The Application of Swedish Massage to Reduce Peripheral Neuropathy Pain in Breast Cancer Clients with A History of Chemoterapy
DOI:
https://doi.org/10.35451/dcw1tz79Keywords:
Nyeri Neuropati Perifer, Kemoterapi, Kanker Payudara, Swedish MassageAbstract
Peripheral neuropathy pain is one of the manifestations of peripheral nervous system disorders in breast cancer clients with a history of chemotherapy. Peripheral neuropathy pain affects the daily activities and quality of life of breast cancer clients, even after chemotherapy treatment is completed. The purpose of this case study is to determine the effect of the application of Swedish massage on peripheral neuropathy pain of breast cancer clients. The method applied in this case study is descriptive research with a case study approach. The sampling technique in this case study used a non-probability sampling approach with purposive sampling method. The subjects used in this case study were three breast cancer clients with a history of chemotherapy who lived in the working area of the Ngesrep Community Health Center. Swedish massage intervention was implemented three times each week for two weeks with a 30 minutes duration on the foot and hand area that experienced peripheral neuropathy pain. The instrument used is the Numeric Rating Scale (NRS) questionnaire. Data were analyzed through narrative case reflections. The results of the case study showed a decrease in the scale and intensity of peripheral neuropathy pain in the three clients from moderate to mild. Swedish massage is expected to be applied independently and continuously as a supportive therapy, so that clients can be adaptive in managing peripheral neuropathy pain.
Downloads
References
[1] Suhaid DN, Wardani DWKK, Aningsih BSD, Manungkalit EM, Kusmiyanti M. Deteksi Dini Kanker
Serviks dan Payudara dengan Pemeriksaan IVA serta Sadanis di Perumahan Kartika Sejahtera Kelurahan Sasak Panjang Kecamatan Tajur Halang Kabupaten Bogor Jawa Barat. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM). 2022 Feb 1;5(2):406–13.
[2] Cao B, Soerjomataram I, Bray F, Stewart BW. The Burden and Prevention of Premature Deaths from
Noncommunicable Diseases, Including Cancer: A Global Perspective. In: World Cancer Report: Cancer Research for Cancer Prevention. International Agency for Research on Cancer. 2020. p. 1–12.
[3] Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer Journal for Clinicians. 2024 May;74(3):229–63.
[4] Buana I, Harahap DA. Asbestos, Radon dan Polusi Udara Sebagai Faktor Resiko Kanker Paru pada Perempuan Bukan Perokok. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh. 2022;8(1):1–16.
[5] Herawati A, Rijal S, Arsal ASF, Purnamasari R, Abdi DA, Wahid S. Karakteristik Kanker Payudara. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran. 2021 Oct 31;1(1):44–53.
[6] Irawan MF, Syahril E, Chalid A, Gunawan MI, Christina LP. Evaluasi Kejadian Kanker Payudara di RS Ibnu Sina Kota Makassar Tahun 2024. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran. 2025 Apr 28;5(1):14–21.
[7] Mulyani NHS, Putranti MPA, Hernanda RAI, Putri EH, Murti B, Handayani A. Edukasi Deteksi Dini Kanker Payudara dan Kanker Serviks pada Wanita Usia Subur di Desa Donohudan, Boyolali. Jurnal Pengabdian Komunitas. 2023;2(3):56–63.
[8] Anggriani B, Sitorus RJ, Flora R, Octariyana. Perempuan dan Penyakit Keganasan (Kanker Payudara dan Kanker Serviks). e-SEHAD. 2022;3(1):131–142.
[9] Rizka A, Akbar MK, Putri NA. Carcinoma Mammae Sinistra T4bn2m1 Metastasis Pleura. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh. 2022 Jul 26;8(1):23–31.
[10] Camilleri JS, Farrugia L, Curto S, Rodrigues DB, Farina L, Dingli GC, et al. Review of Thermal and Physiological Properties of Human Breast Tissue. Sensors. 2022;22(10):1–29.
[11] Obeagu EI, Obeagu GU. Breast Cancer: A Review of Risk Factors and Diagnosis. Medicine. 2024 Jan 19;103(3): 1–6.
[12] Khoramdad M, Solaymani-Dodaran M, Kabir A, Ghahremanzadeh N, Hashemi EoS, Fahimfar N, et al. Breast Cancer Risk Factors in Iranian Women: A Systematic Review and Meta-Analysis of Matched Case–Control Studies. European Journal Medical Research. 2022 Dec 27;27(311):1–31.
[13] Lokman M, Fitzgerald C. The Effect of Cancer on Reproductive Health. Obstetrics Gynaecology Reproductive Medicine. 2020 Jan;30(1):6–10.
[14] Rahmi N, Andika F. Health Education About the Importance of Breast Examination in Adolescent Women in MAN 5 Aceh Besar District. Jurnal Pengabdian Masyarakat (Kesehatan). 2022;4(2):95–99.
[15] Chen J, Pan T, Zhu Z, Liu L, Zhao N, Feng X, et al. A Deep Learning-Based Multimodal Medical Imaging Model for Breast Cancer Screening. Scientific Reports. 2025 Apr 26;15(1):1–13.
[16] Yanti E, Harmawati H, Irman V, Dewi RIS. Peningkatan Kesiapan Pasien Kanker Menjalani Kemoterapi. Jurnal Abdimas Saintika. 2021 May 19;3(1):85–88.
[17] Amjad MT, Chidharla A, Kasi A. Cancer Chemotherapy. In StatPearls. National Library of Medicine. 2023.
[18] Zhang Y, Wang S, Ma X, Yuan Y, Cheng H, Lin L, et al. Massage Therapy Can Effectively Relieve Cancer Pain: A Meta-Analysis. Medicine (United States). 2023 Jul 7;102(27):1–10.
[19] Yang M, Shao C, Shao C, Saint K, Gupta M, Caputo R, et al. A Retrospective Cohort Study on The Preliminary Efficacy of Massage Therapy for Chemotherapy-Induced Peripheral Neuropathy Among Cancer Patients. Integrative Cancer Therapy. 2025 Jan 1;24. 1–8.
[20] Izgu N, Metin ZG, Karadas C, Ozdemir L, Çetin N, Demirci U. Prevention of Chemotherapy-Induced Peripheral Neuropathy with Classical Massage in Breast Cancer Patients Receiving Paclitaxel: An Assessor-Blinded Randomized Controlled Trial. European Journal of Oncology Nursing. 2019 Jun;40:36–43.
[21] Lopez G, Eng C, Overman M, Ramirez D, Liu W, Beinhorn C, et al. A Randomized Pilot Study of Oncology Massage to Treat Chemotherapy-Induced Peripheral Neuropathy. Scientific Reports. 2022 Dec 1;12(1):1–10.
[22] Masliha M, Nursanti I, Widagdo G. Penurunan Intensitas Nyeri dengan Masase Klasik pada Perempuan dengan Kanker Payudara yang Menjalani Kemoterapi. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI). 2021 Aug 19;5(2):110–118.
[23] Viesser JF, Lazzarotto de Lima, CH, Zancan M. Physiotherapeutic Modalities in The Management of Neuropathic Pain Induced by Breast Cancer Treatment: Systematic Review. Revista Brasileira de Cancerologia. 2024 Mar 6;70(1):1–10.
[24] Rahman N, Sukumar J, Lustberg MB. Chronic Chemotherapy-Induced Peripheral Neuropathy: Living with Neuropathy During and After Cancer Treatments. Annals of Palliative Medicine. 2025 Mar;14(2):196–216.
[25] Yu J, Fu Y, Xu W, Ding RB, Bao J. Insights into the Pathogenesis and Treatment of Chemotherapy-Induced Neuropathy: A Focus on Oxidative Stress and Neuroinflammation. Current Reviews in Clinical and Experimental Pharmacology. 2025 Feb;20(2):98–102.
[26] Desforges AD, Hebert CM, Spence AL, Reid B, Dhaibar HA, Cruz-Topete D, et al. Treatment and Diagnosis of Chemotherapy-Induced Peripheral Neuropathy: An Update. Biomedicine and Pharmacotherapy. Elsevier Masson. 2022;147:1–18.
[27] Avallone A, Bimonte S, Cardone C, Cascella M, Cuomo A. Pathophysiology and Therapeutic Perspectives for Chemotherapy-induced Peripheral Neuropathy. Anticancer Research. International Institute of Anticancer Research. 2022;42(10):4667–78.
[28] Maksten EF, Mørch CD, Jakobsen LH, Kragholm KH, Blindum PF, Simonsen MR, et al. The Course of Chemotherapy-Induced Peripheral Neuropathy (CIPN) in Hematological Patients Treated with Vincristine, Bortezomib, Or Lenalidomide: The NOVIT Study. Supportive Care in Cancer. 2025 Mar 26;33(225):1–12.
[29] Zhou X, Wang DY, Ding CY, Liu H, Sun ZQ. Psychosocial Adaptation and Influencing Factors Among Patients with Chemotherapy-Induced Peripheral Neuropathy. World Journal Clinical Cases. 2022 May 26;10(15):4843–55.
[30] Wong ML, Cooper BA, Paul SM, Abrams G, Topp K, Kober KM, et al. Age-Related Differences in Patient-Reported and Objective Measures of Chemotherapy-Induced Peripheral Neuropathy Among Cancer Survivors. Supportive Care in Cancer. 2019 Oct 15;27(10):3905–12.
[31] Van de Graaf DL, Mols F, Smeets T, Trompetter HR, van der Lee ML. Coping with and Self-Management of Chronic Painful Chemotherapy-Induced Peripheral Neuropathy: A Qualitative Study Among Cancer Survivors. Journal of Cancer Survivorship. 2025 Feb 23;19(1):295–305.
[32] Cole JS, Olson AD, Dupont-Versteegden EE. The Effects of Massage Therapy in Decreasing Pain and Anxiety in Post-Surgical Patients with Breast Cancer: A Systematic Review and Meta-Analysis. Global Advances in Integrative Medicine and Health. SAGE Publications Inc. 2024; 13:1–11.
[33] Yao C, Cheng Y, Zhu Q, Lv Z, Kong L, Fang M. Clinical Evidence for the Effects of Manual Therapy on Cancer Pain: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2021 Feb 5;2021:1–14.
[34] Wang T, Zhai J, Liu XL, Yao LQ, Tan JY (Benjamin). Massage Therapy for Fatigue Management in Breast Cancer Survivors: A Systematic Review and Descriptive Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine. 2021 Sep 23;2021:1–13.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Siti Mardhiyah Hermaningrum, Innez Karunia Mustikarani, Leni Karlina, Anggorowati
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
