Mirror therapy for patients with breast cancer: A systematic review and meta-analysis.

IF 4 3区医学 Q1 OBSTETRICS & GYNECOLOGY Breast Cancer Pub Date : 2024-10-05 DOI:10.1007/s12282-024-01642-x

Jie Hao, Andréas Remis, Dongqi Zhu, Yao Yao, Yupi Pu, Yanfei Li, Biying Huang

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Abstract

Background: Pain and dysfunction of the shoulder and arm are prevalent among patients with breast cancer. This review aimed to evaluate current evidence regarding the effects of mirror therapy on pain, function, and quality of life in patients with breast cancer.

Methods: Five bibliographic databases in English and Chinese, PubMed, Embase, Scopus, CNKI, and Wanfang were searched from inception to May 15, 2024. Randomized controlled trials comparing the effects of mirror therapy to conventional treatment were eligible for inclusion. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale. Meta-analyses were performed to determine the effects of mirror therapy.

Results: Four randomized controlled trials were included, with a total of 311 patients with breast cancer. All included studies were scored six to seven on the PEDro scale, indicating good quality. No adverse events related to mirror therapy were reported. Compared to conventional treatment, mirror therapy demonstrated significantly reduced pain (SMD: - 1.17, 95% CI: - 1.64 to - 0.70, p < 0.001), improved upper extremity function (SMD: 1.03, 95% CI: 0.05-2.02, p = 0.04), and enhanced quality of life (SMD: 0.43, 95% CI: 0.07-0.79, p = 0.02).

Conclusions: Mirror therapy is feasible and effective for upper extremity pain and dysfunction following breast cancer surgery. Clinicians may consider mirror therapy as an adjunctive intervention for breast cancer postoperative rehabilitation to advance the quality of care.

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乳腺癌患者的镜像疗法：系统回顾和荟萃分析。

背景：肩臂疼痛和功能障碍在乳腺癌患者中很普遍。本综述旨在评估镜像疗法对乳腺癌患者疼痛、功能和生活质量影响的现有证据：方法：检索了从开始到 2024 年 5 月 15 日的五个中英文文献数据库：PubMed、Embase、Scopus、CNKI 和 Wanfang。将镜子疗法与传统疗法的效果进行比较的随机对照试验符合纳入条件。方法学质量采用物理治疗证据数据库（PEDro）量表进行评估。进行元分析以确定镜像疗法的效果：结果：共纳入了四项随机对照试验，涉及 311 名乳腺癌患者。所有纳入的研究在PEDro评分表中均被评为6至7分，表明研究质量良好。没有与镜像疗法相关的不良反应报告。与传统治疗相比，镜像疗法能显著减轻疼痛（SMD：- 1.17，95% CI：- 1.64 至 - 0.70，P 结论：镜像疗法是一种可行、有效的上臂乳腺癌治疗方法：镜像疗法对乳腺癌术后上肢疼痛和功能障碍的治疗是可行且有效的。临床医生可考虑将镜子疗法作为乳腺癌术后康复的辅助干预措施，以提高护理质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breast Cancer ONCOLOGY-OBSTETRICS & GYNECOLOGY

CiteScore

6.70

自引率

2.50%

发文量

105

审稿时长

6-12 weeks

期刊介绍： Breast Cancer, the official journal of the Japanese Breast Cancer Society, publishes articles that contribute to progress in the field, in basic or translational research and also in clinical research, seeking to develop a new focus and new perspectives for all who are concerned with breast cancer. The journal welcomes all original articles describing clinical and epidemiological studies and laboratory investigations regarding breast cancer and related diseases. The journal will consider five types of articles: editorials, review articles, original articles, case reports, and rapid communications. Although editorials and review articles will principally be solicited by the editors, they can also be submitted for peer review, as in the case of original articles. The journal provides the best of up-to-date information on breast cancer, presenting readers with high-impact, original work focusing on pivotal issues.