Pre-Surgery Rehab for a Child With Humeral Head and Shaft Deformity: A Case Report

NCT07283302 | Completed DMC

• 1 other identifier: P.T.REC/012/006101
• Study Type: interventional
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this observational study (single-patient case report) is to learn whether a structured pre-operative physical therapy rehabilitation program can improve shoulder function, reduce pain, and improve quality of life in an 11-year-old girl with humeral head and shaft deformity (post-inflammatory changes). The main questions it aims to answer are: Does shoulder range of motion and muscle strength improve after the program? Does pain and functional ability (including posture) improve after the program? Participants will: Attend 12 sessions over October-November 2025 (2 sessions/week) at the Faculty of Physical Therapy, Cairo University Receive a standardized session program that may include: TENS, low-level laser therapy, manual therapy (Spencer technique), phonophoresis PNF stretching and progressive exercises, plus scapular taping Complete evaluations at baseline, mid-program, and after the program, including goniometry (ROM), manual muscle testing, pain scale (VAS), postural assessment, and a functional ability checklist

Conditions

Osteomyelitis Chronic; Bone Defects

Keywords

Pre-operative rehabilitation; Humeral head deformity; Upper limb deformity; Pre-operative rehabilitation (prehabilitation)

Outcome Measures

Primary Outcomes (3)

• Range of Motion

  Shoulder range of motion will be assessed using a standard universal goniometer to quantify the motion of the affected upper limb.

  4 weeks

• Manual Muscle Testing

  Upper-limb and shoulder muscle strength will be assessed using standardized Manual Muscle Testing procedures. Key muscle groups around the shoulder and scapula (e.g., shoulder flexors, abductors, internal/external rotators, and scapular stabilizers)

  4 weeks

• Functional Ability

  Functional status of the affected upper limb will be assessed using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. The patient (with caregiver assistance as needed) will rate the difficulty of performing common daily activities and the impact of symptoms such as pain on function. Responses are summed and converted to a 0-100 score, where higher scores indicate greater disability.

  4 weeks

Secondary Outcomes (1)

• Pain intensity

  4 weeks

Study Arms (1)

interventional

EXPERIMENTAL

This single-arm case report includes a structured pre-operative physical therapy rehabilitation program for a pediatric patient with humeral head and shaft deformity. The intervention consists of supervised sessions incorporating pain-modulation modalities (as clinically indicated), manual therapy to improve shoulder mobility, therapeutic exercises for flexibility, strengthening, and neuromuscular control, and scapular stabilization/positioning strategies (including taping as needed). Treatment is progressed based on tolerance and clinical response, with the goal of improving pre-operative shoulder pain, range of motion, strength, posture, and functional use of the upper limb.

Device: Transcutaneous Electrical Nerve Stimulation; Device: Low-Level Laser Therapy; Other: Manual Therapy; Other: Phonophoresis; Other: PNF stretching; Other: kinesio taping

Interventions

Transcutaneous Electrical Nerve Stimulation DEVICE

a method of pain relief that uses a device to send low-voltage electrical impulses through electrodes placed on the skin

interventional

Low-Level Laser Therapy DEVICE

a non-invasive medical treatment that uses low-level lasers or light-emitting diodes (LEDs) to stimulate cell function and accelerate the body's natural healing process

interventional

Manual Therapy OTHER

a hands-on treatment approach

interventional

Phonophoresis OTHER

a medical procedure that uses therapeutic ultrasound to deliver topical medications through the skin and into deeper tissues

Also known as: Ultrasound

interventional

PNF stretching OTHER

is an advanced technique that combines muscle contraction and relaxation to increase flexibility and range of motion

interventional

kinesio taping OTHER

Kinesio tape will be applied to the shoulder and scapular region to support improved alignment and scapular control during movement.

interventional

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Not applicable (case report; single patient case).

You may not qualify if:

• \- Not applicable (case report; single patient case).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Out patinets clinics, Faculty of Physical Therapy Cairo University

Giza, 11432, Egypt

Location

MeSH Terms

Interventions

Transcutaneous Electric Nerve Stimulation; Low-Level Light Therapy; Musculoskeletal Manipulations; Phonophoresis; High-Energy Shock Waves; Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Electric Stimulation Therapy; Therapeutics; Physical Therapy Modalities; Rehabilitation; Analgesia; Anesthesia and Analgesia; Laser Therapy; Phototherapy; Complementary Therapies; Drug Administration Routes; Drug Therapy; Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena; Exercise Therapy; 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: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Study Record Dates

• First Submitted: December 2, 2025
• First Posted: December 15, 2025
• Study Start: October 1, 2025
• Primary Completion: November 1, 2025
• Study Completion: November 1, 2025
• Last Updated: December 15, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)