Effect of Pilates Exercise Versus Proprioceptive Neuromuscular Facilitation in Shoulder Dysfunction Post Mastectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- assessment of the change of shoulder range of motion using Software/Smartphone-based Goniometer
研究概览
简要总结
The purpose of the study was done to evaluate the therapeutic efficacy of Pilates versus PNF in treatment of shoulder dysfunction and limitation of range of motion after mastectomy
详细描述
Mastectomy is the removal of the entire breast, with five types: simple or total mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy. Post-surgical pain and changes in breast shape can lead to side effects like wound infection, hematoma, seroma, shoulder pain, edema, and decreased range of motion. Mastectomy rates vary worldwide, with the highest rate in central and eastern Europe at 77%. Some women at high risk of breast cancer choose to have a mastectomy even when there's no sign of cancer.
Pilates improve flexibility, build strength, and develop control and endurance in the entire body. It emphasizes alignment, breathing, developing a strong core, and improving coordination and balance. The core, consisting of muscles of the abdomen, low back, and hips, is often called the "powerhouse" and is thought to be the key to a person's stability.
Proprioceptive Neuromuscular Facilitation (PNF) is a stretching technique used to improve muscle elasticity and has been shown to have a positive effect on active and passive range of motions.
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)
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age range between 40-75 years.
- •Only females will participate in the study.
- •All patients have no diabetes or blood problems.
- •All patients enrolled to the study will have their informed consent
排除标准
- •Age less than 40 or more than 75 years.
- •Diabetes mellitus.
- •Subjects suffering from active malignant tumors.
- •Subjects treated with skin graft.
- •Subjects with Mental illness.
- •Subjects with skin diseases
- •Subjects with any previous cause for shoulder dysfunction
结局指标
主要结局
assessment of the change of shoulder range of motion using Software/Smartphone-based Goniometer
时间窗: at baseline and 3 months
Smartphones can be used as digital goniometers, offering benefits like convenience, ease of measurement, application-based tracking, and one-hand use. These applications use accelerometers to calculate joint angles. Patients with muscle issues, such as abduction and flexion, may experience reduced range of movement due to muscle bulk loss and bony leverage. However, these patients can compensate with the opposite arm, reducing the impact on daily activities.
次要结局
- Composite assessment of pain and disability using Shoulder pain and disability index(at baseline and 3 months)
研究者
Ahmed Raafat Ahmed Ali
principal investigator
Cairo University