Scapular Proprioceptive Neuromuscular Facilitation and Activity Oriented Antiedema Proprioceptive Therapy on Shoulder Dysfunction Post Matectomy Lymphedema
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 1
- 主要终点
- Cone formula for lymphedema assessment
研究概览
简要总结
Ninety -three female patients suffering from shoulder dysfunction after breast cancer-related arm lymphedema, will National Cancer Institute (Cairo university) be randomly distributed into three groups equal in number.
详细描述
In this study the patients will be randomly assigned into three groups (Thirty - one patient for each group):
Group (A):
Thirty-one patients will receive: Scapular PNF technique, Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT).
Group (B):
Thirty-one patients will receive Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT))
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
盲法说明
double : participant ,investigator
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •The subject selection will be according to the following criteria:
- •Age range between 40-60 years.
- •Only female patients will participate in the study.
- •All female patients diagnosed as unilateral breast cancer.
- •All Female patients operated on for BC with BCRL in stages I and II.
- •All female patients suffering from shoulder dysfunction after breast cancer-related arm lymphedema.
- •All patients enrolled to the study will have their informed consent.
排除标准
- •The potential participants will be excluded if they meet one of the following criteria:
- •Patients with health problems, diseases or dysfunctions that prevented them from participating in the intervention.
- •Patients with bilateral lymphedema.
- •Patients with previous primary lymphedema.
- •Patients with metastasis.
- •Patients whom staging was not possible due to atypical findings or poor image.
- •Patients with active arm infection.
研究组 & 干预措施
Exprimental group A
Thirty-one patients will receive: Scapular PNF technique, (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (CDT).
干预措施: Scapular PNF technique, (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT). (Other)
Experimental: group B
Thirty-one patients will receive Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT))
干预措施: Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT)) (Other)
Experimental: group C:
Thirty-one patients will receive Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT)
干预措施: Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT) (Other)
结局指标
主要结局
Cone formula for lymphedema assessment
时间窗: three months
the truncated cone formula. V = h C12 + C1C2 + C22 =12 (where V = extremity volume, h = height, C1 = circumference of the top of the cone, C2 = circumference of the base of the cone) as both extremities will be measured from the wrist to the top of the arm (axillary fold) at 4-cm intervals
Digital inclinometer for scapular range and shoulder range assessment
时间窗: three months
The digital inclinometer demonstrates moderate to excellent reliability in evaluating both shoulder and scapular range in case of shoulder disorder
Upper limb function/activity performance: Measured with e Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH):
时间窗: three months
The arm, shoulder, and hand problems quick questionnaire (Quick-Dash) used to evaluate the symptom severity and functional capacity of the patients
次要结局
未报告次要终点
研究者
Rasha Abdalfattah Ahmed Selim
Master of physical therapy
Cairo University