Pilates Exercise Versus Proprioceptive Neuromuscular Facilitation in Shoulder Dysfunction Post Mastectomy

NCT06652282 | Completed

• 1 other identifier: Ahmed-005293
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study was done to evaluate the therapeutic efficacy of Pilates versus PNF in treatment of shoulder dysfunction and limitation of range of motion after mastectomy

Conditions

Pilates; Proprioceptive Neuromuscular Fascilitation; Shoulder Dysfunction; Mastectomy

Outcome Measures

Primary Outcomes (1)

• assessment of the change of shoulder range of motion using Software/Smartphone-based Goniometer

  Smartphones can be used as digital goniometers, offering benefits like convenience, ease of measurement, application-based tracking, and one-hand use. These applications use accelerometers to calculate joint angles. Patients with muscle issues, such as abduction and flexion, may experience reduced range of movement due to muscle bulk loss and bony leverage. However, these patients can compensate with the opposite arm, reducing the impact on daily activities.

  at baseline and 3 months

Secondary Outcomes (1)

• Composite assessment of pain and disability using Shoulder pain and disability index

  at baseline and 3 months

Study Arms (3)

Pilates exercise

EXPERIMENTAL

This group includes 20 patients who had mastectomy and will recieve Pilates exercise in addition to conventional physical therapy program (stretching exercises and strengthening exercises), and routine medical treatment. Patients will receive 3 sessions per week for 12 weeks, time of session is 45 - 60 min according to patient ability

Other: Pilates exercises

proprioceptive neuromuscular facilitation (PNF)

ACTIVE COMPARATOR

This group includes 20 patients who had mastectomy and will receive PNF exercise in addition to conventional physical therapy program (stretching exercises and strengthening exercises) and routine medical treatment. Patients will receive 3 sessions per week for 12 weeks, time of session is 45 - 60 min according to patient ability

Other: proprioceptive neuromuscular facilitation

Conventional exercise

ACTIVE COMPARATOR

This group includes 20 patients who had mastectomy and will receive conventional physical therapy program (stretching exercises and strengthening exercises) and routine medical treatment. Patients will receive 3 sessions per week for 12 weeks, time of session is 45 - 60 min according to patient ability

Other: The conventional program

Interventions

Pilates exercises OTHER

Before starting the training program, patients will learn key Pilates elements, including diaphragmatic breathing, neutral position, rib cage placement, shoulder placement, and head and neck placement. The exercise program includes Pilates-based mat exercises and Pilates-based theraband exercises, with patients placed in supine, prone, and kneeling positions to perform exercises for the affected shoulder. The patient will be placed in various positions for optimal results.

Pilates exercise

proprioceptive neuromuscular facilitation OTHER

Before starting the training program, patients will learn key Pilates elements, including diaphragmatic breathing, neutral position, rib cage placement, shoulder placement, and head and neck placement. The exercise program includes Pilates-based mat exercises and Pilates-based theraband exercises, with patients placed in supine, prone, and kneeling positions to perform exercises for the affected shoulder. The patient will be placed in various positions for optimal results.

proprioceptive neuromuscular facilitation (PNF)

The conventional program OTHER

Each patient was in the supine position and will receive stretching exercise for the flexors and adductors, and strengthening for the extensors, abductors and scapular stabilizers of the affected shoulder

Conventional exercise

Eligibility Criteria

• Age: 40 Years - 75 Years
• Gender Eligibility Details: All females who have no diabetes or blood problems.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age range between 40-75 years.
• Only females will participate in the study.
• All patients have no diabetes or blood problems.
• All patients enrolled to the study will have their informed consent

You may not qualify if:

• Age less than 40 or more than 75 years.
• Diabetes mellitus.
• Subjects suffering from active malignant tumors.
• Subjects treated with skin graft.
• Subjects with Mental illness.
• Subjects with skin diseases
• Subjects with any previous cause for shoulder dysfunction

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

out-patient clinic, faculty of physical therapy, Cairo university

Giza, Egypt

Location

MeSH Terms

Interventions

Exercise Movement Techniques; Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics; Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: October 20, 2024
• First Posted: October 22, 2024
• Study Start: November 1, 2023
• Primary Completion: March 1, 2024
• Study Completion: August 1, 2024
• Last Updated: October 22, 2024

Record last verified: 2024-10

Locations

EG (1)