Post Mastectomy, Postmastectomy Pain
Conditions
Keywords
Isometric Exercises, Range of Motion Exercises, Pain, Mobility, Functional Independence, Post-mastectomy
Brief summary
The aim of study was to investigate the comparative effectiveness of Isometrics versus Range of Motion (ROM) Exercises on Pain, Mobility and Functional Independence post-mastectomy. A randomized clinical trial was conducted, in which 30 participants were randomly assigned to 2 parallel groups. One group received Isometric Exercises, while the other received Range of Motion Exercises. Outcome measures included pain, range of motion and functional independence. Treatments were administered 3 times per week with 2 sets of each exercise with 5-7 repetitions per day for a duration of eight weeks.
Interventions
PROCEDUREIsometrics Exercise
Shoulder Squeeze: The therapist instructed the patient to lift their arms to shoulder height while keeping the elbows bent, then move the arms backward until the shoulder blades come together. Arm Lift to Front and Side: The therapist instructed the patient to raise their arm forward and upward while applying gentle resistance for 2-3 seconds to facilitate front arm elevation. Then, the patient was guided to lift the arm sideways, with slight resistance applied for 2-3 seconds to assist in side-arm elevation.
PROCEDURERange of Motion Exercises
Wall Climb for Flexion: The therapist instructed the patient to move their fingers upward along the wall until they reach their limit, then repeat the movement. Arm across Chest for Adduction and Internal Rotation: The therapist instructed the patient to move the affected arm toward the unaffected arm and shoulder. Wand Exercise for Flexion and Abduction: The patient was instructed to hold a wand with both hands and move it forward and sideways toward the affected side
Sponsors
University of Faisalabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Women between the ages of 45 and 65 * Underwent a one-sided mastectomy * No history of shoulder injuries * Able to understand instructions and provide informed consent
Exclusion criteria
* Experiencing severe pain * Diagnosed with advanced lymph edema * Physically unable to engage in exercises * Medically unstable
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain | Eight Weeks | Numeric Pain Rating Scale (NPRS) with decreasing values indicates improved patient condition and reduced pain intensity. |
| Shoulder ROM | Eight Weeks | Goniometer with increasing ROM indicates improved patient condition and joint movements. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Functional Independence | Eight Weeks | Upper Extremity Functional Scale determines the level of function of participant where higher score indicates improved upper extremity function and reduced functional impairment. |
Countries
Pakistan
Outcome results
None listed