Intercostal Mulligan Moblization Post Mastectomy

NCT07181980 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005413
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

the study is to evaluate the therapeutic efficacy of intercostal mulligan Mobilization in decreasing pain and improve ROM for shoulder dysfunction Patients post mastectomy.

Conditions

Post Mastectomy Complications

Outcome Measures

Primary Outcomes (1)

• range of motion of shoulder abducation Universal goniometer.

  Universal goniometer: maximum pain free shoulder abduction was investigated in an upright position .Normal range of active movement of the shoulder 180 degree Were recorded at baseline and at the end of 8 weeks of treatment.

Secondary Outcomes (1)

• 1.4.a. Measuring shoulder function The Arabic version of DASH questionnaire

  The DASH was adapted into Arabic . contains 30 items , each item has five response choices that range from 1, ''without any difficulty or no symptoms exist'' to 5, ''.Were recorded at baseline and at the end of 8 weeks of treatment

Study Arms (2)

intercostal mulligan moblization

ACTIVE COMPARATOR

Other: Intercostal mulligan mobilization with shoulder abduction; Other: Exercise

control group

ACTIVE COMPARATOR

Other: Exercise

Interventions

Intercostal mulligan mobilization with shoulder abduction OTHER

Intercostal mulligan mobilization with shoulder abduction: is mulligain technique where the patient was Side lying with affected side up and the therapist Therapist placed ulnar side of his hand along the intercostal space of affected rib in oblique direction on the patient's wall of chest. Therapist's other hand hold the patient's elevated arm close to his abdomen 3sets 10 reptations * Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME . * Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. * Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise . * Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. * Scapular strengthening exercises : two sets of ten repetitions * The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

intercostal mulligan moblization

Exercise OTHER

1.3.b. Therapeutic Exercise: * Therapeutic exercise included: (prior to 3 month post mastectomy). * Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME . * Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. . * Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise . * Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. . * Scapular strengthening exercises : Strengthening exercises performed using weights were initiated with two sets of ten repetitions, beginning with a weight of 0.5kg and progressed to 0.75 and then 1 kg. * The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

control group; intercostal mulligan moblization

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients post modified radical mastectomy at least 3 months prior and had a limited ROM in abduction.
• Patients post mastectomy with lateral chest wall pain.
• Age ranges between 40-60 years.
• All patients had informed written consent

You may not qualify if:

• Receiving any previous rehabilitation programs for the upper extremities
• The presence of any type of metastases
• The presence of lymphedema
• Bilateral breast cancer surgery
• Locoregional recurrence
• Withdrawal of the consent at any time during the study for any reason

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cario U

Cairo, Egypt

Location

Related Publications (2)

• Salati SA, Alsulaim L, Alharbi MH, Alharbi NH, Alsenaid TM, Alaodah SA, Alsuhaibani AS, Albaqami KA. Postmastectomy Pain Syndrome: A Narrative Review. Cureus. 2023 Oct 20;15(10):e47384. doi: 10.7759/cureus.47384. eCollection 2023 Oct.

  PMID: 38021812 BACKGROUND

• Min J, Yeon S, Ryu J, Kim JY, Yang EJ, Il Kim S, Park S, Jeon JY. Shoulder function and health outcomes in newly diagnosed breast cancer patients receiving surgery: a prospective study. Clin Breast Cancer. 2023 Jun;23(4):e247-e258. doi: 10.1016/j.clbc.2023.03.001. Epub 2023 Mar 6.

  PMID: 36990840 BACKGROUND

MeSH Terms

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Aya M Submitted In Partial Fulfilment of The Requirements For Master, B.Sc. of physical therapy

  Cairo universty

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amany R lecturer of physical therapy Cairo university, PHD physical therapy

CONTACT

+201018965528; Amany.reffat.ar@cu.com

Wafaa H professor in physical therapy, PHD n physical therapy

CONTACT

+201223106426; Drwafaa501@gmail.com

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: Submitted In Partial Fulfilment of The Requirements For Master Degree In Department of Physical Therapy for surgery Cairo university

Study Record Dates

• First Submitted: August 26, 2025
• First Posted: September 19, 2025
• Study Start: September 16, 2025
• Primary Completion (Estimated): September 16, 2026
• Study Completion (Estimated): September 16, 2026
• Last Updated: September 19, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)