在乳腺癌治疗后，上肢次生功能障碍很常见。肌筋膜治疗可能是这个问题的一种有价值的物理治疗方法。为了研究肌筋膜治疗对肩部、躯干和肘部运动模式的影响，研究了在乳腺癌手术后存在疼痛和肌筋膜功能障碍的妇女，并添加了肌筋膜治疗的物理治疗。这是一项双盲随机对照试验，设置于一所大学医院的康复部。在完成乳腺癌治疗后持续疼痛的48名女性接受了标准物理治疗计划。实验组（n = 24）和对照组（n = 24）分别接受了12次额外的肌筋膜治疗或安慰剂治疗。感兴趣的结果是在前伸和肩胛关节向上外展任务中，通过光电子测量系统测量肱胸关节、肩胛关节、躯干和肘部的运动模式。利用统计参数映射（SPM）分析评估了治疗对运动模式的影响（组x时间交互作用）。实验治疗后发现显著减少了前伸和前倾。肱胸关节、躯干和肘部的运动模式没有任何有益的影响。在标准物理治疗计划中添加12周的肌筋膜治疗可以减少肱胛关节（肩胛关节）在手臂运动期间的前伸和前倾。鉴于这些次要分析的探索性质，这些结果的临床相关性需要进一步研究。本文由版权保护。版权所有。

Secondary upper limb dysfunctions are common after breast cancer treatment. Myofascial treatment may be a valuable physical therapy modality for this problem.To investigate the effect of myofascial therapy in addition to physical therapy on shoulder, trunk, and elbow movement patterns in women with pain and myofascial dysfunctions at the upper limb after breast cancer surgery.A double-blinded randomized controlled trial SETTING: Rehabilitation unit of a university hospital.Forty-eight women with persistent pain after finishing breast cancer treatment.Over three months, all participants received a standard physical therapy program. The experimental (n=24) and control group (n=24) received 12 additional sessions of myofascial therapy or placebo therapy, respectively.Outcomes of interest were movement patterns of the humerothoracic joint, scapulothoracic joint, trunk and elbow, measured with an optoelectronic measurement system during the performance of a forward flexion and scaption task. Statistical parametric mapping (SPM) analyses were used for assessing the effect of treatment on movement patterns between both groups (group x time interaction effect).A significantly decreased protraction and anterior tilting was found post-experimental treatment. No beneficial effects on movement patterns of the humerothoracic joint, trunk and elbow were found.Myofascial therapy in addition to a 12-week standard physical therapy program can decrease scapular protraction and anterior tilting (scapulothoracic joint) during arm movements. Given the exploratory nature of these secondary analyses, clinical relevance of these results needs to be investigated further.This article is protected by copyright. All rights reserved.