A comparative study of Myofacial release versus TENS in reducing shoulder pain and improving function in post- mastectomy in cancer patients

BACKGROUND: Breast cancer is the most diagnosed malignancy in women globally. While mastectomy is an effective procedure for achieving oncological control and it often leads to post operative side effects such as shoulder pain, upper extremity dysfunction on operated side. These deficits frequently result in pain, loss of shoulder function and ROM, myofascial adhesions. OBJECTIVE: To compare the effectiveness of Myofascial release and Transcutaneous electrical nerve stimulation in improving pain levels, shoulder mobility and functional outcomes in post mastectomy breast cancer patients. METHODOLOGY: A comparative study was conducted at the oncology department of king George hospital. The study was conducted on 30 participants, only women aged 30 – 60 years diagnosed with breast cancer who underwent unilateral radical mastectomy. Patients were randomly divided into 2 equal groups (GROUP A) MFR Group and (GROUP B) TENS Group. Both groups receiving standard physical therapy. Each patient must complete a 4- week protocol after enrollment in the study. Examination is performed on Day 1 at base line and then last day of week 4. RESULTS: The difference in the outcome measures in MFR Group is ROM and DASH significant with p value of p