Evidence map›Paper›PMID 40153020›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Physiotherapy protocol to reduce the evolution time of axillary web syndrome in women post-breast cancer surgery: a randomized clinical trial.

Jesús Baltasar González-Rubino, Rocío Martín-Valero, María Jesús Vinolo-Gil

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT05115799 naunknown statusnot on this map

Effects of a Manual Therapy Program to Reduce the Evolution Time of Axillary Web Syndrome

TypeinterventionalSponsorUniversity of MalagaRan2021 to 2024Enrolled46ConditionsBreast Cancer, Mastectomy, Lymphedema, ThrombiArmsManual Therapy, Physiotherapy, Kinesiology, Scar Massage, Kinesiotherapy, Physiotherapy, Health Education
NCT07266623 nanot yet recruitingnot on this map

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
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Hypertension as a confounding variable in axillary web syndrome recovery studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. 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
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Jesús Baltasar González-RubinoDepartment of Physiotherapy, Faculty of Health Sciences, University of Malaga, CTS-1071 Research Group, Malaga, Spain.
Rocío Martín-ValeroDepartment of Physiotherapy, Faculty of Health Sciences, University of Malaga, CTS-1071 Research Group, Malaga, Spain. rovalemas@uma.es.
María Jesús Vinolo-GilDepartment of Nursing and Physiotherapy, University of Cadiz, 11009, Cadiz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo reduce the evolution time of axillary web syndrome in women who have undergone breast cancer surgery.

methodsA prospective, randomized, single-blind clinical trial was conducted on 46 post breast cancer surgery patients from October 2021 to September 2024, in a single university hospital with painful Axillary Web Syndrome (AWS) that restricts arm mobility. The treatment for the intervention group consisted of stretching combined with manual therapy and scar massage to release adhesion and lymphatic cord during 15 physiotherapy sessions of 30 min duration each. The main outcome measures were: healing time, pain, evaluated with Visual Analogue Scaler (VAS) and arm Range of Motion (ROM), evaluated with goniometry.

resultsSignificant differences were detected in pain and in ROM. The effect of the intervention varied over time with 95% confidence interval (risk alpha 0.05) and a statistical power of 90% (risk beta 0.1). Comparisons between Control and Intervention Groups showed significant statistical and clinical differences in favour of Intervention Group after 30, 60 and 90 days of intervention at follow-ups for all measured parameters. The proportion of healed patients was significantly higher in the intervention group from day 30 onwards (two-sample test for equality of proportions: p < 0.001), indicating a faster recovery in the intervention group.

conclusionThe results suggested that stretching combined with scar massage and manipulative tissue release techniques lead to a faster recovery and reduce the evolution time of axillary web syndrome. The physiotherapy technique described in this article could be the technique of choice for this surgical sequela.

trial registrationClinicalTrials.gov Registry (NCT05115799) on June 10th 2021 and the approval of the Andalucía Ethics Committee (PEIBA code 1909-N1-21, reg. number 171.21).

Indexed as

Breast NeoplasmsPhysical Therapy ModalitiesAdultAgedAxillaFemaleHumansMassageMastectomyMiddle AgedPain MeasurementProspective StudiesRange of Motion, ArticularSingle-Blind MethodSyndromeTime FactorsAxillary Web SyndromeBreast CancerLymphatic SystemPhysical TherapyPhysiotherapyStretching

Identifiers

PMID40153020
PMCPMC11953149

What OpenQuestion holds

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LicenceCC BY
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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.