Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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The Effect of Joint Mobilization with Electrotherapy interventions on External Rotation and Pain in Mastectomy Patients

유방암 절제술 환자의 관절가동술과 전기자극을 융합한 중재가 어깨 가쪽돌림과 통증에 미치는 영향

  • Received : 2020.03.28
  • Accepted : 2020.05.20
  • Published : 2020.05.28
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Abstract

This study was to investigate the effects of joint mobilization with two different electrotherapy methods on shoulder external rotation range of motion and pain in mastectomy patients. Thirty mastectomy patients were divided into STMG (joint mobilization+pain scrambler therapy, n=15) and TENMG (joint mobilization+transcutaneous electrical nerve stimulation, n=15). The measurements were performed shoulder external rotation range of motion (ROM), pain (VAS). In both groups, there was a significant difference in the shoulder external rotation ROM, pain after intervention (p <.05). STMG was more decrease in VAS score than TENMG (p <.05). There was no significant difference in shoulder external rotation ROM between the two groups. In order to decrease the pain of mastectomy patients, it was confirmed that STMG was more effective than TENMG.. It is thought that a control group is added to confirm various differences, and more subjects are needed.

본 연구는 관절가동술 후 두 가지 유형의 전기치료 방법을 각각 적용하였을 때 유방암 환자의 어깨 가쪽돌림 가동범위와 통증에 미치는 효과를 알아보기 위해 실시하였다. 유방절제술을 시행한 유방암 환자 30명을 STMG (관절가동술+비침습적 무통증 신호 전기치료) 15명과 TENMG (관절가동술+경피신경전기자극) 15명으로 나누었다. 중재는 4주간 주 3회, 1회당 1시간씩 실시하였다. 측정은 어깨 가쪽 돌림 관절가동범위(Range of motion, ROM), 통증(Visual analog scale)을 측정하였다. 중재 전·후 두 군 모두 어깨 가쪽돌림 관절가동범위, 통증에서 유의한 차이가 있었다(p<.05). STMG는 어깨 가쪽 돌림 관절가동범위를 제외하고 TENMG보다 통증 감소에서 더욱 효과적이었다(p<.05). 유방암 절제술 환자의 통증을 경감시키기 위해서는 STMG이 TENMG보다 더욱 효과가 있다는 것을 확인할 수 있었다. 다양한 차이를 확인하기 위해 대조군을 더하고, 더 많은 대상자가 필요할 것으로 사료된다.

Keywords

References

  1. Ministry of Health and Welfare (2018). Cancer Registration Statistics (Statistical information report). Ministry of Health and Welfare [Online]. http://kostat.go.kr/portal/korea/kor_pi/8/6/2/index.board?bmode=read&aSeq=365723
  2. M. S. Wallace, A. M. Wallace, J. Lee & M. K. Dobke. (1996). Pain after breast surgery: a survey of 282 women. PAIN(R), 66(2-3), 195-205. DOI : 10.1016/0304-3959(96)03064-3
  3. A. Pusic et al. (1999). Surgical options for the early-stage breast cancer: factors associated with patient choice and postoperative quality of life. Plastic and reconstructive surgery, 104(5), 1325-1333. DOI : 10.1097/00006534-199910000-00013
  4. S. Enoch & D. J. Leaper. (2008). Basic science of wound healing. Surgery (Oxford), 26(2), 31-37. DOI : 10.1383/surg.23.2.37.60352
  5. T. Tasmuth, K. V. Smitten, P. Hietanen, M. Kataja & E. Kalso. (1995). Pain and other symptoms afte r different treatment modalities of breast cancer. Annals of Oncology, 6(5), 453-459. DOI : 10.1093/oxfordjournals.annonc.a059215
  6. W. C. Park et al. (1999). Chest wall muscle changes after a mastectomy: finding of chest CT. Korean Surgical Society, 56, 183.
  7. M. J. Lee, S. Y. Kim & J. K. Shim. (2015). Comparison of Shoulder Range of Motion, Pain, Function, Scapular Position Between Breast Cancer Surgery and Shoulder Surgery Female Patients. Korean Research Society of Physical Therapy, 22(1), 9-18. https://doi.org/10.12674/ptk.2015.22.1.009
  8. I. Wilk et al. (2016). The application of tensegrity massage in a professionally active musician-case report. Rehabilitation Nursing Journal, 41(3), 179-192. DOI : 10.1002/rnj.152
  9. G. Maitland, E. Hengeveld, K. Banks & K. English. (2005). Maitland's Vertebral Manipulation. Ed 7th. Churchill Livingston, Edinburgh.
  10. I. de la Rosa Díaz, M. T. Lacomba, E. C. Tellez, C. D. del Campo Gomez-Rico & C. G. Ortega. (2017). Accessory Joint and Neural Mobilizations for Shoulder Range of Motion Restriction After Breast Cancer Surgery: A Pilot Randomized Clinical Trial. Journal of chiropractic medicine, 16(1), 31-40. DOI : 10.1016/j.jcm.2016.09.001
  11. V. B. Tunay, T. Akbayrak & S. Kaya. (2012). The effect of multidimensional physiotherapy program on shoulder function, pain, and lymphedema after surgery in elderly breast cancer patients. Topics in Geriatric Rehabilitation, 28(4), 281-286. DOI : 10.1097/TGR.0b013e31825bbbef
  12. A. De Groef et al. (2015). Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review. Archives of physical medicine and rehabilitation, 96(6), 1140-1153. DOI : 10.1016/j.apmr.2015.01.006
  13. J. S. Lee, B. G. Lee & T. S. Kim. (2012). Effects of 4 Wks Classical Decongestive Physiotherapy and Combined Therapeutic Exercises on Edema, Upper Limb Function and Quality of Life for Middle-aged Women with Upper Lymphedema after Breast Cancer Surgery. KOREAN SOCIETY OF SPORT AND LEISURE STUDIES, 50(2), 879-889. https://doi.org/10.51979/KSSLS.2012.12.50.879
  14. B. K. Lee, J. S. Lee & T. S. Kim. (2013). The Influence of 4 wks Complex Therapeutic Exercises on Visual Analog Scale of Pain and Range of Motion for Middle-Aged Women with Breast Cancer-Related Lymphedema. Journal of The Korean Society of Physical Medicine, 8(2), 153-161. https://doi.org/10.13066/kspm.2013.8.2.153
  15. J. H. Do, J. H. Sung, J. S. An & Y. G. Cho. (2012). Effects of a Rehabilitation Program on Quality of Life, Cardiopulmonary Function and Fatigue During Radiotherapy for Breast Cancer Patients. Korean Research Society of Physical Therapy, 19(1), 56-65. https://doi.org/10.12674/ptk.2012.19.1.056
  16. K. A. Sluka & D. Walsh. (2003). Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. The Journal of pain, 4(3), 109-121. DOI : 10.1054/jpai.2003.434Abstract
  17. Y. Maeda, T. L. Lisi, C. G. T. Vance & K. A. Sluka. (2007). Release of GABA and activation of GABAA in the spinal cord mediates the effects of TENS in rats. Brain research, 1136, 43-50. DOI : 10.1016/j.brainres.2006.11.061
  18. J. G. Silva, C. G. Santana, K. R. Inocencio, M. Orsini, S. Machado & A. Bergmann. (2014). Electrocortical analysis of patients with intercostobrachial pain treated with TENS after breast cancer surgery. Journal of physical therapy science, 26(3), 349-353. DOI : 10.1589/jpts.26.349
  19. H. R. Jeon, & J. S. Park. (2012). A meta-analysis about effects of transcutaneous electrical nerve stimulation on postoperative pain. Journal of the Korean Data Analysis Society, 14(2), 851-865.
  20. G. Marineo, V. Iorno, C. Gandini, V. Moschini & T. J. Smith (2012). Scrambler therapy may relieve chronic neuropathic pain more effectively than guideline-based drug management: results of a pilot, randomized, controlled trial. Journal of pain and symptom management, 43(1), 87-95. DOI : 10.1016/j.jpainsymman.2011.03.015
  21. D. K. Lee & E. K. Kim. (2016). Effect of pain scrambler therapy on shoulder joint pain and range of motion in patients who had undergone arthroscopic rotator cuff repair for the first time. Journal of physical therapy science, 28(7), 2175-2177. DOI : 10.1589/jpts.28.2175
  22. H. J. Jeong, D. K. Lee, Y. N. Kim & T. Y. Hwang. (2018). The effects of pain scrambler therapy on the pain and quality of life of degenerative gonarthritis patients. Journal of physical therapy science, 30(3), 479-480. DOI : 10.1589/jpts.30.479
  23. M. J. Lee & M. G. Jung. (2017). The Effects of Scapular Posture Correction Taping in Painful with le Breast Cancer Women. Korean Academy of Orthopedic Manual Physical Therapy, 23(1), 31-41.
  24. D. R. Pachman et al. (2015). Pilot evaluation of Scrambler therapy for the treatment of chemotherapy-induced peripheral neuropathy. Supportive Care in Cancer, 23(4), 943-951. DOI : 10.1200/jco.2012.30.15_suppl.9075
  25. J. T. Hidding, C. H. Beurskens, P. J. van der Wees, H. W. van Laarhoven, & M. W. Nijhuis-van der Sanden. (2014). Treatment related impairments in arm and shoulder in patients with breast cancer: a systematic review. PloS one, 9(5), e96748. DOI : 10.1371/journal.pone.0096748
  26. E. Hengeveld & K. Banks. (2005). Maitland's Peripheral Manipulation. Edinburgh.
  27. M. F. Levin & C. W. Hui-Chan. (1993). Conventional and acupuncture-like transcutaneous electrical nerve stimulation excite similar afferent fibers. Archives of Physical Medicine and Rehabilitation, 74(1), 54-60. DOI : 10.5555/uri:pii:000399939390383L
  28. S. J. Park, S. I. Youn, D. J. Lee & J. H. Sim. (2017). Effect of Convergence-Based Russian Current and Transcutaneous Electrical Nerve Stimulation at Quadriceps Muscles on Pain, Strength, and Performance in Persons with Anterior Cruciate Ligament Reconstruction. Korea convergence Society, 8(1), 77-87. https://doi.org/10.15207/JKCS.2017.8.1.077
  29. B. C. Werner et al. (2014). Validation of an innovative method of shoulder range-of-motion measurement using a smartphone clinometer application. Journal of shoulder and elbow surgery, 23(11), e275-e282. DOI : 10.1016/j.jse.2014.02.030
  30. C. A. S. Haddad, M. Saad, M. D. C. J. Perez, & F. Miranda. (2013). Assessment of posture and joint movements of the upper limbs of patients after mastectomy and lymphadenectomy. Einstein, 11(4), 426-434. DOI : 10.1590/S1679-45082013000400004
  31. A. Y. Eom. & E. O. Lee. (2004). Shoulder range of motion in postmastectomy patients. Asian Oncology Nursing, 4(1), 62-70.
  32. M. E. Cline, J. Herman, E. R. Shaw & R. D. Morton. (1992). Standardization of the visual analogue scale. Nursing research. DOI : 10.1097/00006199-199211000-00013
  33. H. S. Song. (2016). The Effects of Shoulder Joint Mobilization and Scapular Complex Exercise on Body Function and Psychosocial Factors in after Patient with Breast Cancer Surgery. Doctoral dissertation. DAEJEON University. Daejeon.
  34. F. B. Basilio, R. D. M. M. Dos Anjos, E. P. De Medeiros, E. M. F. De Melo & R. M. V. D. Da Silva. (2014). Effects of manual therapy techniques in the treatment of pain in post mastectomy patients: systematic review. Manual Therapy, Posturology & Rehabilitation Journal, 12, 196-201. DOI : 10.17784/mtprehabjournal.2014.12.190
  35. H. L. Fields & J. D. Levine. (1984). Pain-Mechanisms and management. Western Journal of Medicine, 141(3), 347. PMID: 6209862
  36. J. J. Bonica. (1999). Textbook of pain (Vol. 994). P. D. Wall, & R. Melzack (Eds.). Edinburgh: Churchill Livingstone.
  37. R. Melzack & P. D. Wall. (1965). Pain mechanisms: a new theory. Science, 150(3699), 971-979. https://doi.org/10.1126/science.150.3699.971
  38. F. Moran et al. (2011). Hypoalgesia in response to transcutaneous electrical nerve stimulation (TENS) depends on stimulation intensity. The Journal of Pain, 12(8), 929-935. DOI : 10.1016/j.jpain.2011.02.352
  39. K. A. Robb, D. J. Newham & J. E. Williams. (2007). Transcutaneous electrical nerve stimulation vs. transcutaneous spinal electroanalgesia for chronic pain associated with breast cancer treatments. Journal of pain and symptom management, 33(4), 410-419. DOI : 10.1016/j.jpainsymman.2006.09.020
  40. J. S. Lee. (2018). Efficacy of scrambler therapy on breast cancer-related lymphedema. Journal of physical therapy science, 30(11), 1370-1371. DOI : 10.1589/jpts.30.1370
  41. P. W. Nathan & P. D. Wall. (1974). Treatment of post-herpetic neuralgia by prolonged electric stimulation. Br Med J, 3(5932), 645-647. DOI : 10.1136/bmj.3.5932.645
  42. K. Robb, S. G. Oxberry, M. I. Bennett, M. I. Johnson, K. H. Simpson & R. D. Searle. (2009). A cochrane systematic review of transcutaneous electrical nerve stimulation for cancer pain. Journal of pain and symptom management, 37(4), 746-753. DOI : 10.1016/j.jpainsymman.2008.03.022
  43. T. Smith, A. L. Cheville, C. L. Loprinzi & D. Longo-Schoberlein. (2017). Scrambler therapy for the treatment of chronic post-mastectomy pain(cPMP). Cureus, 9(6). DOI : 10.7759/cureus.1378