Astym therapy improves function and range of motion following mastectomy

Figures & data

Table 1 Overall change in five outcome measure scores from initial evaluation to discharge and significance

Outcome measure	Initial evaluation mean	Discharge mean	Change	t	95% CI	P-value significance
DASH	32.78 (SD 22.69)	22.94 (SD 18.67)	9.8	3.4	4.0 to 15.7	<0.01
PSFS	5.3 (SD 2.92)	7.14 (SD 2.64)	−1.84	−5.2	−2.6 to −1.1	<0.01
Clothing questionnaire	19.38 (SD 9.16)	15.40 (SD 7.76)	3.98	5.0	2.4 to 5.6	<0.01
Flexion range of motion (°)	136.45 (SD 27.20)	153.90 (SD 14.33)	17.45	−5.4	−24.0 to −11.0	<0.01
Abduction range of motion (°)	134.80 (SD 36.02)	154.18 (SD 21.25)	19.38	−4.5	−28.2 to −10.6	<0.01

Abbreviations: CI, confidence interval; DASH, Disabilities of the Arm, Shoulder, and Hand Outcome Measure; SD, standard deviation; PSFS, Patient-Specific Functional Scale.

Figure S1 Demonstrates the use of one of the Astym therapy tools over a mastectomy scar.

Table S1 Clothing restriction following breast surgery questionnaire (please rate your ability to do the following in the last week by circling the number by the appropriate response)

	No difficulty	Mild difficulty	Moderate difficulty	Severe difficulty	Unable
Wear a bra or prosthesis	1	2	3	4	5
Wear a bra or prosthesis all day	1	2	3	4	5
Tolerate some fabrics against your skin in affected area	1	2	3	4	5
Touch the scars from the mastectomy	1	2	3	4	5
Ability for someone else to touch the mastectomy site	1	2	3	4	5
Look at your scars from breast surgery	1	2	3	4	5
Feel less feminine since cancer	1	2	3	4	5
Tolerate people looking at you	1	2	3	4	5
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