Muscle Energy Technique and Mulligan's Mobilization in Breast Cancer Surgery Patients

NCT05911867 | Unknown DMC

• 1 other identifier: F.P.T2207005
• Study Type: interventional
• Target: 108
• Locations: 1 country
• Sites: 1

Brief Summary

A recent study aimed to examine the combined effect of Mulligan and muscle energy techniques on postural changes and shoulder kinematics among women who had undergone breast cancer surgery with axillary dissection.

Conditions

Mobility Limitation; Muscle Relaxation; Kinematics; Postural; Defect; Breast Cancer

Outcome Measures

Primary Outcomes (1)

• digital inclinometer

  ). This tool is recognized as valid and reliable for this purpose and requires the patient to move their affected shoulder in various directions while keeping their feet fixed in place

  6 weeks

Secondary Outcomes (1)

• Postural Assessment Software (PAS/SAPO)

  6 weeks

Other Outcomes (1)

• Quick DASH scale

  6 weeks

Study Arms (3)

combination of mobilization with movement and muscle energy techniques

EXPERIMENTAL

Mulligan technique (MWM) involves the therapist using a belt around the humeral head to guide appropriate gliding while the patient moves their shoulder actively through the range. The therapist applies pressure to the scapula in a counter direction. Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal Glides (SNAG), involves the therapist standing behind the patient and applying force to the spinous process of each vertebra using a thumb-over-thumb technique. The examiner passively abducts the arm in the horizontal plane until the first barrier to motion by applying pressure to the distal humerus. This passive stretch will be held for three seconds.

Other: combination of mobilization with movement and muscle energy techniques

mobilization with movement

ACTIVE COMPARATOR

Regarding the shoulder joint, the Mulligan technique (MWM) involves the therapist using a belt around the humeral head to guide appropriate gliding while the patient moves their shoulder actively through the range. The therapist applies pressure to the scapula in a counter direction. This technique is usually performed for five sets of five repetitions with one minute of rest between sets in a sitting position. Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal Glides (SNAG), involves the therapist standing behind the patient and applying force to the spinous process of each vertebra using a thumb-over-thumb technique. The patient actively performs repeated flexion or extension of their neck, returning back to the neutral position.

Other: mobilization with movement

muscle energy techniques

ACTIVE COMPARATOR

The examiner passively abduct the arm in the horizontal plane until the first barrier to motion by applying pressure to the distal humerus. This passive stretch will be held for three seconds. The examiner then instruct the participant to attempt to horizontally adduct the test arm at 25% of their maximal effort while the examiner applies manual resistance at the distal humerus to create an isometric contraction lasting five seconds. The participant then actively abduct the arm in the horizontal plane for a three-second active-assisted stretch.

Other: muscle energy techniques Interventions:

Interventions

combination of mobilization with movement and muscle energy techniques OTHER

The examiner passively abducts the arm in the horizontal plane until the first barrier to motion by applying pressure to the distal humerus. The participant then actively abduct the arm in the horizontal plane for a three-second active-assisted stretch. Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal Glides (SNAG), involves the therapist standing behind the patient and applying force to the spinous process of each vertebra using a thumb-over-thumb technique. The patient actively performs repeated flexion or extension of their neck, returning back to the neutral position. The passive gliding is maintained in the anterosuperior direction along the facet joint line while flexing or extending the neck throughout the range.

Also known as: MWM

combination of mobilization with movement and muscle energy techniques

muscle energy techniques Interventions: OTHER

The examiner passively abduct the arm in the horizontal plane until the first barrier to motion by applying pressure to the distal humerus. This passive stretch will be held for three seconds. The examiner then instruct the participant to attempt to horizontally adduct the test arm at 25% of their maximal effort while the examiner applied manual resistance at the distal humerus to create an isometric contraction lasting five seconds. The participant then actively abduct the arm in the horizontal plane for a three-second active-assisted stretch.

Also known as: MET

muscle energy techniques

mobilization with movement OTHER

Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal Glides (SNAG), involves the therapist standing behind the patient and applying force to the spinous process of each vertebra using a thumb-over-thumb technique. The patient actively performs repeated flexion or extension of their neck, returning back to the neutral position. The passive gliding is maintained in the anterosuperior direction along the facet joint line while flexing or extending the neck throughout the range.

mobilization with movement

Eligibility Criteria

• Age: 50 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• female
• between 50 and 65 years
• limited shoulder range of motion

You may not qualify if:

• having metastases
• lymphedema
• traumatic or musculoskeletal disorders affecting the arm
• not taking anticoagulants
• not having undergone bilateral breast cancer surgery
• not having a locoregional recurrence
• not having vascular disorders in the affected arm

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Hany Mohamed Elgohary

Cairo, 11432, Egypt

RECRUITING

Related Publications (1)

• Elgohary HM, Eladl HM, Soliman AH, Soliman ES. Effects of Ultrasound, Laser and Exercises on Temporomandibular Joint Pain and Trismus Following Head and Neck Cancer. Ann Rehabil Med. 2018 Dec;42(6):846-853. doi: 10.5535/arm.2018.42.6.846. Epub 2018 Dec 28.

  PMID: 30613078 BACKGROUND

MeSH Terms

Conditions

Mobility Limitation; Breast Neoplasms

Interventions

Movement

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Hany M Elgohary

  Delta University for Science and Technology, Gamasa, Coastal Road

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hany M Elgohary, Ph.D

CONTACT

00201093182291; hmielgohary@gmail.com

Alaa M Khedr

CONTACT

00201555001550; alaa.wageeh25@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: both participants and outcome assessors are blind for groups allocation and treatment modalities
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor Doctor

Model Details: controlled, single-blinded, and randomized clinical trial

Study Record Dates

• First Submitted: June 11, 2023
• First Posted: June 22, 2023
• Study Start: June 1, 2023
• Primary Completion: September 15, 2023
• Study Completion: September 30, 2023
• Last Updated: June 22, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)