulders' range of motion and disability. The interventions showed a significant effect pre-post-treatment and pre-follow-up but not post-follow-up. : The Mulligan mobilization and muscle energy techniques have been found beneficial in improving the postural changes and shoulder outcomes after breast cancer surgery with axillary dissection. The superior effectiveness of the combined interventions points out the importance of integrating multiple therapeutic approaches for optimal outcomes. Regular examination and long-term follow-up assessment are important for studying the effect of rehabilitation interventions in people after the late stages of breast surgery.
乳腺癌手术会影响上肢及姿势。本研究旨在探讨肌肉能量技术和米利根松动术对乳腺癌腋窝淋巴结清扫术后上肢及姿势的疗效。
共招募了90名接受过乳腺癌腋窝淋巴结清扫术的女性参与者，并将她们随机分为三组。A组接受米利根技术和肌肉能量技术的联合治疗，而B组和C组分别接受米利根技术或肌肉能量技术治疗，为期六周。该研究测量了肩部的活动范围、姿势及上肢功能障碍情况。在三个不同时间点进行结果测量：基线、干预后及八周随访时。
所有干预措施均显著改善了研究结果。米利根技术和肌肉能量技术的联合治疗明显优于单一干预措施。在改善肩部活动范围和功能障碍方面，米利根松动术优于肌肉能量技术。干预措施在治疗前与随访前显示出显著效果，但随访后未显示出显著效果。
已发现米利根松动术和肌肉能量技术有助于改善乳腺癌腋窝淋巴结清扫术后的姿势变化和肩部情况。联合干预措施的卓越效果表明整合多种治疗方法以实现最佳效果的重要性。定期检查和长期随访评估对于研究乳腺癌手术后期康复干预措施对患者的效果很重要。
