Objective To observe the effect of mirror therapy on persistent pain after breast cancer surgery, and to improve the quality of life of the patients.Methods From September, 2016 to June, 2017, 62 patients with persistent pain after breast cancer surgery were selected. They were randomly divided into control group (n=31) and mirror group (n=31). Both groups received routine rehabilitation, and the mirror group received mirror action in addition, 30 minutes every time, five times a week for four weeks. The severity of pain was assessed with Numerical Rating Scale (NRS) before treatment, and four weeks, eight weeks and twelve weeks after treatment. The quality of life was assessed with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-30 (EORTC QLQ-C30).Results Eight and twelve weeks after treatment, the NRS score was lower in the mirror group than in the control group (F>5.907, P<0.05). Twelve weeks after treatment, the total health status score of EORTC QLQ-C30 was higher in the mirror group than in the control group (t=2.128, P<0.05).Conclusion Mirror therapy could relieve the persistent pain after breast cancer surgery, and may help to improve the quality of life of the patients.
XIE Na
,
RUAN Xiang-mei
,
CHEN Dan
,
WANG He-wei
,
JIA Jie
. Effect of Mirror Therapy on Persistent Pain after Breast Cancer Surgery[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018
, 24(2)
: 134
-137
.
DOI: 10.3969/j.issn.1006-9771.2018.02.003
[1] Wijayasinghe N, Andersen KG, Kehlet H.Anagesic and sensory effects of the Pecs local anesthetic block in patients with persistent pain after breast cancer surgery: a pilot study[J]. Pain Pract, 2017, 17(2): 185-191.
[2] Wang L, Guyatt GH, Kennedy SA.Predictors of persistent pain after breast cancer surgery: a systematic review and meta-analysis of observational studies[J]. CMAJ, 2016, 188(14): E352-E361.
[3] Schreiber KL, Kehlet H, Belfer I.Predicting, preventing and managing persistent pain after breast cancer surgery: the importance of psychosocial factors[J]. Pain Manag, 2016, 4(6): 445-459.
[4] Andersen KG, Kehlet H.Persistent pain after breast cancer treatment: a critical review of risk factors and strategies for prevention[J]. J Pain, 2011, 12(7): 725-746.
[5] Werner MU, Bischoff JM.Persistent postsurgical pain: evidence from breast cancer surgery, groin hernia repair, and lung cancer surgery[J]. Curr Top Behav Neurosci, 2014, 20: 3-29.
[6] Stephens KE, Levine JD, Aouizerat BE, et al.Associations between genetic and epigenetic variations in cytokine genes and mild persistent breast pain in women following breast cancer surgery[J]. Cytokine, 2017, 99: 203-213.
[7] Caromorán E, Díazrodríguez L, Cantarerovillanueva I, et al.Nerve pressure pain hypersensitivity and upper limb mechanosensitivity in breast cancer survivors: a case- control study[J]. Pain Med, 2014, 15(10): 1715-1723.
[8] De Oliveira GS Jr, Chang R, Khan SA, et al. Factors associated with the development of chronic pain after surgery for breast cancer: a prospective cohort from a tertiary center in the United States[J]. Breast J, 2014, 20(1): 9-14.
[9] Roth RS, Qi J, Hamill JB, et al.Is chronic postsurgical pain surgery- induced? A study of persistent postoperative pain following breast reconstruction[J]. Breast, 2017, 37: 119-125.
[10] Ding YY, Yao P, Wu L, et al.Body mass index and persistent pain after breast cancer surgery: findings from the women's healthy eating and living study and a meta-analysis[J]. Oncotarget, 2017, 8(26): 43332-43343.
[11] House G, Burdea G, Grampurohit N, et al.A feasibility study to determine the benefits of upper extremity virtual rehabilitation therapy for coping with chronic pain post- cancer surgery[J]. Br J Pain, 2016, 10(4): 186-197.
[12] Bauml J, Basal C, Mao JJ.Treatment of post-mastectomy pain syndrome with acupuncture: a case report[J]. Acupuncture Med, 2014, 32(2): 183-185.
[13] Bultitude JH, Rafal RD.Derangement of body representation in complex regional pain syndrome: report of a case treated with mirror and prisms[J]. Exp Brain Res, 2010, 204(3): 409-418.
[14] 唐朝正,陈昌成,丁政,等. 基于镜像神经元理论的动作观察在脑卒后肩手综合征疼痛康复中的用[J]. 中国康复医学杂志, 2016, 31(2): 145-149.
[15] 唐朝正,丁政,张晓莉,等. 镜像疗法治疗高位脊髓损伤后上肢Ⅱ型复杂性局部疼痛综合征的有效性:自身交叉对照研究[J]. 中国组织工程研究, 2015, 19(5): 716-720.
[16] 李元青,孙红,薛冬,等. 中药治疗化疗所致周围神经病变的效果[J]. 中国康复理论与实践, 2017, 23(11): 1321-1325.
[17] Andersen KG, Duriaud HM, Kehlet H, et al.The relationship between sensory loss and persistent pain 1 year after breast cancer surgery[J]. J Pain, 2017, 18(9): 1129-1138.
[18] Alkan A, Guc ZG, Senler FC, et al.Breast cancer survivors suffer from persistent postmastectomy pain syndrome and posttraumatic posttraumatic stress disorder (ORTHUS study): a study of the palliative care working committee of the Turkish Oncology Group (TOG)[J]. Support Care Cancer, 2016, 24(9): 3747-3755.
[19] Schreiber KL, Martel MO, Shnol H, et al.Persistent pain in postmastectomy patients: comparison of psychophysical, medical, surgical, and psychosocial characteristics between patients with and without pain[J]. Pain, 2013, 154(5): 660-668.
[20] Van Helmond N, Steegers MA, Filippini-de Moor GP, et al. Hyperalgesia and persistent pain after breast cancer surgery: a prospective randomized controlled trial with perioperative COX-2 inhibition[J]. PLoS One, 2016, 11(12): e0166601.
[21] Hasanzadeh Kiabi F, Habibi MR, Soleimani A, et al.Mirror therapy as an alternative treatment for phantom limb pain: a short literature review[J]. Korean J Pain, 2013, 26(3): 309-311.
[22] McCabe CS, Haigh RC, Ring EF, et al. A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1)[J]. Rheumatology (Oxford), 2003, 42(1): 97-101.
