Muscle Energy Technique and Mulligan's Mobilization in Breast Cancer Surgery Patients

Not Applicable

Recruiting

• Conditions: Kinematics; Postural; Defect; Breast Cancer; Mobility Limitation; Muscle Relaxation
• Interventions: Other: mobilization with movement; Other: combination of mobilization with movement and muscle energy techniques

• Registration Number: NCT05911867
• Lead Sponsor: Cairo University

Brief Summary

A recent study aimed to examine the combined effect of Mulligan and muscle energy techniques on postural changes and shoulder kinematics among women who had undergone breast cancer surgery with axillary dissection.

Detailed Description

90 female patients who had undergone breast cancer surgery with axillary dissection were recruited and randomly assigned to three groups. Group A received Mulligan and muscle energy technique, group B received Mulligan technique only, and group C received muscle energy technique. The study measured shoulder kinematics and postural changes using a digital inclinometer for range of motion, PAS/SAPO for cervical angle, and the horizontal alignment of acromions and quick DASH for upper extremity activities. Outcome measurements were taken at three different time points: baseline, six weeks post-intervention, and eight weeks after the intervention during a follow-up assessment.

Study Timeline

• Status Verified: 2023-06
• Study Start: 2023-06-01
• Study First Submitted: 2023-06-11
• Study First Submitted QC: 2023-06-20
• Last Update Submitted: 2023-06-20
• Study First Posted: 2023-06-22
• Last Update Posted: 2023-06-22
• Primary Completion: 2023-09-15
• Study Completion: 2023-09-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 108

Inclusion Criteria

• female
• between 50 and 65 years
• limited shoulder range of motion

Exclusion Criteria

• having metastases
• lymphedema
• traumatic or musculoskeletal disorders affecting the arm
• not taking anticoagulants
• not having undergone bilateral breast cancer surgery
• not having a locoregional recurrence
• not having vascular disorders in the affected arm

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
mobilization with movement	mobilization with movement	Regarding the shoulder joint, the Mulligan technique (MWM) involves the therapist using a belt around the humeral head to guide appropriate gliding while the patient moves their shoulder actively through the range. The therapist applies pressure to the scapula in a counter direction. This technique is usually performed for five sets of five repetitions with one minute of rest between sets in a sitting position. Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal Glides (SNAG), involves the therapist standing behind the patient and applying force to the spinous process of each vertebra using a thumb-over-thumb technique. The patient actively performs repeated flexion or extension of their neck, returning back to the neutral position.
combination of mobilization with movement and muscle energy techniques	combination of mobilization with movement and muscle energy techniques	Mulligan technique (MWM) involves the therapist using a belt around the humeral head to guide appropriate gliding while the patient moves their shoulder actively through the range. The therapist applies pressure to the scapula in a counter direction. Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal Glides (SNAG), involves the therapist standing behind the patient and applying force to the spinous process of each vertebra using a thumb-over-thumb technique. The examiner passively abducts the arm in the horizontal plane until the first barrier to motion by applying pressure to the distal humerus. This passive stretch will be held for three seconds.

Primary Outcome Measures

Name	Time	Method
digital inclinometer	6 weeks	). This tool is recognized as valid and reliable for this purpose and requires the patient to move their affected shoulder in various directions while keeping their feet fixed in place

Secondary Outcome Measures

Name	Time	Method
Postural Assessment Software (PAS/SAPO)	6 weeks	The women participants were positioned in a comfortable stance, and anatomical markers will be attached to specific points such as the tragus and both acromions. Their photographs will be captured and later analyzed using the PAS/SAPO software to record the cervical angle and horizontal alignment of the acromions. A forward head position was identified by an angle less than 50°. This method has been demonstrated to be reliable and valid for identifying forward head positions

Trial Locations

Locations (1)

Hany Mohamed Elgohary; 🇪🇬 Cairo, Egypt