Thoracic Outlet Syndrome
Conditions
Brief summary
This randomized controlled trial aims to evaluate the effects of Mobilization with Movement (MWM) on pain, function, and quality of life in patients with Thoracic Outlet Syndrome (TOS) compared to conventional physiotherapy.
Interventions
OTHERMobilization with Movement (MWM) and Tailored Therapeutic Exercise Program
The intervention consists of MWM techniques targeting the cervical and thoracic spine, and the first rib, applied by a certified physiotherapist for 8 weeks, 2 sessions per week, each session lasting 45 minutes. The intervention also includes a tailored therapeutic exercise program for the patients, comprising postural correction, stretching, and strengthening exercises. This intervention will be compared to conventional physiotherapy in the control group.
OTHERConventional Physiotherapy
Conventional physiotherapy, including manual therapy (soft tissue mobilization, joint mobilization, and nerve gliding techniques) for 8 weeks, 2 sessions per week, each session lasting 45 minutes, combined with a tailored therapeutic exercise program (including postural correction, stretching, and strengthening exercises).
Sponsors
Ahram Canadian University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Two-arm randomized controlled trial with an equal allocation ratio (1:1) for the experimental and control groups
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults aged 18-65 years, diagnosed with TOS by a specialist, and experiencing symptoms for at least 3 months
Exclusion criteria
* Previous surgery for TOS * contraindications to manual therapy * other comorbidities significantly affecting upper limb function
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Pain Intensity | Changes in Pain intensity at Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up) | Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Functional Status | Changes in Functional Status Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up) | Functional status will be evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. |
| Changes in Cervical Range of Motion | Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up) | Cervical range of motion will be assessed using a goniometer. |
| Changes in Quality of Life | Changes in quality of life at Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up)aseline, 4 weeks, 8 weeks, and 12 weeks (follow-up) | Quality of life will be assessed using the Short Form-36 (SF-36) questionnaire |
Countries
Egypt
Contacts
Primary ContactMohamed M ElMeligie, Ph.d
Outcome results
None listed