Mastectomy, Pilates, Proprioceptive Neuromuscular Fascilitation, Shoulder Dysfunction
Conditions
Brief summary
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
Detailed description
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.
Interventions
OTHERPilates exercises
Before starting the training program, patients will learn key Pilates elements, including diaphragmatic breathing, neutral position, rib cage placement, shoulder placement, and head and neck placement. The exercise program includes Pilates-based mat exercises and Pilates-based theraband exercises, with patients placed in supine, prone, and kneeling positions to perform exercises for the affected shoulder. The patient will be placed in various positions for optimal results.
OTHERproprioceptive neuromuscular facilitation
Before starting the training program, patients will learn key Pilates elements, including diaphragmatic breathing, neutral position, rib cage placement, shoulder placement, and head and neck placement. The exercise program includes Pilates-based mat exercises and Pilates-based theraband exercises, with patients placed in supine, prone, and kneeling positions to perform exercises for the affected shoulder. The patient will be placed in various positions for optimal results.
OTHERThe conventional program
Each patient was in the supine position and will receive stretching exercise for the flexors and adductors, and strengthening for the extensors, abductors and scapular stabilizers of the affected shoulder
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
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
Exclusion criteria
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of the change of shoulder range of motion using Software/Smartphone-based Goniometer | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Composite assessment of pain and disability using Shoulder pain and disability index | at baseline and 3 months | It i used to determine the shoulder pain and disability. It comprises of 13 items: a 5-item subscale to evaluate the pain and an 8-item subscale to evaluate the disability. The total score is determined by averaging the pain and disability subscale scores. It exhibits great construct validity, associating admirably with other district explicit shoulder questionnaires |
Countries
Egypt
Outcome results
None listed