Impact of Scapular Mobilization And Strengthening Exercises on Shoulder Function Post Mastectomy

NCT05529680 | Completed

• 1 other identifier: P.T.REC/012/003464
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The most common complications following mastectomy are pain, lymphedema of the upper limb ipsilateral to surgery, decreased range of motion (ROM), limited to 90° of flexion, abduction, and external rotation to 40° of the shoulder, and postural changes. It was reported that 60% of breast cancer patients show a reduction in shoulder flexion and abduction at 1-month post-surgery and 10% of survivors show a persistent ROM reduction at 12 months. So, The purpose of the study was to evaluate the therapeutic impact of scapular mobilization and strengthening exercises on shoulder function post-mastectomy.

Conditions

Oncologic Complications; Exercise Therapy; Shoulder Pain; Shoulder Syndrome

Keywords

Scapular mobilization; Scapular strengthening exercises; Mastectomy; Shoulder function

Outcome Measures

Primary Outcomes (2)

• Changes in Inclinometer reading before and after the treatment.

  for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation

  Baseline and four weeks after the intervention

• Changes in Shoulder Pain and Disability Index (SPADI) before and after the treatment.

  for measurement of shoulder disability

  Baseline and four weeks after the intervention

Study Arms (2)

Scapular mobilization and strengthening exercise

EXPERIMENTAL

Group A (study group): This group included 20 patients with shoulder dysfunction post-mastectomy who received scapular mobilization and strengthening exercise in addition to their conventional physical therapy program in form of joint mobilization, posterior capsule stretching and range of motion exercise (ROM).

Other: Scapular mobilization and Scapular strengthening exercises; Other: Conventional physical therapy program

Conventional physical therapy program

ACTIVE COMPARATOR

This group included 20 patients with shoulder dysfunction who received conventional physical therapy programs in form of joint mobilization, posterior capsule stretching, and range of motion exercise (ROM).

Other: Conventional physical therapy program

Interventions

Scapular mobilization and Scapular strengthening exercises OTHER

The intervention was applied for four weeks, 3 sessions/week. and the Shoulder Pain and Disability Index (SPADI): for measurement of shoulder disability and the Inclinometer: for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation were used for shoulder assessment before and after the intervention for both groups.

Scapular mobilization and strengthening exercise

Conventional physical therapy program OTHER

The intervention was applied for four weeks, 3 sessions/week. and the Shoulder Pain and Disability Index (SPADI): for measurement of shoulder disability and the Inclinometer: for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation were used for shoulder assessment before and after the intervention for both groups.

Conventional physical therapy program; Scapular mobilization and strengthening exercise

Eligibility Criteria

• Age: 40 Years - 55 Years
• Gender Eligibility Details: female patients
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Female patients with ages ranging from 40-55 years.
• All patients had shoulder dysfunction post-mastectomy (20° ≥ ROM limitation compared to the sound shoulder).
• Patients were 3 months to 6 months post-mastectomy.
• All enrolled patients signed the informed consent.

You may not qualify if:

• Disease such as rheumatoid arthritis.
• History of trauma or accidental injuries.
• Neurological involvement (stroke, Parkinsonism).
• History of surgery on the involved shoulder.
• Diabetic patient.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Shaimaa Mohamed Ahmed Elsayeh

Cairo, New Cairo, 02, Egypt

Location

MeSH Terms

Conditions

Shoulder Pain

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Shaimaa Elsayeh, PhD

  Cairo University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: the patients were randomly assigned into two equal groups (20 patients for each group) by using the closed envelope method.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of physical therapy

Model Details: Forty patients suffering from post-mastectomy shoulder dysfunction were randomly assigned into two equal groups each one has 20 patients. Group A (study group): Who received scapular mobilization and strengthening exercises in addition to their conventional physical therapy program. Group B (control group): Who received a conventional physical therapy program in form of joint mobilization, posterior capsule stretching, and range of motion exercise.

Study Record Dates

• First Submitted: September 2, 2022
• First Posted: September 7, 2022
• Study Start: January 1, 2022
• Primary Completion: June 28, 2022
• Study Completion: July 20, 2022
• Last Updated: September 7, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)