Dry Needling in Postoperative Breast Cancer: Influence on Pain and Shoulder Range of Motion – Pilot Study
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n3.4748Keywords:
Dry Needling/methods, Breast Neoplasms/surgery, Range of Motion, Articular, Musculoskeletal PainAbstract
Introduction: The estimated number of new cases of breast cancer in Brazil is 73,610 annually in 2023, according to the National Cancer Institute. Treatments for breast cancer can lead to adverse events such as muscle pain and limitation of shoulder range of motion. Myofascial pain is reported in 38% to 85% of patients. Among the treatments, the technique of dry needling is minimally invasive and consists of inserting a thin needle into the muscle fascia directly at the myofascial point. Objective: To evaluate whether dry needling influences musculoskeletal pain and shoulder range of motion in postoperative breast cancer patients. Method: The study included ten women with limited lange of motion in flexion and abduction of the limp ipsilateral to surgery, whether presenting pain or not when in movement. Range of motion of flexion and abduction was assessed using a goniometer and pain using the visual analog scale. Two weekly sessions of dry needling were performed for three weeks. The needle used was an acupuncture needle, characterized as solid filament without medication. Results: There was a significant reduction in pain scores (p = 0.0006) and a significant improvement in range of motion, with an increase of approximately 50 degrees of flexion and abduction (p = 0.0002). Conclusion: Dry needling appears to be a promising technique in reducing pain and improving shoulder range of motion in the postoperative period of breast cancer.
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