الفهرس Only 14 pages are availabe for public view
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Abstract
Breast cancer (lymphedema of the upper limb) survivors normally experience long-term sequence that include lymphedema of the upper limb and restricted shoulder mobility. To determine the effect of reflexology on stiff shoulder in patients with lymphedema. Forty patients had modified radical mastectomy with axillary lymph nodes dissection and lymphedema of the upper limb with age ranged from 40 to 60 years old participated in this study and began the rehabilitation for three to six months after operation. They were recruited from nasr city police hospital. They were assigned into two groups equal in number: group A received foot and hand reflexology on points related to lymphatic drainage in addition to traditional physical therapy treatment that include active shoulder ROM exercise and short-stretch compression bandaging for 3 times per week for 12 weeks. group B received only traditional physical therapy treatment. Circumferential lymphedema formation and shoulder flexion, abduction and external rotation ROM was measured before and after training. Statistical analysis revealed a significant decrease in circumferential lymphedema formation (14.57%) and a significant increase shoulder flexion (73.04%), abduction (77.01%) and external rotation (36.32%) ROM after using reflexology and a significant decrease in circumferential lymphedema formation (14.01%) and a significant increase shoulder flexion (23.79%), abduction (49.01%) and external rotation (18.18%) ROM after using active shoulder ROM exercises and bandaging