Accessory Joint and Neural Mobilizations in Shoulder Range of Motion Restriction After Breast Cancer Surgery. A Pilot Randomized Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Breast Cancer
- Sponsor
- University of Alcala
- Enrollment
- 18
- Primary Endpoint
- Shoulder Range of motion
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The potential consequences after breast cancer surgery are joint pain and sensitive disorders, the main sign of which is alterations in shoulder mobility. Global kinesitherapy has been shown to be effective at increasing shoulder range of motion restriction. However, literature does not consider specific manual therapy techniques, which means peripheral nerves and articular capsule have not been taken into account. These two tissues are potentially damaged structures during surgery and they are main responsible for shoulder range of motion restriction The main objective of this study is to pilot the effectiveness of accessory joint and nerve mobilization techniques in order to get an overview of the articular capsule and nerve dysfunctions involvement in shoulder motion restriction.
Detailed Description
Background: The potential consequences after breast cancer surgery are joint pain and sensitive disorders, the main sign of which is alterations in shoulder mobility. Design: Prospective randomized and double-blind pilot trial. Objective: To pilot the effectiveness of accessory joint and nerve mobilization techniques in order to get an overview of the joint capsule and nerve involvement in shoulder motion restriction. Participants: 18 women who were undergoing unilateral breast cancer surgery and axillary lymph node dissection. Setting: Women´s Health Research Group at Physical Therapy Department of University of Alcala, Madrid, Spain. Intervention: accessory joint mobilization versus neural mobilization. Follow-up: Six-month follow-up. Key outcomes: Range of motion, sensitive disorder, pain and upper limb functionality.
Investigators
IRENE DE LA ROSA DÍAZ
Irene de la Rosa Díaz
University of Alcala
Eligibility Criteria
Inclusion Criteria
- •unilateral breast cancer diagnosis
- •breast cancer with axillary lymph node dissection
- •be willing to sign the informed consent form
Exclusion Criteria
- •bilateral breast cancer diagnosis
- •loco-regional recurrence
- •systemic disease
- •had not undergone the axillary lymph node dissection approach
- •to present any contraindication for Physical Therapy.
Outcomes
Primary Outcomes
Shoulder Range of motion
Time Frame: 15 min
Shoulder movements measured: flexion, extension, abduction, external e internal rotation. Measure instrument: inclinometer. Unit of measure: degrees. Number of participants: 18.
Secondary Outcomes
- Pain(5 min)
- Upper limb functionality(10 min)