Effects of Ultrasound-Guided Injection Combined with a Targeted Therapeutic Exercise in Breast Cancer Women with Subacromial Pain Syndrome: A Randomized Clinical Study.

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Title: Effects of Ultrasound-Guided Injection Combined with a Targeted Therapeutic Exercise in Breast Cancer Women with Subacromial Pain Syndrome: A Randomized Clinical Study.
Authors: Lippi, Lorenzo, de Sire, Alessandro, Folli, Arianna, Maconi, Antonio, Polverelli, Marco, Vecchio, Carlo, Fusco, Nicola, Invernizzi, Marco
Source: Journal of Personalized Medicine; Nov2022, Vol. 12 Issue 11, p1833, 12p
Abstract: In this randomized controlled study, we aimed to assess the effects of US-guided injections of the subacromial bursa followed by a personalized rehabilitation program for breast cancer (BC) survivors. We assessed patients with subacromial pain syndrome without tendon lesions and with a history of post-surgical non-metastatic BC. Thirty-seven patients were enrolled and randomly assigned 1:1 to receive US-guided corticosteroid injections combined with a personalized rehabilitation program (Group A; n: 19) or US-guided corticosteroid injections alone (Group B; n: 18). The primary outcome was pain relief, assessed using a numerical pain rating scale (NPRS). The secondary outcomes were muscle strength, shoulder function, and quality of life. No major or minor late effects were reported after the multidisciplinary intervention. Statistically significant within-group differences were found in terms of NPRS (p ≤ 0.05) in both groups. No significant between-group differences were reported after one week. However, the between-group analysis showed significant differences (p ≤ 0.05) after three months of follow-up in terms of pain intensity, muscle strength, shoulder function, and quality of life. Our findings suggested positive effects of a multidisciplinary approach including US-guided corticosteroid injections combined with a personalized rehabilitation program in improving pain intensity and quality of life of BC survivors with subacromial pain syndrome. [ABSTRACT FROM AUTHOR]
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  Data: Effects of Ultrasound-Guided Injection Combined with a Targeted Therapeutic Exercise in Breast Cancer Women with Subacromial Pain Syndrome: A Randomized Clinical Study.
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  Data: <searchLink fieldCode="AR" term="%22Lippi%2C+Lorenzo%22">Lippi, Lorenzo</searchLink><br /><searchLink fieldCode="AR" term="%22de+Sire%2C+Alessandro%22">de Sire, Alessandro</searchLink><br /><searchLink fieldCode="AR" term="%22Folli%2C+Arianna%22">Folli, Arianna</searchLink><br /><searchLink fieldCode="AR" term="%22Maconi%2C+Antonio%22">Maconi, Antonio</searchLink><br /><searchLink fieldCode="AR" term="%22Polverelli%2C+Marco%22">Polverelli, Marco</searchLink><br /><searchLink fieldCode="AR" term="%22Vecchio%2C+Carlo%22">Vecchio, Carlo</searchLink><br /><searchLink fieldCode="AR" term="%22Fusco%2C+Nicola%22">Fusco, Nicola</searchLink><br /><searchLink fieldCode="AR" term="%22Invernizzi%2C+Marco%22">Invernizzi, Marco</searchLink>
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  Data: Journal of Personalized Medicine; Nov2022, Vol. 12 Issue 11, p1833, 12p
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: In this randomized controlled study, we aimed to assess the effects of US-guided injections of the subacromial bursa followed by a personalized rehabilitation program for breast cancer (BC) survivors. We assessed patients with subacromial pain syndrome without tendon lesions and with a history of post-surgical non-metastatic BC. Thirty-seven patients were enrolled and randomly assigned 1:1 to receive US-guided corticosteroid injections combined with a personalized rehabilitation program (Group A; n: 19) or US-guided corticosteroid injections alone (Group B; n: 18). The primary outcome was pain relief, assessed using a numerical pain rating scale (NPRS). The secondary outcomes were muscle strength, shoulder function, and quality of life. No major or minor late effects were reported after the multidisciplinary intervention. Statistically significant within-group differences were found in terms of NPRS (p ≤ 0.05) in both groups. No significant between-group differences were reported after one week. However, the between-group analysis showed significant differences (p ≤ 0.05) after three months of follow-up in terms of pain intensity, muscle strength, shoulder function, and quality of life. Our findings suggested positive effects of a multidisciplinary approach including US-guided corticosteroid injections combined with a personalized rehabilitation program in improving pain intensity and quality of life of BC survivors with subacromial pain syndrome. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Personalized Medicine is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.3390/jpm12111833
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        Text: English
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              Text: Nov2022
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