Accessory Joint and Neural Mobilizations in Shoulder After Breast Cancer Surgery. Randomized Clinical Trial.

The potential consequences after breast cancer surgery are joint pain and sensitive disorders, the main sign of which is alterations in shoulder mobility. Global kinesitherapy has been shown to be effective at increasing shoulder range of motion restriction. However, literature does not consider specific manual therapy techniques, which means peripheral nerves and articular capsule have not been taken into account. These two tissues are potentially damaged structures during surgery and they are main responsible for shoulder range of motion restriction The main objective of this study is to pilot the effectiveness of accessory joint and nerve mobilization techniques in order to get an overview of the articular capsule and nerve dysfunctions involvement in shoulder motion restriction.

Sex

Female

Inclusion Criteria:

* unilateral breast cancer diagnosis
* breast cancer with axillary lymph node dissection
* be willing to sign the informed consent form

Exclusion Criteria:

* bilateral breast cancer diagnosis
* loco-regional recurrence
* systemic disease
* had not undergone the axillary lymph node dissection approach
* to present any contraindication for Physical Therapy.