EFFECTIVENESS OF STRUCTURED PHYSICAL THERAPY INTERVENTION VERSUS CONVENTIONAL THERAPY ON SHOULDER DYSFUNCTION, QUALITY OF LIFE AND FATIGUE LEVEL IN PATIENTS WITH MODIFIED RADICAL MASTECTOMY IN A RURAL SETUP- A RANDOMIZED CONTROLLED TRIAL

STUDYCONDUCT

All the patientsatisfying above inclusion and exclusion criteria will undergo randomizationallocated in anyone group and further grouped as Experimental and ControlGroup.

RANDOMIZATION

All the patientswill be allocated as per the simple randomization method (lottery method) toany of the above group patient.

Procedure

The Ethical Committee approval will be taken fromInstitutional Ethical Committee of Pravara Institute of Medial Sciences (DU),Loni. The participants taken will be Post operative Breast Cancer patients(Modified Radical Mastectomy) from Surgery Department referred to CommunityPhysiotherapy Department. The participants will be screened on basis ofinclusion and exclusion criteria. Participants will be explained about thepurpose and nature of the study, benefits of intervention, risk involved in thestudy, duration of the study etc. in the language best understood by theparticipants. The participants will be encouraged to clarify queries regardingthe study, if any. An informed consent will be obtained from all theparticipants in accordance with procedures approved by the InstitutionalEthical Committee.

The demographic data will be obtained and a detailedassessment of patients will be done on basis of name, age, height, weight, BMI,present chief complaints, past history, medical and surgical history.

A total of 100 participants will be randomly groupedinto 2 groups by using simple random sampling (lottery method).

**Experimental Group:**Patients will be treated with Physical therapy intervention consisting of Rangeof Motion, Breathing, Stretching, Mobility, Flexibility Exercises, Ambulationand Aerobic Exercise.

**Control Group:**Patients will be instructed about Wound Prevention, Breathing Exercises andActive Range of Motion Exercises.

Theoutcome measures via, ROM, Strength, QoL, Fatigue and endurance level will berecorded after 2,4, 6 weeks exercise protocol and patients will be followed up.