Post Mastectomy Complications
Conditions
Brief summary
the study is to evaluate the therapeutic efficacy of intercostal mulligan Mobilization in decreasing pain and improve ROM for shoulder dysfunction Patients post mastectomy.
Interventions
OTHERIntercostal mulligan mobilization with shoulder abduction
Intercostal mulligan mobilization with shoulder abduction: is mulligain technique where the patient was Side lying with affected side up and the therapist Therapist placed ulnar side of his hand along the intercostal space of affected rib in oblique direction on the patient's wall of chest. Therapist's other hand hold the patient's elevated arm close to his abdomen 3sets 10 reptations * Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME . * Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. * Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise . * Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. * Scapular strengthening exercises : two sets of ten repetitions * The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week
OTHERExercise
1.3.b. Therapeutic Exercise: * Therapeutic exercise included: (prior to 3 month post mastectomy). * Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME . * Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. . * Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise . * Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. . * Scapular strengthening exercises : Strengthening exercises performed using weights were initiated with two sets of ten repetitions, beginning with a weight of 0.5kg and progressed to 0.75 and then 1 kg. * The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients post modified radical mastectomy at least 3 months prior and had a limited ROM in abduction. * Patients post mastectomy with lateral chest wall pain. * Age ranges between 40-60 years. * All patients had informed written consent
Exclusion criteria
* Receiving any previous rehabilitation programs for the upper extremities * The presence of any type of metastases * The presence of lymphedema * Bilateral breast cancer surgery * Locoregional recurrence * Withdrawal of the consent at any time during the study for any reason
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| range of motion of shoulder abducation Universal goniometer. | Universal goniometer: maximum pain free shoulder abduction was investigated in an upright position .Normal range of active movement of the shoulder 180 degree Were recorded at baseline and at the end of 8 weeks of treatment. |
Secondary
| Measure | Time frame |
|---|---|
| 1.4.a. Measuring shoulder function The Arabic version of DASH questionnaire | The DASH was adapted into Arabic . contains 30 items , each item has five response choices that range from 1, ''without any difficulty or no symptoms exist'' to 5, ''.Were recorded at baseline and at the end of 8 weeks of treatment |
Countries
Egypt
Contacts
Primary ContactAmany R lecturer of physical therapy Cairo university, PHD physical therapy
Backup ContactWafaa H professor in physical therapy, PHD n physical therapy
Outcome results
None listed