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身体康复医学评论综述

每年出版 4 

ISSN 打印: 0896-2960

ISSN 在线: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

Physical Therapy Treatment of Axillary Web Syndrome: A Literature Review

卷 28, 册 1-2, 2016, pp. 121-133
DOI: 10.1615/CritRevPhysRehabilMed.2016018196
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摘要

Axillary web syndrome (AWS) describes a self-limiting post-axillary node dissection pain syndrome occurring in a subset of breast cancer patients. The documented incidence in the literature varies from 0.6% to 85.4%. Symptomatic AWS presents with pain, feelings of tightness, and restricted shoulder range of motion and/or numbness. Pain is typically described in the ipsilateral axilla with possible radiation in to the arm with shoulder movement. A systematic search was conducted in the PubMed PEDro (Physiotherapy Evidence Database) and CENTRAL (Cochrane Central Register of Controlled Trials) databases. The purpose of this review was to identify the value of physical therapy treatment for patients with AWS. The literature described improvement of symptoms with manual therapy techniques and therapeutic exercise for mobility. These findings suggest that physical therapy may have a useful role in the treatment of AWS. The decrease of symptoms related this syndrome helps to improve the quality of life and allow for continued treatments such as radiation therapy. The results of the review will help healthcare providers make educated clinical decisions in the treatment for AWS and provide precautions to be observed in the treatment of these patients.

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