Sensorimotor Training Exercises for Shoulder Position Sense

NCT07316283 | Completed

• 1 other identifier: 25698547123654
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Forty-six female patients aged 35-55 years who were suffering from shoulder dysfunction following mastectomy surgeries participated in this study. The participants were recruited from the outpatient clinic of the Faculty of Physical Therapy, Cairo University, and were randomly assigned into two equal groups. Group A: consisted of 23 patients who received sensorimotor training exercises in addition to a traditional physical therapy program which included shoulder range of motion exercises, capsular stretching exercises, scapular muscle strengthening exercises, shoulder Maitland mobilization, and scapular mobilization. Group B: consisted of 23 patients who received only the traditional physical therapy program, which included shoulder range of motion exercises, capsular stretching exercises, scapular muscle strengthening exercises, shoulder Maitland mobilization, and scapular mobilization. Both groups received treatment three sessions per week for a duration of eight weeks.

Conditions

Post Mastectomy

Keywords

Sensorimotor training exercises; Shoulder position sense; Post mastectomy

Outcome Measures

Primary Outcomes (1)

• ShoulderJoint Position Sense

  A digital inclinometer was used as a validated and reliable tool to assess joint position sense (JPS). It measured the participants' ability to accurately reproduce specific joint angles, providing objective data on proprioceptive accuracy.

  8 weeks

Study Arms (2)

Sensorimotor Training Exercises Plus Traditional Physical Therapy Program.

EXPERIMENTAL

Sensorimotor training exercises in addition to the traditional physical therapy program (shoulder ROM exercises, capsular stretching exercises, scapular muscle strengthening exercises, and scapular mobilization) were applied three sessions per week for eight weeks. Patients tracked a diagram fixed on the wall using a laser pointer, threw and caught a medicine ball, performed upper-limb weight-bearing exercises on a Swiss ball, and executed wall exercises using a ball. The exercises were performed in three sets of ten repetitions, with one minute of rest between sets, three times per week for eight weeks. Traditional physical therapy program included scapular retraction exercises with moderate resistance from standing, shoulder ROM exercises using a shoulder wheel and ladder in flexion and abduction, scapular mobilization from sitting, shoulder Maitland mobilization (inferior, anterior, and posterior glides), and posterior capsule stretching from sitting with two sets of 15 repetitions

Behavioral: Sensorimotor Training Exercises; Behavioral: Traditional Physical Therapy Program

Traditional Physical Therapy Program

EXPERIMENTAL

Traditional physical therapy program 3 sessions per week for 8 weeks included scapular retraction exercises with moderate resistance from standing, shoulder ROM ex on shoulder wheel and ladder in flexion and abduction, scapular mobilization from sitting, shoulder Mitland mobilization as inferior glide, anterior glide and posterior glide, and posterior capsule stretching from sitting with approximately two sets of 15 repetitions.

Behavioral: Traditional Physical Therapy Program

Interventions

Traditional Physical Therapy Program BEHAVIORAL

The traditional physical therapy program consisted of scapular retraction exercises with moderate resistance from standing, shoulder range of motion exercises using a shoulder wheel and ladder in flexion and abduction, scapular mobilization from a seated position, shoulder Maitland mobilization including inferior, anterior, and posterior glides, and posterior capsule stretching from a seated position, performed in approximately two sets of fifteen repetitions.

Sensorimotor Training Exercises Plus Traditional Physical Therapy Program.; Traditional Physical Therapy Program

Sensorimotor Training Exercises BEHAVIORAL

Sensorimotor training exercises, in addition to the traditional physical therapy program which included shoulder ROM exercises, capsular stretching exercises, scapular muscle strengthening exercises, and scapular mobilization were applied three sessions per week for eight weeks. Patients tracked a diagram fixed on the wall using a laser pointer, threw and caught a medicine ball, performed upper-limb weight-bearing exercises on a Swiss ball, and executed wall exercises using a ball. Each exercise was performed in three sets of ten repetitions, with one minute of rest between sets. The traditional physical therapy program also included scapular retraction exercises with moderate resistance from standing, shoulder ROM exercises using a shoulder wheel and ladder in flexion and abduction, scapular mobilization from sitting, shoulder Maitland mobilization (inferior, anterior, and posterior glides), and posterior capsule stretching from sitting with two sets of fifteen repetitions.

Sensorimotor Training Exercises Plus Traditional Physical Therapy Program.

Eligibility Criteria

• Age: 35 Years - 55 Years
• Gender Eligibility Details: female patients
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Female patients
• Aged between 35 and 55 years
• Underwent unilateral mastectomy
• Underwent wide local excision
• Underwent axillary dissection
• Presence of shoulder joint dysfunction
• Conscious and able to communicate orally or in writing
• No obvious abnormal spinal morphology or postural abnormalities visible to the naked eye

You may not qualify if:

• History of fracture or upper limb surgery within the last 3 months
• History of previous shoulder dislocation or chronic shoulder instability
• Uncontrolled diabetes mellitus
• Inability to communicate effectively or write
• Presence of cognitive, visual, or hearing impairments
• Neurological conditions affecting the upper extremity
• Moderate to severe upper limb lymphedema
• Prior permanent shoulder injury before mastectomy
• Poor physical conditioning or acute pain due to any cause or comorbidity
• Participation in another clinical trial or study that could interfere with the results

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy

Giza, 12613, Egypt

Location

Study Officials

• Huda Tarek Abuassi

  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: Demonstrator at Department of Surgery and Burn - Faculty of Physical Therapy - Cairo University

Study Record Dates

• First Submitted: December 17, 2025
• First Posted: January 5, 2026
• Study Start: September 16, 2025
• Primary Completion: November 16, 2025
• Study Completion: December 16, 2025
• Last Updated: January 5, 2026

Record last verified: 2025-12

Locations

EG (1)