Comparative Effects of Myofascial Arm Pull Technique and Post Isometric Relaxation on Pain, Range of Motion and Functional Disability in Adhesive Capsulitis After Mastectomy

Not Applicable

Recruiting

• Conditions: Adhesive Capsulitis
• Interventions: Other: Myofascial arm pull technique; Other: Post Isometric Relaxation

• Registration Number: NCT05779878
• Lead Sponsor: Sahreen Anwar

Brief Summary

Adhesive capsulitis (AC) also known as frozen shoulder typically manifests to decrease range of motion (ROM) and function and increase pain in shoulder .Objective of the study is To compare the effects of Myofascial Arm Pull Technique and Post-isometric Relaxation on Pain, Range of Motion and functional disability in adhesive capsulitis after mastectomy. The study design will be a Randomized Clinical Trial that will be used to compare the effects of Myofascial arm pull technique with post isometric relaxation. Subject with adhesive capsulitis meeting the predetermined inclusion \& exclusion criteria will be divided into two groups. Pre assessment will be done using numeric pain rating scale NPRS for pain , shoulder pain and disability index (SPADI) tool for disability and Goniometer for Range of motion. Consent will be taken from patients by consent form the patients. They will be divided into two groups randomly by Random Number Generator table: Group A and Group B. For common treatment, both the groups will receive Ultrasound with a dosage of 1 MHz in frequency, continuous mode and 1.5 W/ cm2 of intensity for 10 minutes of treatment duration and Movement with mobilization will be applied for 15 times in 3 sets, and a 1- minute rest period was provided between each set. Group A will be given Post isometric relaxation technique with ultrasonic therapy. Group B will be given myofascial arm pull technique with ultrasonic. Total intervention protocol will be given for four weeks of duration 3 sessions per week with total 12 sessions. In Post isometric relaxation technique the therapist will slowly provide resistance in the direction of flexion, abduction, or external rotation, and without the subject intending to move for 15 minutes/ day, 3 times/week for 12 weeks. Similarly, myofascial arm pull technique the therapist will hold arm of the subject firmly and initial stretch will be applied in abduction and external rotation for 8-10 times in each session per day for 3 days/week for 4 weeks. Outcome measures will be measured at baseline, after 2 weeks and after 4 weeks. Data analysis will be done by SPSS version 25.

Detailed Description

Not available

Study Timeline

• Status Verified: 2023-03
• Study Start: 2023-03-09
• Study First Submitted: 2023-03-10
• Study First Submitted QC: 2023-03-10
• Last Update Submitted: 2023-03-10
• Study First Posted: 2023-03-22
• Last Update Posted: 2023-03-22
• Primary Completion: 2023-06-09
• Study Completion: 2023-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 40

Inclusion Criteria

• Only Female gender
• Age between 25 to 50 years with post mastectomy.
• Diagnosis of breast cancer (grade 1to3 b).
• Post mastectomy state at least 6 months.
• Shoulder pain that began after the breast cancer surgery

Exclusion Criteria

• Bilateral breast cancer.
• History of neurologic deficits affecting shoulder functioning during daily activites.
• On numeric pain rating scale pain will be less than 5.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interventional Group B	Myofascial arm pull technique	This Group will be given myofascial arm pull technique . Total intervention protocol will be given for four weeks of duration 3 sessions per week with total 12 sessions.
Interventional Group A	Post Isometric Relaxation	This group will be given Post isometric relaxation technique. Total intervention protocol will be given for four weeks of duration 3 sessions per week with total 12 sessions.

Primary Outcome Measures

Name	Time	Method
Range of motion in all planes	4 weeks	Range of motions in all planes will be measured by using goniometer
Pain in Shoulder Joint	4 weeks	Pain will be measured by using Numeric pain rating scale
Functional disability	4 weeks	Functional disability will be measured by using Shoulder Pain and Disability Index

Trial Locations

Locations (1)

Allied Hospital; 🇵🇰 Faisalābad, Punjab, Pakistan