Maitland Mobilization and Scapular Stabilization Shoulder Dysfunction

NCT06555913 | Completed

• 1 other identifier: 81893
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Sixty patients from both genders suffering from shoulder disability post unilateral NDS (modified radical, selective) will participate in this study. Their ages will be ranged from 30 to 50 years. They will be selected randomly from Damanhur Oncology center, El-Behira, Egypt. They will be randomly distributed into three equal groups (each group 20 patients).

Conditions

Head and Neck Cancer

Keywords

Maitland Mobilization; Scapular Stabilization; Shoulder Dysfunction; Neck Dissection Surgeries

Outcome Measures

Primary Outcomes (1)

• Digital Goniometer

  Digital goniometer is a device which measures joint ranges, together with velocity and acceleration variables, with a high level of precision and at a relatively low-cost, practically similar to current analogical tools. The digital goniometer is a device specifically designed for the measurement of angles of movement of the human body with a resolution of 1°, representing an ideal substitute to traditional goniometers, which are usually based on a scale of 5° increments

  2 months

Secondary Outcomes (1)

• Shoulder Pain and Disability Index

  2 months

Study Arms (3)

Maitland Mobilization and Scapular Stabilization

EXPERIMENTAL

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique and scapular stabilization exercises in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Other: Maitland Mobilization; Other: Scapular Stabilization; Other: Traditional Physical Therapy

Maitland Mobilization

EXPERIMENTAL

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Other: Maitland Mobilization; Other: Traditional Physical Therapy

Scapular Stabilization

EXPERIMENTAL

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received scapular stabilization exercises in addition to the traditional physical therapy program which include (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Other: Scapular Stabilization; Other: Traditional Physical Therapy

Interventions

Maitland Mobilization OTHER

MM applies a passive oscillatory technique, classified from Grade I-IV with respect to intensity, to the shoulder in order to treat pain and stiffness. Grade I refers to an intensity of small amplitude that is applied at the beginning of the joint ROM, where there is no loading on connective tissue; it is often used in cases of severe pain

Maitland Mobilization; Maitland Mobilization and Scapular Stabilization

Scapular Stabilization OTHER

Scapular stabilization exercises are thought to have an important role in improving pain and dysfunction in the shoulder. The concept that an unstable scapula is associated with pathology and dysfunction of the shoulder is well accepted. The predominant theory emphasizes that for optimal function of the glenohumeral joint, the scapula must provide a stable base upon which upper extremity tasks are completed. Impaired scapular stability increases the risk for pathologies such as impingement or rotator cuff tears

Maitland Mobilization and Scapular Stabilization; Scapular Stabilization

Traditional Physical Therapy OTHER

ROM exercises, stretching exercises and strengthening exercises for shoulder muscles

Maitland Mobilization; Maitland Mobilization and Scapular Stabilization; Scapular Stabilization

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients' age will be ranged between 30-50 years.
• Both genders will participate in this study.
• All patients suffering from shoulder pain and disability following unilateral modified radical NDS or selective NDS.
• All patients will begin the treatment program from 1 to 3 months after NDS.
• All patients will have limited ROM of shoulder flexion, abduction, external rotation.
• All patients enrolled to the study will have their informed consent.

You may not qualify if:

• Subjects with rotator cuff tears or other •shoulder ligament injuries.
• Adhesive capsulitis secondary to Diabetes mellitus or fractures.
• Recurrent shoulder dislocation.
• Recent fracture or surgery to the shoulder.
• Reflex sympathetic dystrophy.
• Neurological disorder.
• Epilepsy or any psychological disorders.
• The presence of residual local-regional cancer or distant metastases to other regions.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy

Giza, 12613, Egypt

Location

MeSH Terms

Conditions

Head and Neck Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms

Study Officials

• Research Ethical Committee Faculty of Physical Therapy

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Specialist of Physical Therapy - Hosh Essa Hospital - El-Behira.

Study Record Dates

• First Submitted: August 13, 2024
• First Posted: August 15, 2024
• Study Start: November 1, 2023
• Primary Completion: June 1, 2024
• Study Completion: July 1, 2024
• Last Updated: August 20, 2024

Record last verified: 2024-08

Locations

EG (1)