Thesis (M.Sc.)-Cairo University- Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Bibliography: p. 87-95.

Purpose : The current study was undertaken to determine the effect of
low level laser therapy on axillary web syndrome post mastectomy. Methods:
Forty female patients who underwent modified radical mastectomy and often
occurs 2 - 8 weeks after surgical treatment was participated in this study and
received their treatment in Tagamoo branch of National Cancer Institute . Their
ages ranged from 40 to 55 years with body mass indecies from 25 to 30 .The
patients are randomly divided into two equal groups: group (A): Composed of
20 patients with breast cancer surgeries had axillary web syndrome and they
received low level laser therapy for one month plus Physical Therapy treatment
(Active ROM ex, Stretching techniques and Soft tissue mobilization) for 4
weeks ( Three sessions/week ) , in addition to medical treatment following the
defined surgery according to the case and it‘s histopathology together with the
guidelines of the National Cancer Institute and group (B): Composed of 20
patients received Physical Therapy treatment (Active ROM ex, Stretching
techniques and Soft tissue mobilization) for 4 weeks ( Three sessions/week ),
in addition to medical treatment, assessment was carried out by standardized
goniometer and visual analogue scale for both groups . Results: The results of
this study revealed that group A and group B showed significant improvement
by 93% in shoulder mobility (Flexion, Abduction and External rotation) and
decrease of pain but by comparison the two groups we found that group A
showed greater improvement than group B. Conclusion: Low level laser in
addition to traditional therapy and medical therapy can improve shoulder
mobility and decrease pain more than using only traditional and medical
therapy . The result of this study supported the expectation that Low Level
Laser had a position effect on axillary web syndrome

تهدف هذه الدراسه الي معرفة تأثير الليزر منخفض الشده علي متلازمة التشابك الإبطي ما بعد جراحات سرطان الثدي . تم اجراء هذه الدراسه علي أربعين أنثي ممن يعانون من متلازمة التشابك الأبطي . تراوحت أعمار المرضي مابين 40 و 55 عاما . وقد تم اختيار المرضي من المعهد القومي للأمراض بالتجمع التابع لجامعة القاهره وتم تقسيمهم بالتساوي الي مجموعتين المجموعه ( أ ) أحتوت هذه المجموعه 20 مريضة . ولقد حصلت هذه المجموعه علي الليزر منخفض الشده بالاضافه الي العلاج الطبيعي اليدوي والعلاج الدوائي. المجموعه ( ب ) أحتوت هذه المجموعه 20 مريضه . ولقد حصلت هذه المجموعه فقط علي العلاج الطبيعي اليدوي بالأضافه إلي العلاج الدوائي . ولقد أظهرت نتائج المجموعتين ( أ ) و ( ب ) تحسن ذو دلاله احصائيه علي مستوي الحركه بمفصل الكتف وأيضا تحسن الألم. وعند مقارنة المجموعتين وجدنا ان المجموعه أ أظهرت تحسن ذو دلاله احصائيه علي مستوي حركة الكتف وتحسن الألم افضل من المجموعه )ب( وذلك لمدة أربعة أسابيع علاجيه.

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Text in English and abstract in Arabic & English.