Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability

NCT06010381 | Completed

• 1 other identifier: P.T.REC/012/003370
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to investigate the effect of muscle energy technique versus Maitland's mobilization on shoulder pain and disability after neck dissection surgeries.

Conditions

Neck Cancer; Mobility Limitation; Pain Syndrome; Shoulder Pain; Surgery

Keywords

Muscle energy technique; Maitland's mobilization; shoulder pain and disability; neck dissection surgeries

Outcome Measures

Primary Outcomes (3)

• Visual analogue scale

  A Visual Analogue Scale (VAS) is one of the pain rating scales used for the first time in 1921 by Hayes and Patterson. It is often used in epidemiology and clinical research to measure the intensity or frequency of various symptoms. It has a 100-mm-long horizontal line labeled ''no pain' (with or without related facial expressions) at one extreme and ''worst pain ever' at the other. Pain intensity is determined by the length of the line as measured from the left-hand side to the point marked.

  Change from baseline at four weeks after the intervention

• Shoulder Pain and Disability Index

  It is a self-reported questionnaire consisting of 13 items divided in two parts: pain and disability sub-scale. The pain subscale includes five questions about pain intensity. The disability subscale includes eight questions about difficulty in different orders. Each question of both pain and disability subscale was scaled in numeric ratings ranging from 0 to 10. Each score was summed up and transformed into percentages. Finally, the average score between pain and disability subscale comprised the total SPADI scores ranging from 0 (the best) to 100 (the worst).

  Change from baseline at four weeks after the intervention

• Shoulder active range of motion

  Through using the universal goniometer to measure the shoulder flexion, abduction and, external rotation.

  Change from baseline at four weeks after the intervention

Study Arms (2)

Muscle energy technique

ACTIVE COMPARATOR

This group includes 15 patients who received muscle energy technique post-surgery in addition to traditional shoulder exercise, 3 sessions/week for four weeks.

Other: Muscle energy technique; Other: Traditional shoulder exercise

Maitland mobilization

ACTIVE COMPARATOR

This group includes 15 patients who received mobilization in addition to traditional shoulder exercise, 3 sessions/week for four weeks.

Other: Maitland mobilization; Other: Traditional shoulder exercise

Interventions

Muscle energy technique OTHER

It was applied on the shoulder flexion and the external rotation. An isometric contraction of the agonist muscle (the muscle which requires stretching) for 7 seconds with gentle muscle contraction to avoid the risk of increasing the muscle tone. This contraction started just short of the restrictive barrier. After that, the patient is asked to relax for 2-3 seconds and then the therapist stretches the contracted muscle in the opposite direction for 30 seconds. This is repeated three repetitions for each muscle.

Muscle energy technique

Maitland mobilization OTHER

At the start of each session, the physical therapist examined the patient's ROM in all directions to obtain information about the end-range position and the end feel of the glenohumeral joint. Start with rhythmic mid-range mobilization with the patient in a supine position. The therapist's hands are placed close to the glenohumeral joint, and the humerus is brought into a position of maximal flexion in the sagittal plane. After 10 to 15 repetitions of intensive mobilization techniques in this end-range position, the direction of mobilization will be altered by varying the plane of elevation or by varying the degree of rotation. When alternating the direction of mobilization, other movements such as gliding techniques and distraction in that joint position were (inferior gliding, anterior gliding, and posterior gliding).

Maitland mobilization

Traditional shoulder exercise OTHER

Traditional shoulder exercises in the form of shoulder range of motion exercises, stretching exercises and, scapular stabilization.

Maitland mobilization; Muscle energy technique

Eligibility Criteria

• Age: 25 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age range between 25-70 years.
• Male and female patients participated in the study.
• All patients had shoulder pain following different NDS
• All patients had no previous shoulder pain.
• All patients enrolled in the study had their informed consent.

You may not qualify if:

• Previous shoulder pain from any other causes.
• Pregnancy.
• Epileptics.
• Radiotherapy.
• Chemotherapy.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Shaimaa Mohamed Ahmed El Sayeh

Cairo, 02, Egypt

Location

MeSH Terms

Conditions

Head and Neck Neoplasms; Mobility Limitation; Somatoform Disorders; Shoulder Pain

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations

Study Officials

• Shaimaa MA El Sayeh, PhD

  Lecturer at Faculty of Physical Therapy, Cairo University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Physical Therapy

Model Details: Patients were subdivided into two groups, fifteen patients in each group. Group A received the muscle energy technique and group B received Maitland's mobilization.

Study Record Dates

• First Submitted: August 21, 2023
• First Posted: August 24, 2023
• Study Start: November 1, 2021
• Primary Completion: August 30, 2023
• Study Completion: September 13, 2023
• Last Updated: April 17, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)