Impact of Scapular Mobilization And Strengthening Exercises on Shoulder Function Post Mastectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Changes in Inclinometer reading before and after the treatment.
研究概览
简要总结
The most common complications following mastectomy are pain, lymphedema of the upper limb ipsilateral to surgery, decreased range of motion (ROM), limited to 90° of flexion, abduction, and external rotation to 40° of the shoulder, and postural changes. It was reported that 60% of breast cancer patients show a reduction in shoulder flexion and abduction at 1-month post-surgery and 10% of survivors show a persistent ROM reduction at 12 months. So, The purpose of the study was to evaluate the therapeutic impact of scapular mobilization and strengthening exercises on shoulder function post-mastectomy.
详细描述
In this randomized controlled trial study (RCT), forty female patients "The patient's ages ranged from 40 to 55 years" suffering from post-mastectomy shoulder dysfunction ((20° ≥ ROM limitation compared to the sound shoulder & 3 months to 6 months post mastectomy) were randomly assigned into two equal groups, each one had 20 patients.
Group A (study group): This group included 20 patients with shoulder dysfunction post-mastectomy who received scapular mobilization and strengthening exercise in addition to their conventional physical therapy program for four weeks, three sessions/week.
Group B (control group): This group included 20 patients with shoulder dysfunction who received conventional physical therapy programs in form of joint mobilization, posterior capsule stretching, and range of motion exercise (ROM) for four weeks, 3 sessions/week.
Equipment and tools:
- Measurement tools were (The shoulder Pain and Disability Index (SPADI): for measurement of shoulder disability and inclinometer: for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation), the measurements were recorded before and after the study.
- Therapeutic equipment and tools were (Thera Bands of different colors and resistance and dumbbells of different weights).
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
- Single (Participant)
盲法说明
the patients were randomly assigned into two equal groups (20 patients for each group) by using the closed envelope method.
入排标准
- 年龄范围
- 40 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Female patients with ages ranging from 40-55 years.
- •All patients had shoulder dysfunction post-mastectomy (20° ≥ ROM limitation compared to the sound shoulder).
- •Patients were 3 months to 6 months post-mastectomy.
- •All enrolled patients signed the informed consent.
排除标准
- •Disease such as rheumatoid arthritis.
- •History of trauma or accidental injuries.
- •Neurological involvement (stroke, Parkinsonism).
- •History of surgery on the involved shoulder.
- •Diabetic patient.
结局指标
主要结局
Changes in Inclinometer reading before and after the treatment.
时间窗: Baseline and four weeks after the intervention
for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation
Changes in Shoulder Pain and Disability Index (SPADI) before and after the treatment.
时间窗: Baseline and four weeks after the intervention
for measurement of shoulder disability
次要结局
未报告次要终点
研究者
Shaimaa Mohamed Ahmed Elsayeh
Lecturer of physical therapy
Cairo University