Effects of Electrohydraulic Therapy of Shock Waves on Pain and Lymphedema Measurement Post-Radical Mastectomy

Ahmed Mamdouh Abd Al-Kader; Manar Samir Mohamed; Sara Abdelmohsen; Mohamed Ahmed Elbedewy; Marwa Mahmoud Mahfouz Mahmoud; Kamal Eldin S. Mohamed

doi:10.15621/ijphy/2023/v10i2/1324

Authors

Ahmed Mamdouh Abd Al-Kader Lecturer, Department of Physical Therapy for Integumentary, Faculty of physical therapy, Deraya University, Minia, Egypt. E-MAIL: ahmed.mamdouh@deraya.edu.eg
Manar Samir Mohamed Assistant-professor, Internal Medicine department, Faculty of Physical Therapy, Deraya University, Minia, Egypt. E-mail: manar.samir@deraya.edu.eg
Sara Abdelmohsen Assistant-lecturer, Department of Physical Therapy for Integumentary, Faculty of physical therapy, Deraya University, Minia, Egypt. E-mail: sara.abdelmohsen@deraya.edu.eg
Mohamed Ahmed Elbedewy Lecturer, Physical Therapy Department for Internal Medicine and Neurology, Faculty of physical therapy, Heliopolis University for Sustainable Development, Cairo, Egypt. E-mail: drmohamedelbedewy@yahoo.com
Marwa Mahmoud Mahfouz Mahmoud Lecturer, Department of Physical Therapy for basic science, Faculty of physical therapy, Deraya University, Minia, Egypt. E-mail: marwa.mahmoud@deraya.edu.eg
Kamal Eldin S. Mohamed 6Lecturer, Department of Physical Therapy for Integumentary, Faculty of physical therapy, Deraya University, Minia, Egypt. E-mail: kamal.senosy@deraya.edu.eg

DOI:

https://doi.org/10.15621/ijphy/2023/v10i2/1324

Keywords:

Shock waves, ESWT, Pain, Lymphedema, Arm circumference, Quality of life, Visual analogue scale.

Abstract

Background: Lymphedema post-mastectomy remains a challenging problem. This study aimed to investigate the efficacy of shock wave electrohydraulic treatment (ESWT) for patients with pain and lymphedema.
Methods: Thirty patients (30 women) with pain & lymphedema post-radical mastectomy were evaluated to participate in this Clinical trial. They were recruited from the Minia Cancer Institute- Minia University and Deraya University outpatient clinics. Their ages varied between the ages of 40 and 50 years. They were divided into two groups. Group (1) 'Group of studies': 15 patients seeking ESWT in addition to conventional medical care. Group (2) 'Control group': 15 people seeking conventional medical care only. Patients of the study group (1) were treated with a number of impulses, at least 500 shocks at E2 at 4Hz (equivalent to 0.11mJ/mm square energy). Treatment sessions were delivered twice weekly for six treatments (3 weeks). The assessment used a Visual analogue scale (VAS) for pain and arm circumference midway between the shoulder and elbow for lymphedema measurement.
Results: showed that (ESWT) on pain and lymphedema measurement post-radical mastectomy effectively decreased pain as evidenced by the highly significant decreases in the visual analogue scale. These results revealed a substantial VAS reduction (P<0.0001). Effects of the ESWT on lymphedema measurement via the arm circumference measurement at the point where the shoulder and the elbow meet post-radical mastectomy were investigated. These results revealed a notable reduction in the mean value of the arm circumference measurement (ACM) (P<0.0001).
Conclusion: The significant reductions in VAS and assessment of the ACM arm range show that the ESWT, in addition to conventional therapy, significantly impacted upper limb structural components following radical mastectomy.

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