Efficacy of proprioceptive neuromuscular facilitation in improving shoulder biomechanical parameters, functionality, and pain after axillary lymph node dissection for breast cancer: A randomized controlled study

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dc.authorid0000-0002-9452-9276
dc.authorid0000-0002-2476-6567
dc.contributor.authorGüloğlu, Selen
dc.contributor.authorBasım, Pelin
dc.contributor.authorAlgun, Zeliha Candan
dc.date.accessioned2023-01-19T06:02:47Z
dc.date.available2023-01-19T06:02:47Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractPurpose: Axillary lymph node dissection and radiotherapy have been associated with pain, physical symptoms, and decreased functional abilities in the upper extremity. This study aimed to evaluate the potential effects of the proprioceptive neuromuscular facilitation (PNF) technique on muscle strength, pain and functionality in this patient group in comparison with progressive resistance training (PRT).Methods: The study was conducted with a randomized clinical trial design. Sixty-six women were included in the study and randomly divided into three groups: the PNF group (n = 22), the PRT group (n = 22), and the control group (n = 22). The participants were evaluated at the baseline and after eight weeks of treatment. Outcome measures were determined as pain (the Visual Analog Scale), upper extremity strength (isokinetic dynamom-eter), functionality (the Disabilities of the Arm, Shoulder and Hand questionnaire), and perception of change (the Global Rating of Change Scale). Trial registration: ClinicalTrials.gov identifier: NCT05288036.Results: The results showed statistically significant changes in both treatment groups in terms of shoulder flexors/ extensors, abductor/adductors, internal/external rotators strength/power/endurance measurement, pain, and functionality (p < 0.05). Concerning functionality and perception of change, the PNF group had a statistically significantly higher improvement compared to the remaining two groups (p < 0.05).Conclusion: PNF is an effective technique in increasing upper extremity muscle strength, reducing pain during rest and activity, and improving functionality in patients receiving breast cancer treatment.
dc.identifier.citationGüloğlu, S., Basım, P. ve Algun, Z. C. (2023). Efficacy of proprioceptive neuromuscular facilitation in improving shoulder biomechanical parameters, functionality, and pain after axillary lymph node dissection for breast cancer: A randomized controlled study. Complementary Therapies in Clinical Practice, 50. https://dx.doi.org/10.1016/j.ctcp.2022.101692
dc.identifier.doi10.1016/j.ctcp.2022.101692
dc.identifier.issn1744-3881
dc.identifier.issn1873-6947
dc.identifier.pmid36528984
dc.identifier.scopus2-s2.0-85146988683
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://dx.doi.org/10.1016/j.ctcp.2022.101692
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10333
dc.identifier.volume50
dc.identifier.wos000906699900001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGüloğlu, Selen
dc.institutionauthorBasım, Pelin
dc.institutionauthorAlgun, Zeliha Candan
dc.language.isoen
dc.publisherElsevier Science Ltd
dc.relation.ispartofComplementary Therapies in Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectBreast Cancer
dc.subjectAxillary Lymph Node Dissection (ALND)
dc.subjectProprioceptive Neuromuscular Facilitation (PNF)
dc.subjectMuscle Strength Upper Extremity Function
dc.titleEfficacy of proprioceptive neuromuscular facilitation in improving shoulder biomechanical parameters, functionality, and pain after axillary lymph node dissection for breast cancer: A randomized controlled study
dc.typeArticle

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