Post-Mastectomy Shoulder Pain And Lymphedema Responses To Ga-As Laser Versus Microcurrent Electrical Stimulation
Condition: Post Mastectomy Lymphedema
MeSH terms: Shoulder Pain; Lymphedema; Breast Cancer Lymphedema
Study type: Interventional

Summary: 
      the aim of this study is to investigate the effect of GA-AS laser versus microcurrent on
      post-mastectomy shoulder pain and lymphedema.
    

Detailed description: 
      Breast cancer is extremely rare before the age of 25. It reaches a high incidence in the
      decade from 40 to 50 and continuous to increase in the frequency into old age. Mastectomy is
      the traditional approach to remove the entire breast once the diagnosis was confirmed. The
      most common cancers are lung cancer in men and breast cancer in women, however despite the
      large numbers of people affected by cancer there is very little literature on the role of
      physiotherapists in cancer care. After mastectomy and the accompanying excision or radiation
      of adjacent axillary lymph nodes a patient is at risk of developing upper extremity
      lymphedema, shoulder pain and loss of shoulder motion.low-level laser light waves penetrate
      deeply into the skin, they optimize the immune responses of our blood. This has both
      anti-inflammatory and immunosuppressive effects. It is a scientific fact that light
      transmitted to the blood in this way has positive effects throughout the whole body,
      supplying vital oxygen and energy to every cell .Electrical stimulation is based on the fact
      that human body has an endogenous bioelectric system that enhances healing of bone fracture,
      soft tissue lesions and decreasing post-operative pain. The external current may serve to
      mimic the failed natural bioelectric currents, so that post-operative pain can be inhibited.
      It was reported that microcurrent electrical neuromuscular stimulation (MENS) is better in
      enhancing cellular physiology processes than other current of higher amplitude, microcurrent
      is effective in the management of open wounds, inflammation and pain. sixty patients will be
      randomly allocated to three groups; first one will receive laser+ traditional therapy, second
      one will receive microcurrent + traditional therapy and third one will receive traditional
      therapy three times a week for three months.
    

Intervention name(s): Ga-As Laser; Microcurrent Electrical Stimulation; traditional therapy
Intervention type(s): Other; Other; Other
Intervention description(s): Patient sits on a chair with back support and the two GA-AS laser ( 5 milli Watts & 904 nm) probe will be applied one on the shoulder tip for 5 minutes and the other application another 5 minutes will be on the center of deltoid muscle. The main power of the laser switch will be turned on. The duration of the treatment will be 10 minutes.; The patient sits on a chair with back support and the two electrodes from Microcurrent 850 unit device will be applied one on the shoulder tip and the other electrode on the center of the deltoid muscle. A wet cloth was placed between the electrode and the patient's skin. An adhesive tape was used to hold the electrode over the treated areas. The main power switch will be turned on. The treatment duration will be for 10 minutes.; the patients will receive traditional physical therapy in the form of manual lymphatic drainage , compression bandage, exercise to increase lymphatic drainage, skin care. and ROM exercises to improve shoulder mobility
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Ga-As Laser and Microcurrent
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: post mastectomy; lymphedema; pain; Ga-As Laser; Microcurrent