Evidence map›Paper›PMID 37043039›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Effectiveness of physical therapy in axillary web syndrome after breast cancer: a systematic review and meta-analysis.

Jesús Baltasar González-Rubino, Maria Jesus Vinolo-Gil, Rocío Martín-Valero

Erratum issued 2 registry-linked trialsOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07266623 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Muscle Energy Techniques With and Without Manual Axial Distraction on Pain, Range of Motion Anf Functional Outcomes in Post-Mastectomy Patients With Axillary Web Syndrome

TypeinterventionalSponsorLahore University of Biological and Applied SciencesRan2025 to 2026Enrolled58ConditionsAxillary Web Syndrome, Post-mastectomyArmsMuscle energy technique + Manual axial distraction, Muscle energy technique
NCT07780240 recruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Multicenter Cohort Study on the Incidence, Risk Factors, and Postoperative Functional Outcomes of Axillary Web Syndrome After Breast Cancer Surgery

Typeobservational_patient_registrySponsorAntalya City HospitalRan2026 to 2027Enrolled250ConditionsAxillary Web Syndrome, Breast Cancer, Breast Cancer Lymphedema, Postoperative ComplicationsArmsAxillary surgery (sentinel lymph node biopsy or axillary lymph node dissection)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Evaluation of The Spurgeon MethodInternational journal of therapeutic massage & bodywork · 2026
    Article
  5. Article
  6. Article
  7. Protocol to improve quality of life, functionality, and exercise capacity in patients with axillary web syndrome after breast cancer: a randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jesús Baltasar González-RubinoDepartment of Physiotherapy, Faculty of Health Sciences, University of Malaga, CTS-1071 Research Group, Malaga, Spain.ORCID http://orcid.org/0000-0001-7914-1014
Maria Jesus Vinolo-GilDepartment of Nursing and Physiotherapy, University of Cadiz, 11009, Cadiz, Spain. mariajesus.vinolo@uca.es.ORCID http://orcid.org/0000-0003-4589-4442
Rocío Martín-ValeroDepartment of Physiotherapy, Faculty of Health Sciences, University of Malaga, CTS-1071 Research Group, Malaga, Spain.ORCID http://orcid.org/0000-0002-1664-3647
Universidad de Málaga · ESUniversidad de Cádiz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe axillary web syndrome (AWS) is a surgical breast cancer sequel that limits the functionality of the patient and delays the protocol times of application of cancer treatments. This implies a long period of discomfort and limitations for the user.

objectiveTo investigate the different physiotherapy treatments for the AWS and how effective they are.

methodsA systematic review based on PRISMA protocol and registered in PROSPERO (CRD42021281354) was conducted. The research was performed using PubMed, Scopus, CINAHL, PEDro, and Web of Science databases during January 2022 and March 2022. All randomized controlled trials and controlled clinical trials were included in this review.

resultsA total of 188 articles were identified, with 9 studies selected for the systematic review. These studies basically propose treatments based on exercises and stretching, manual therapy, and the combination of manual therapy and exercises.

conclusionsExercise and stretching are the most effective therapies within the field of physiotherapy for the rehabilitation of axillary web syndrome. They restore range of motion faster, reduce pain, improve quality of life, and reduce disabilities. Manual therapy, scar massage, and myofascial release could help improve outcomes but with worse results. The meta-analysis conclusion is that pain is the only outcome with a significant reduction after the application of physiotherapy treatments - 0.82 [- 1.67; 0.03]. This conclusion is drawn from the only three studies with small sample sizes.

Indexed as

Breast NeoplasmsMusculoskeletal ManipulationsExercise TherapyFemaleHumansPainPhysical Therapy ModalitiesQuality of LifeAxillary lymphadenectomyAxillary web syndromeBreast neoplasmsFunctional statusLymphatic systemPhysiotherapy specialtyRange of motion

Identifiers

PMID37043039
PMCPMC10097759
OpenAlexW4365135406

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.