The Effect of Myofascial Chain Release Techniques on Shoulder Joint Range of Motion Following Mastectomy Surgery in Breast Cancer Survivors

What this Trial Is About

This research aims to evaluate the effect of myofascial chain release techniques and manual lymphatic drainage on improving shoulder joint range of motion in breast cancer survivors who have undergone mastectomy surgery. After breast surgery, patients often experience shoulder movement limitations due to fascia damage on the pectoralis major muscle. These complications can reduce quality of life and interfere with treatments like radiotherapy, making it important to prevent and address shoulder joint limitations early. Participants will be randomly assigned to one of four groups: a conventional physiotherapy program alone, physiotherapy plus manual lymphatic drainage, physiotherapy plus myofascial chain releasing techniques, or physiotherapy combined with both manual lymphatic drainage and myofascial releasing techniques. The physiotherapy program includes shoulder exercises and stretching, while manual lymphatic drainage targets lymphatic collectors in the arm and axillary areas, and myofascial releasing involves targeted pressure and vibration on arm myofascial points. Treatments are given twice a week for six weeks. Participants will undergo detailed physical assessments of the shoulder region three times: before treatment, after six weeks of treatment, and one month post-treatment. Evaluations include measuring tissue stiffness, muscle tone, tissue creep, shoulder joint motion range, daily activity ability, and mental health changes. Additional measures track skin temperature, pain levels, pain pressure threshold, and grip strength. These assessments help researchers understand how the treatments affect shoulder mobility and related symptoms over time.

The Effect of Myofascial Chain Release Techniques on Shoulder Joint Range of Motion in Breast Cancer Survivors