Effects of a Single Myofascial Induction Session on Neural Mechanosensitivity in Breast Cancer Survivors: A Secondary Analysis of a Crossover Study.
J Manipulative Physiol Ther
; 43(4): 394-404, 2020 05.
Article
in En
| MEDLINE
| ID: mdl-32703613
ABSTRACT
OBJECTIVES:
The purpose of this study was to investigate the short-term effects of myofascial induction on mechanosensitivity of upper limb nerves.METHODS:
In this secondary analysis of a randomized, single-blind, placebo-controlled crossover study, 21 breast cancer survivors with stage I-IIIA cancer were randomly allocated to an experimental group (30 minutes of myofascial induction session) or placebo control group (unplugged pulsed 30 minutes of shortwave therapy), with a 4-week washout period between sessions that occurred in a physical therapy laboratory in the Health Science Faculty (University of Granada, Spain). Range of motion (universal goniometry), structural differentiation, symptoms (yes/no), and pressure pain thresholds (electronic algometry) were assessed during neurodynamic tests and attitude toward massage scale as covariate.RESULTS:
An analysis of covariance revealed significant timeâ¯×â¯group interactions for range of motion in affected upper limb nerves (median, P < .001; radial, Pâ¯=â¯.036; ulnar, Pâ¯=â¯.002), but not for nonaffected upper limb nerves (median, Pâ¯=â¯.083; radial, Pâ¯=â¯.072; ulnar, Pâ¯=â¯.796). A χ2 or Fisher exact test, as appropriate, also revealed a significant difference (Pâ¯=â¯.044) in sensitivity for the affected upper limb ulnar nerve in the experimental group, whereas the rest of the assessed nerves (affected and nonaffected upper limb nerves) showed no significant changes in either the experimental or control groups (P > .05). An analysis of covariance revealed no significant interactions on pressure pain thresholds over the nerves for affected (all P > .05) and nonaffected (all P > .05) upper limb nerves.CONCLUSION:
A single myofascial induction session may partially improve mechanosensitivity of median, radial, and ulnar nerves and yield positive effects on symptom mechanosensitivity, especially regarding the ulnar nerve in breast cancer survivors.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Breast Neoplasms
/
Range of Motion, Articular
/
Neck Pain
/
Shoulder Pain
/
Therapy, Soft Tissue
/
Cancer Survivors
Type of study:
Clinical_trials
/
Etiology_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
J Manipulative Physiol Ther
Year:
2020
Document type:
Article
Affiliation country:
Spain