DOI QR코드

DOI QR Code

Effect of the Proprioceptive Neuromuscular Facilitation Pattern Exercise and Scrambler Treatment on Pain, Range of Motion, and Shoulder Dysfunction in Breast Cancer Patients

고유수용성신경근촉진법 패턴 운동과 스크램블러 치료가 유방암 환자의 통증과 가동범위 및 어깨기능장애에 미치는 영향

  • Jae-Cheol Park (Department of Physical Therapy, Chunnam Techno University) ;
  • Han-Kyu Park (Department of Physical Therapy, Busan Health University) ;
  • Dong-Kyu Lee (Department of Physical Therapy, Chunnam Techno University)
  • 박재철 (전남과학대학교 물리치료과) ;
  • 박한규 (부산보건대학교 물리치료과) ;
  • 이동규 (전남과학대학교 물리치료과)
  • Received : 2023.01.14
  • Accepted : 2023.02.13
  • Published : 2023.04.30

Abstract

Purpose: The study aims to examine the effects of the proprioceptive neuromuscular facilitation pattern exercise and scrambler therapy on pain, range of motion (ROM), and shoulder dysfunction in breast cancer patients. Methods: In total, 30 breast cancer patients were recruited and randomized to group I (n = 10), group II (n = 10), and group III (n = 10). Pain was measured using a visual analogue scale, ROM was measured using a goniometer, and shoulder dysfunction was measured using a shoulder pain and disability index. Group I practiced the proprioceptive neuromuscular facilitation pattern exercise and underwent scrambler therapy, group II underwent scrambler therapy only, and group III practiced the proprioceptive neuromuscular facilitation pattern exercise only. Results: A within-groups comparison showed that all groups demonstrated significant differences in pain, ROM, and shoulder dysfunction after the experiment (p<0.05). Further, according to a comparison of the three groups, group I showed a more significant difference in effectiveness than groups II and III in terms of pain, ROM, and shoulder dysfunction before and after the experiment (p<0.05). Conclusion: This study showed that the proprioceptive neuromuscular facilitation pattern exercise and scrambler therapy are effective in treating pain, ROM issues, and shoulder dysfunction in breast cancer patients.

Keywords

References

  1. Andersen LL, Magnusson SP, Nielsen M, et al. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: Implications for rehabilitation. Physical Therapy. 2006;86(5):683-697. https://doi.org/10.1093/ptj/86.5.683
  2. Angst F, Pap G, Mannion AF, et al. Comprehensive assessment of clinical outcome and quality of life after total shoulder arthroplasty: usefulness and validity of subjective outcome measures. Arthritis Care and Research. 2004;51(5):819-828. https://doi.org/10.1002/art.20688
  3. Bayer SJ, Yang GS, Lyon DE. Genetic variation associated with depressive symptoms in breast cancer patients: A systematic review. Cancer Nursing. 2022;45(1):E197-E205. https://doi.org/10.1097/NCC.0000000000000903
  4. Berninger LE, Smith TJ. Scrambler therapy for incident pain in bone metastases. Journal of Osteopathic Medicine. 2021;121(6):539-542. https://doi.org/10.1515/jom-2021-0027
  5. Britt K. Menarche, menopause, and breast cancer risk. The lancet oncology. 2012;13(11):1071-1072. https://doi.org/10.1016/S1470-2045(12)70456-4
  6. Choi JW, Chung HA. Rhythmic initiation in the respect of information processing approach. PNF and Movement. 2011;9(1):55-63.
  7. Decosterd I, Hugli O, Tamches E, et al. Oligoanalgesia in the emergency department: Short-term beneficial effects of an education program on acute pain. Annals of Emergency Medicine. 2007;50(4):462-471. https://doi.org/10.1016/j.annemergmed.2007.01.019
  8. Dore I, Plante A, Peck SS, et al. Physical activity and sedentary time: Associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors. Supportive Care in Cancer. 2022;30(1):785-792. https://doi.org/10.1007/s00520-021-06469-2
  9. Hemmati M, Rojhani-Shirazi Z, Zakeri ZS, et al. The effect of the combined use of complex decongestive therapy with electrotherapy modalities for the treatment of breast cancer-related lymphedema: A randomized clinical trial. BMC Musculoskeletal Disorders. 2022;23(1):1-8. https://doi.org/10.1186/s12891-021-04954-7
  10. Jette DU, Latham NK, Smout RJ, et al. Physical therapy interventions for patients with stroke in inpatient rehabilitation facilities. Physical Therapy. 2005;85(3):238-248. https://doi.org/10.1093/ptj/85.3.238
  11. Jo YJ, Lee SY. The effects of proprioceptive neuromuscular facilitation (pnf) using elastic bands on edema, range of motion, and pain in post-mastectomy patients with upper limb lymphedema: Differences between open-hand and closed-hand grips. PNF and Movement. 2020;18(1):1-10. https://doi.org/10.21598/JKPNFA.2020.18.1.1
  12. Kang TW. The effect of proprioceptive neuromuscular facilitation rehabilitation exercise on range of motion, pain, and function of breast cancer patients after surgery. PNF and Movement. 2018;16(1):133-141. https://doi.org/10.21598/JKPNFA.2018.16.1.133
  13. Kang TW, Song GB, Kim BR. The effect of the lower trapezius strengthening exercise using pnf on pain, range of motion, and disability in patients with frozen shoulder. PNF and Movement. 2021;19(3):401-412. https://doi.org/10.21598/JKPNFA.2021.19.3.401
  14. Karki A, Simonen R, Malkia E, et al. Impairments, activity limitations and participation restrictions 6 and 12 months after breast cancer operation. Journal of rehabilitation medicine: official journal of the UEMS European Board of Physical and Rehabilitation Medicine. 2005;37(3):180-188.
  15. Karri J, Marathe A, Smith TJ, et al. The use of scrambler therapy in treating chronic pain syndromes: A systematic review. Neuromodulation: Technology at the Neural Interface. 2022;9:S1094-7158(1022)00681-X.
  16. Kashyap K, Joshi S, Vig S, et al. Impact of scrambler therapy on pain management and quality of life in cancer patients: A study of twenty cases. Indian Journal of Palliative Care. 2017;23(1):18-23. https://doi.org/10.4103/0973-1075.197948
  17. Kim JJ, Lee SJ, Choi JY, et al. The effects of home-based exercise education on shoulder range of motion, lymphedema, and pain for breast cancer resection patients. The Korean Society of Sports Science. 2012;21(4):895-903.
  18. Kim TH, Cho KH, Park SJ. The effect of joint mobilization with electrotherapy interventions on external rotation and pain in mastectomy patients. Journal of Convergence for Information Technology. 2020;10(5):188-197.
  19. Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques(4th). Fhiladelphia. Fa Davis. 2006. 781-782.
  20. Ko YK, Lee HY, Lee WY. Clinical experiences on the effect of scrambler therapy for patients with postherpetic neuralgia. The Korean Journal of Pain. 2013;26(1):98-101. https://doi.org/10.3344/kjp.2013.26.1.98
  21. Lee DK, Kim EK. 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. 2016;28(7):2175-2177. https://doi.org/10.1589/jpts.28.2175
  22. Lee GW, Yi CH, Cho SH, et al. The therapeutic effects of an early exercise program after mastectomy. Physical Therapy Korea. 2001;8(1):35-50.
  23. Lesinski M, Muehlbauer T, Granacher U. Concurrent validity of the gyko inertial sensor system for the assessment of vertical jump height in female sub-elite youth soccer players. BMC Sports Science, Medicine and Rehabilitation. 2016;8(1):1-9. https://doi.org/10.1186/s13102-016-0027-z
  24. Marineo G. Inside the scrambler therapy, a noninvasive treatment of chronic neuropathic and cancer pain: From the gate control theory to the active principle of information. Integrative Cancer Therapies. 2019;18:1-17. https://doi.org/10.1177/1534735419845143
  25. Marineo G, Iorno V, Gandini C, et al. 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. 2012;43(1):87-95. https://doi.org/10.1016/j.jpainsymman.2011.03.015
  26. McCready D, Holloway C, Shelley W, et al. Surgical management of early stage invasive breast cancer: A practice guideline. Canadian Journal of Surgery. 2005;48(3):185.
  27. Meehan E, Carter B. Moving with pain: What principles from somatic practices can offer to people living with chronic pain. Frontiers in Psychology. 2021;25(11):620381.
  28. Mohammed AA. Predictive factors affecting axillary lymph node involvement in patients with breast cancer in duhok: Cross-sectional study. Annals of Medicine and Surgery. 2019;44:87-90. https://doi.org/10.1016/j.amsu.2019.07.011
  29. Mook S, Schmidt MK, Rutgers EJ, et al. Calibration and discriminatory accuracy of prognosis calculation for breast cancer with the online adjuvant! Program: A hospital-based retrospective cohort study. The Lancet Oncology. 2009;10(11):1070-1076. https://doi.org/10.1016/S1470-2045(09)70254-2
  30. Moon HM, Kim DH. The effects of pnf and trunk stabilization robot training on trunk stability and balance in patients with chronic stroke. PNF and Movement. 2021;19(1):67-77. https://doi.org/10.21598/JKPNFA.2021.19.1.67
  31. Nair A. Scrambler therapy: An opioid-sparing, non-invasive modality for chronic pain in patients. Saudi Journal of Anaesthesia. 2022;16(4):525-526. https://doi.org/10.4103/sja.sja_366_22
  32. Park JC, Lee DK. Comparison of the effects of scrambler and transcutaneous electrical nerve stimulation therapy on pain, functional disability, and depression in patients with chronic low back pain. PNF and Movement. 2021;19(3):383-390.
  33. Ricci M, Pirotti S, Scarpi E, et al. Managing chronic pain: Results from an open-label study using mc5-a calmare® device. Supportive Care in Cancer. 2012;20(2):405-412. https://doi.org/10.1007/s00520-011-1128-6
  34. Sener HO, Malkoc M, Ergin G, et al. Effects of clinical pilates exercises on patients developing lymphedema after breast cancer treatment: A randomized clinical trial. The Journal of Breast Health. 2017;13(1):16-22. https://doi.org/10.5152/tjbh.2016.3136
  35. Sharma GN, Dave R, Sanadya J, et al. Various types and management of breast cancer: An overview. Journal of Advanced Pharmaceutical Technology & Research. 2010;1(2):109-26.
  36. Sideris N, Dama P, Bayraktar S, et al. Lncrnas in breast cancer: A link to future approaches. Cancer Gene Therapy. 2022:1-12.
  37. Smith TJ, Coyne PJ, Parker GL, et al. Pilot trial of a patient-specific cutaneous electrostimulation device (mc5-a calmare®) for chemotherapy-induced peripheral neuropathy. Journal of Pain and Symptom Management. 2010;40(6):883-891.
  38. Song MJ, Kang TW. The effect of a four-week scapular stabilization exercise program using pnf technique on scapular symmetry and range of flexion motion, pain, function, and quality of life in post-mastectomy women with breast cancer. PNF and Movement. 2021;19(1):19-29. https://doi.org/10.21598/JKPNFA.2021.19.1.19
  39. Tian Z, Tang J, Yang Q, et al. Atypical ubiquitin-binding protein sharpin promotes breast cancer progression. Biomedicine & Pharmacotherapy. 2019;119:109414.
  40. Waks AG, Winer EP. Breast cancer treatment. Jama. 2019;321(3):316-316. https://doi.org/10.1001/jama.2018.20751