Effects of a Manual Therapy Program to Reduce the Evolution Time of Axillary Web Syndrome
Breast Cancer, Mastectomy; Lymphedema, Thrombi
About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring mastectomy, breast cancer, lymphedema, kinesiology applied, thrombosis, health education, rehabilitation
Eligibility Criteria
Inclusion Criteria:
- Patient over 18 years old.
- Mastectomized patients (either radical or conservative surgery).
- Patient with lymphatic thrombus in the upper limb ipsilateral to the surgical intervention.
Exclusion Criteria:
- Significant psychological alterations that would prevent the retrieval of the information necessary for the investigation.
- Significant neurological alterations that would prevent the retrieval of the information necessary for the investigation.
- Patients in a situation of legal dispute that would affect their intervention in this study.
- Metastasis not treated with chemotherapy treatment.
Sites / Locations
- Jesús Baltasar González RubiñoRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Patients with Axilliary Web Syndrome and manual therapy and scar massage.
Patients with Axilliary Web Syndrome and health education and kinesiotherapy.
These users will come from the first moment of the diagnosis of the thrombus in our unit, to receive manual therapy by the physical therapist. They will receive 15 sessions of manual therapy by the physiotherapist, 5 days a week, each session being approximately 40 minutes long. The session will begin with pendulum exercises of the shoulder to warm up the joint and give proprioceptive stimulation to the joint capsule. The physiotherapist will perform passive stretches looking to put tension on the cord lymphatic, never exceeding grade 6 VAS pain. Mainly the shoulder will be worked affected, and if the cord reaches the crease of the elbow or thumb, the extension-supination of the elbow, and ulnar deviation of the wrist. Scar massage will be done in the area where the lymphatic cord originates at the proximal level while maintaining the tolerable tension of the lymphatic cord (during the massage also pain grade 6 VAS will be exceeded).
These users will be instructed in hygienic-postural care and active auto-kinesitherapy assisted to perform daily for 30 minutes. The investigators will value following the instructions every 30 days