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KMID : 0357220160280020142
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Journal of Korean Society Physical Therapy
2016 Volume.28 No. 2 p.142 ~ p.148
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Effectiveness of Physical Therapy Management of Axillary Web Syndrome following Sentinel Lymph Node Biopsy in Breast Cancer Patients: Case Study
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Shim Young-Hun
Chae Yun-Won
Park Ji-Won
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Abstract
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Purpose: The aim of this pilot study was to determine the effect of soft tissue technique (STT) in Axillary Web Syndrome (AWS) following sentinel Lymph Node Biopsy in breast cancer patients by examining the upper extremity function, range of motion, and pain.
Methods: Nineteen patients with breast cancer?related AWS were evaluated. STT was performed on the symptom area for treatment of AWS symptoms. We evaluated AWS symptoms and pain intensity using a visual analogue scale (VAS), and functional disability using the Korean version of the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire, glenohumeral joint (GHJ) flexion and abduction range of motion (ROM) with or without elbow extension.
Results: Visual analyses of the data suggest a modest effect of STT in improving GHJ flexion, abduction ROM with or without elbow extension, DASH for upper extremity function, and Pain. The statistically significant improvement in baseline observed for pain, DASH, and ROM data made it impossible to assess the effects of STT on those outcomes. There were no adverse events.
Conclusions: STT may be an effective and safe treatment option for AWS patients recovering from breast cancer treatment; however, further research is needed.
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KEYWORD
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Axillary web syndrome, Breast cancer, Sentinel lymph node biopsy, Soft tissue technique
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