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Impact of pre-radiation manual therapy on neck and shoulder dysfunction and quality of life in head and neck cancer survivors with pectoralis major myocutaneous flap and deltopectoral flap reconstruction surgeries: A randomized control trial.

Impact of pre-radiation manual therapy on neck and shoulder dysfunction and quality of life in head and neck cancer survivors: A randomized control trial. - NL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/09/095404
Enrollment
30
Registered
2025-09-25
Start date
Unknown
Completion date
Unknown
Last updated
2025-10-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C148- Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx

Interventions

Intervention1: Manual therapy- Mobilization with Movement: Positioning: Patient in sitting or supine based on comfort and surgical considerations Mobilization Direction: Mulligan Techniques Used for S

Sponsors

KLE Academy Higher Education and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Head and neck cancer patients underwent PMMC or DP flap reconstruction. Patients planned for radiation therapy post-intervention Scheduled for radiation therapy starting post-surgery. Healed flap with no surgical complications.

Exclusion criteria

Exclusion criteria: Severe cardiovascular, neurological, or musculoskeletal conditions that contraindicate manual therapy. Patients with pre-existing severe shoulder and neck dysfunction. Patients with advanced metastases Patients with secondary suturing.

Design outcomes

Primary

MeasureTime frame
1. Neck dysfunction 2. Shoulder dysfunctionTimepoint: 1. Neck disability index scale (NDI) 2. Shoulder Pain and Disability Index (SPADI) The following outcomes would be assessed at baseline (before 1st session, at the end of 10th session, and follow up (post radiation therapy)—

Secondary

MeasureTime frame
1. Scapulohumeral Rhythm 2. Pain Levels 3. Functional Mobility & Strength 4. Range of Motion (ROM) 5. Quality of Life (QoL)Timepoint: 1. Digital Inclinometer (Pro 360, baseline) 2. Numeric Pain Rating Scale (NPRS) 3. Manual Muscle Testing (MMT) 4. Universal Goniometer-based ROM Measurement 5. FACT Head & Neck The following outcomes would be assessed at baseline (before 1st session, at the end of 10th session, & follow up (post radiation therapy)—

Countries

India

Contacts

Public ContactDr Imtiaz Ahmed

KAHER Institute of Physiotherapy

sanjiv3303@rediffmail.com9448745648

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026