2026-05-30T12:56:53Zhttps://riuma.uma.es/rest/oai/request

oai:riuma.uma.es:10630/259892026-02-03T11:25:05Zcom_10630_2254col_10630_37953

00925njm 22002777a 4500 dc Muñoz-Fernández, María Jesús author Medrano-Sánchez, Esther M. author Ostos-Díaz, Beatriz author Martín-Valero, Rocío author Suárez-Serrano, Carmen author Casuso Holgado, María Jesús author 2021-01-31 Selective sentinel lymph node biopsy (SLNB) represents a minimally invasive surgery in patients with breast cancer. The purpose of this study was to explore the possible effect of an early physiotherapy intervention for the recovery of the upper limb and the surgical scars after SLNB in comparison with usual care. A total of 40 patients were enrolled in either the control group (n = 20) or the experimental group (n = 20). The intervention group performed an early physiotherapy program based on functional exercises, scar manual therapy, and educational tips. The control group received usual care. Shoulder range of motion (ROM), grip strength, upper limb pain and disability (SPADI), scar recovery (POSAS), myofascial adhesions (MAP-BC), quality of life (EORTCQLA-BR-23) and the presence of axillary web syndrome (AWS) and lymphoedema were assessed at baseline and immediately after intervention. A follow-up period of 6 months was performed for lymphoedema surveillance. Between groups significant differences in favor of the intervention were found for ROM (r = 0.43), grip strength (r = 0.32), SPADI (d = 0.45), POSAS (d = 1.28), MAP-BC (d = 1.82) and EORTCQLQ-BR 23 general function subscale (d = 0.37) (p < 0.05 for all variables). Our results suggest that an early physical therapy program seems to be more effective than usual care in women after SLNB. However, results should be interpreted with caution and future randomized trial with a larger sample size is needed Muñoz-Fernández MJ, Medrano-Sánchez EM, Ostos-Díaz B, Martín-Valero R, Suárez-Serrano C, Casuso-Holgado MJ. Preliminary Study on the Effect of an Early Physical Therapy Intervention after Sentinel Lymph Node Biopsy: A Multicenter Non-Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2021; 18(3):1275. https://doi.org/10.3390/ijerph18031275 https://hdl.handle.net/10630/25989 10.3390/ijerph18031275 Fisioterapia Preliminary Study on the Effect of an Early Physical Therapy Intervention after Sentinel Lymph Node Biopsy: A Multicenter Non-Randomized Controlled Trial