Dysfunction, Kinetic Control, Mastectomy, Shoulder
Conditions
Brief summary
The purpose of this study is to evaluate the effect of kinetic control exercises on shoulder dysfunction in post-mastectomy.
Detailed description
This study holds significant importance for clinical practice, patient care, and research. * Clinical Practice: It provides a potential framework for physical therapists to design targeted and effective interventions for shoulder dysfunction in post-mastectomy patients. * Patient Care: Improved rehabilitation outcomes can enhance patients' physical functionality, independence, and overall quality of life, addressing a critical gap in post-operative recovery. * Research Advancement: By contributing to the limited body of literature on kinetic control in this context, the study can stimulate further research and innovation in rehabilitative care for breast cancer survivors.
Interventions
Kinetic Control exercises consist of 45-minute sessions, with 3 sessions per week for 8 weeks. The framework for testing and rehabilitation includes initial assessment, rehabilitation before failure, and retesting the same position. Biofeedback measures scapular retraction, and biofeedback pressure training assesses and improves scapular stabilizer control by monitoring pressure changes during specific movements.
OTHERtraditional treatment
traditional therapy inform of stretching and strengthening exercise as shoulder roll, arm circle, wall climb, back climb and hand behind neck. Patients will receive 3 sessions per week for 8 weeks, the time of session is 45 - 60 min according to patient ability
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
The subject selection will be according to the following criteria: * Age from 40 to 50 years. * All patients have no diabetes or blood problems. * All patients enrolled to the study will have their informed consent.
Exclusion criteria
The potential participants will be excluded if they meet one of the following criteria: * Age less than 40 or more 50 years. * Diabetes mellitus. * Subjects with lymphedema * 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 change of range of motion | at baseline and after 8 weeks | Patients will be seated with their affected limb relaxed, and their goniometer will measure their resting position and active range. They will measure shoulder abduction and flexion, which are rarely affected by day-to-day activities, and external shoulder rotation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of ability to maintain controlled shoulder movements while stabilizing the scapular and shoulder | at baseline and after 8 weeks | it is a series of tests to assess kinetic control, including shoulder flexion, scapular retraction, and isometric holds. The tests focus on maintaining consistent pressure, detecting compensatory patterns, and evaluating fatigue. The tests also include a scapular stabilization test and a shoulder flexion stability test, which measure muscle activation patterns and stability. |
Countries
Egypt
Contacts
Primary ContactAlaa Tarek Mostafa Elnawawy, physical therapist
Outcome results
None listed