Head and Neck Cancer
Conditions
Keywords
Maitland Mobilization, Scapular Stabilization, Shoulder Dysfunction, Neck Dissection Surgeries
Brief summary
Sixty patients from both genders suffering from shoulder disability post unilateral NDS (modified radical, selective) will participate in this study. Their ages will be ranged from 30 to 50 years. They will be selected randomly from Damanhur Oncology center, El-Behira, Egypt. They will be randomly distributed into three equal groups (each group 20 patients).
Detailed description
Design of the study: In this study the patients were randomly assigned into three equal groups (twenty patients for each group). Group (A) : This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique and scapular stabilization exercises in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months. Group (B): This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months. Group (C) : This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received scapular stabilization exercises in addition to the traditional physical therapy program which include (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.
Interventions
MM applies a passive oscillatory technique, classified from Grade I-IV with respect to intensity, to the shoulder in order to treat pain and stiffness. Grade I refers to an intensity of small amplitude that is applied at the beginning of the joint ROM, where there is no loading on connective tissue; it is often used in cases of severe pain
Scapular stabilization exercises are thought to have an important role in improving pain and dysfunction in the shoulder. The concept that an unstable scapula is associated with pathology and dysfunction of the shoulder is well accepted. The predominant theory emphasizes that for optimal function of the glenohumeral joint, the scapula must provide a stable base upon which upper extremity tasks are completed. Impaired scapular stability increases the risk for pathologies such as impingement or rotator cuff tears
OTHERTraditional Physical Therapy
ROM exercises, stretching exercises and strengthening exercises for shoulder muscles
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients' age will be ranged between 30-50 years. * Both genders will participate in this study. * All patients suffering from shoulder pain and disability following unilateral modified radical NDS or selective NDS. * All patients will begin the treatment program from 1 to 3 months after NDS. * All patients will have limited ROM of shoulder flexion, abduction, external rotation. * All patients enrolled to the study will have their informed consent.
Exclusion criteria
* Subjects with rotator cuff tears or other •shoulder ligament injuries. * Adhesive capsulitis secondary to Diabetes mellitus or fractures. * Recurrent shoulder dislocation. * Recent fracture or surgery to the shoulder. * Reflex sympathetic dystrophy. * Neurological disorder. * Epilepsy or any psychological disorders. * The presence of residual local-regional cancer or distant metastases to other regions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Digital Goniometer | 2 months | Digital goniometer is a device which measures joint ranges, together with velocity and acceleration variables, with a high level of precision and at a relatively low-cost, practically similar to current analogical tools. The digital goniometer is a device specifically designed for the measurement of angles of movement of the human body with a resolution of 1°, representing an ideal substitute to traditional goniometers, which are usually based on a scale of 5° increments |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain and Disability Index | 2 months | The shoulder pain and disability index (SPADI) is a self-report questionnaire developed to measure the pain and disability associated with shoulder pathology. The SPADI consists of 13 items in two subscales: pain (5 items) and disability (8 items), the original version has each item scored on a visual analogue scale (VAS) and a second version has items scored on a numerical rating scale (NRS) |
Countries
Egypt
Outcome results
None listed