Accessory Joint and Neural Mobilizations in Shoulder After Breast Cancer Surgery. Randomized Clinical Trial.

NCT02366793 | Completed

• 1 other identifier: UAlcala
• Study Type: interventional
• Target: 18
• Locations: 0 countries
• Sites: N/A

Brief Summary

The potential consequences after breast cancer surgery are joint pain and sensitive disorders, the main sign of which is alterations in shoulder mobility. Global kinesitherapy has been shown to be effective at increasing shoulder range of motion restriction. However, literature does not consider specific manual therapy techniques, which means peripheral nerves and articular capsule have not been taken into account. These two tissues are potentially damaged structures during surgery and they are main responsible for shoulder range of motion restriction The main objective of this study is to pilot the effectiveness of accessory joint and nerve mobilization techniques in order to get an overview of the articular capsule and nerve dysfunctions involvement in shoulder motion restriction.

Conditions

Breast Cancer

Keywords

accessory mobilization, nerve mobilization.

Outcome Measures

Primary Outcomes (1)

• Shoulder Range of motion

  Shoulder movements measured: flexion, extension, abduction, external e internal rotation. Measure instrument: inclinometer. Unit of measure: degrees. Number of participants: 18.

  15 min

Secondary Outcomes (2)

• Pain

  5 min

• Upper limb functionality

  10 min

Study Arms (2)

Accessory joint mobilization

EXPERIMENTAL

Humeral head slides, anterior, posterior and caudal slides.

Other: Accessory joint mobilization

Nerve mobilization

EXPERIMENTAL

neural tissue longitudinal slide using the median neurodynamic test 1 (Butler).

Other: Nerve mobilization

Interventions

Accessory joint mobilization OTHER

Three kinds of humeral head slides: anterior, posterior and caudal slides. Subjects remained in supine position during the whole treatment. The techniques were applied in a rhythmical way, with 2 seconds of slide/traction and then a 2-second break. Each technique was carried out for 2 minutes.

Accessory joint mobilization

Nerve mobilization OTHER

Neural tissue longitudinal slide using the median neurodynamic test 1 (MNT1) that was described by Butler. The proximal parameters (scapular depression, abduction and humeral external rotation) were introduced with maximum neural tension. On the other hand, the distal parameters (supination, elbow extension, wrist and fingers extension) received the remaining tension that the neural tissue allowed. The parameters were introduced sequentially in the order exposed

Nerve mobilization

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• unilateral breast cancer diagnosis
• breast cancer with axillary lymph node dissection
• be willing to sign the informed consent form

You may not qualify if:

• bilateral breast cancer diagnosis
• loco-regional recurrence
• systemic disease
• had not undergone the axillary lymph node dissection approach
• to present any contraindication for Physical Therapy.

Sponsors & Collaborators

• University of Alcala: lead

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• MARÍA TORRES-LACOMBA, DOCTOR

  SUPERVISOR

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Irene de la Rosa Díaz

Study Record Dates

• First Submitted: January 17, 2015
• First Posted: February 19, 2015
• Study Start: September 1, 2013
• Primary Completion: June 1, 2014
• Study Completion: June 1, 2014
• Last Updated: September 16, 2015

Record last verified: 2015-09