Effect of direct myofascial release and Kinesio tape on axillary Web syndrome / Rehan Gamal Abdelnasser Ibrahim ; Supervised Mohammed Mahmoud Khalaf , Yasser Moustafa Elkerm

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background and Objective : Axillary web syndrome is a complication that can arise in patients following axillary dissection. It is considered as taut, stretched band underneath the skin. It originates in the axilla and extends to the medial and upper portion of the arm to the anterior portion of the elbow. Methods: Sixty female patients after 3 months post axillary dissection, their age ranged from 40 to 50 years old. The study was conducted from November 2015 to April 2017 .The subjects recruited and underwent physical examination at oncology clinic in Medical Research Institute, Alexandria University , Alexandria and the patients received the physical therapy in the outpatient clinic of physical therapy faculty, Pharos University, Alexandria . The patients were randomly divided into three groups. Each group consisted of 20 patients. Group (A) received direct myofascial release and kinesiotape, group (B) received direct myofascial release, group (C) received kinesiotape, all three groups received their treatment for 4 weeks / 2 sessions per week, all patients were assessed pre and post treatment for these variables (circular protractor and marks, visual analogue scale, active and passive shoulder abduction and flexion ROM, numbers of reflectors, thickness of the cord, echogenisty, area of cord and cord disorganization). Results: Statistical analysis revealed that there was no significant increase within groups circular protractor and marks, visual analogue scale, active and passive shoulder abduction and flexion ROM, numbers of reflectors, thickness of the cord, echogenisty and cord area of for all groups but group (A) which is a combination of kinesiotape and myofascial release had a significant in cord disorganization compared to the other groups (P<0.05). Conclusion: Group (A) which is combination of kinesiotape and myofascial release had a superior effect on compared to the other groups

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