Background: Mastectomy, a common treatment for breast cancer, often leads to complications such as pain, fibrosis, restricted mobility, lymphedema, reduced strength in the affected arm, and emotional distress. Non-pharmacological therapies, including massage therapy, offer a holistic approach to managing these symptoms. The aim of this study was to analyze the effects of massage therapy on the symptomatology in women post-mastectomy for breast cancer. Methods: A systematic review was conducted following PRISMA guidelines. Databases including PubMed, Cochrane, PEDro, Dialnet, Science Direct, and Scopus were searched for relevant studies published in English or Spanish over the past 16 years. The search was conducted in March 2025. Inclusion criteria encompassed controlled and uncontrolled clinical trials, quasi-experimental studies, retrospective analyses, and secondary trial analyses involving women aged 45–64 who received massage therapy as a complementary treatment. Results: Twenty-six studies involving 1522 participants were included. Interventions assessed were manual lymphatic drainage, myofascial release, foot massage, classical massage, and the Cyriax technique. The key findings demonstrated significant benefits, including improved range of motion, reduced arm circumference and lymphedema volume, enhanced quality of life, and increased relaxation. Conclusions: According to the results of this systematic review, massage therapy interventions can have a positive impact on the symptomatology in women post-mastectomy for breast cancer and may represent a suitable complementary approach to post-mastectomy breast cancer treatment.
背景：乳房切除术作为乳腺癌的常见治疗手段，常引发疼痛、纤维化、活动受限、淋巴水肿、患侧手臂力量减弱及情绪困扰等并发症。以按摩疗法为代表的非药物疗法为管理这些症状提供了整体性解决方案。本研究旨在系统分析按摩疗法对乳腺癌术后女性症状群的影响效果。 方法：本研究遵循PRISMA指南开展系统性综述。检索了PubMed、Cochrane、PEDro、Dialnet、Science Direct和Scopus数据库中过去16年发表的英文或西班牙文相关研究，检索时间为2025年3月。纳入标准包括：涉及45-64岁接受按摩辅助治疗的乳腺癌术后女性的对照/非对照临床试验、准实验研究、回顾性分析及二次试验分析。 结果：共纳入26项研究，涉及1522名参与者。评估的干预措施包括徒手淋巴引流、肌筋膜松解术、足部按摩、经典按摩及Cyriax技术。核心研究结果表明，按摩疗法能显著改善关节活动度、减少臂围及淋巴水肿体积、提升生活质量并增强放松状态。 结论：本系统性综述结果表明，按摩疗法干预对乳腺癌术后女性的临床症状具有积极影响，可作为术后辅助治疗的适宜补充方案。
Effects of Massage Therapy in Breast Cancer Survivors with Mastectomy: Systematic Review
肿瘤(癌症)患者之家