Effect of Resisted Deep Breathing and Myofascial Release in Postmastectomy
2026年5月4日 更新者：Riphah International University
Combined Effect of Resisted Deep Breathing and Myofascial Release on Pain, Respiratory Efficiency, Chest Mobility and Lymph Edema in Postmastectomy
This study aims to determine the combined effect of resisted deep breathing and Myofascial release on pain, respiratory efficiency, chest mobility and lymph edema in Postmastectomy.
研究概览
详细说明
The study will be randomized controlled trial and will conducted in Shokat Khanam hospital and Anmol cancer hospital.
Non-probability convenience sampling technique will be used and 48 participants will be recruited in study after randomization.
The subjects will be divided into two group.
Group A will receive myofascial release.
Group B will receive myofascial release with resisted deep breathing.
Both Group will receive Baseline treatment which is including transcutaneous electrical nerve stimulation.
The total duration of treatment will be 12 weeks and there will be 2 sessions each week.
The tools that will be used are Numeric Pain Rating Scale (NPRS) for pain, Circumferential limb measurements for chest mobility or lymph edema and Spirometer for respiratory efficiency.
After data collection will be analyzed by using SPSS version 21.
研究类型
介入性
注册 (估计的)
48
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Imran Amjad
- 电话号码：03324390125
- 邮箱：Imran.amjad@riphah.edu.pk
学习地点
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Punjab Province
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Lahore、Punjab Province、巴基斯坦、6400
- 招聘中
- Riphah medical center
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接触：
- hina gul, PhD*
- 电话号码：03214979172
- 邮箱：hina.gul@riphah.edu.pk
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首席研究员：
- amara eman, MSPT(WH)
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
是的
描述
Inclusion Criteria:
- Radiation therapy and chemotherapy was finished at least three months
- 6 months after mastectomy for breast cancer being diagnosed without lymphedema or with stage 1 lymphedema
- Complete unilateral Mastectomy
- pain and having one or more of the following symptoms: heaviness, numbness, oppression, stiffness, alterations in the function, or mobility of the limited shoulder range of motion.
Exclusion Criteria:
- Presence of shoulder pathologies for which surgical indications exist
- Musculoskeletal injury in adjacent areas (shoulder or neck etc.)
- bilateral surgery for the treatment of breast cancer
- Bilateral lymphadenectomy
- Open wounds on upper limbs
- Circulatory disorders
- History of shoulder surgery for reasons other than breast cancer.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Resisted Deep Breathing & Myofascial release
Myofascial release is a hands-on therapy aimed at relieving pain and tightness in the fascia, the connective tissue surrounding muscles, by targeting trigger points and stiff areas and Resisted Deep Breathing (RDB) is a physiotherapy breathing technique used to improve respiratory muscle strength, lung expansion, and ventilation efficiency
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The total duration of treatment will be 12 weeks and there will be 2 sessions each week
The total duration of treatment will be 12 weeks and there will be 2 sessions each week
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有源比较器：Myofascial release
Myofascial release is a hands-on therapy aimed at relieving pain and tightness in the fascia, the connective tissue surrounding muscles, by targeting trigger points and stiff areas
|
The total duration of treatment will be 12 weeks and there will be 2 sessions each week
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Spirometer
大体时间：12th week
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The evaluation of pulmonary function will be performed using conventional spirometry with a Spirobank USB spirometer (Medical International Research, Rome, Italy).
The directly measured parameters will include lung volumes, capacities, and flow rates, assessed through the procedures of slow vital capacity (SVC), forced vital capacity (FVC), and maximal voluntary ventilation (MVV), performed in this order
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12th week
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Circumferential limb measurements
大体时间：12th week
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In the proposed study, upper limb volume will be measured using circumference measurements.
The anatomical positions of the arm will be selected at 7 cm intervals, including the wrist (the slenderest part), 7 cm above the wrist (lower arm), 7 cm below the elbow (lower arm), at the elbow, 7 cm above the elbow (upper arm), and at the same level as the axilla (upper arm).
To minimize measurement error, all measurements will be taken at a constant pressure, with participants seated in a position where the hips and knees are bent at 90 degrees.
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12th week
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Numerical pain rating scale (NPRS)
大体时间：12th week
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Subjective pain will be measured using the Numerical pain Rating Scale (NPRS), which is the simplest and most commonly used pain assessment tool.
Patients will be asked to mark a point on a line ranging from 0 (no pain) to 10 (worst imaginable pain) to indicate their pain intensity.
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12th week
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Chest Mobility
大体时间：12th week
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Chest circumference at maximal voluntary inspiration (insp) and maximal voluntary expiration (expir), as well as chest expansion (CE) calculated as the difference between insp and expir will be measured in a sitting position using a tape marked in 0.1 cm increments at the level of the fourth intercostal space.
Participants will be instructed about the procedure and asked to exhale fully and hold for expir, and inhale deeply and hold for insp.
The highest insp and lowest expir values from three attempts will be recorded, and their difference will represent chest expansion
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12th week
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：hina gul, PhD*、Riphah International University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Vijayakumar C, Jain A, Kalaranjani M, Kumbhar US, Kumar AN, Sreenath GJSQUMJ. Effectiveness of Myofascial Release Compared to Manual Lymphatic Drainage in Reducing Post-Treatment Shoulder Pain and Stiffness Among Patients Who Underwent Breast Cancer Surgery and Adjuvant Radiotherapy: Randomised controlled trial. 2025;25(1):328-35.
- Sun R, Liao Y. The impact of combined Gua Sha and myofascial release techniques on upper limb dysfunction in patients with breast cancer and axillary web syndrome: a prospective case series study. Supportive Care in Cancer. 2025;33(4):270
- Lara-Palomo IC, Castro-Sánchez AM, Córdoba-Peláez MM, Albornoz-Cabello M, Ortiz-Comino LJIJoER, Health P. Effect of myofascial therapy on pain and functionality of the upper extremities in breast cancer survivors: A systematic review and meta-analysis. 2021;18(9):4420.
- Yena K, Eun YP, Haneul LJEJop, Medicine r. The effect of myofascial release in patients with breast cancer-related lymphedema: a cross-over randomized controlled trial. 2023;59(1):85.
- AMANY RAW, FATMA SA, NANCY HA, ASHRAF EEJTMJoCU. Effect of Resisted Deep Breathing on Post Mastectomy Lymphedema. 2024;91(12):1443-8.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2025年10月1日
初级完成 (估计的)
2026年6月1日
研究完成 (估计的)
2026年7月1日
研究注册日期
首次提交
2026年5月4日
首先提交符合 QC 标准的
2026年5月4日
首次发布 (实际的)
2026年5月8日
研究记录更新
最后更新发布 (实际的)
2026年5月8日
上次提交的符合 QC 标准的更新
2026年5月4日
最后验证
2026年5月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.