Scapular Mobilization and Proprioceptive Neuromuscular Facilitation on Shoulder Dysfunction After Latissimus Dorsi Flap Breast Reconstruction

NCT07547982 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006110
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of scapular mobilization and scapular Proprioceptive neuromuscular facilitation on shoulder dysfunction after latissimus dorsi flap breast reconstruction

Conditions

Post Mastectomy

Keywords

Scapular Mobilization; Proprioceptive Neuromuscular Facilitation; Latissimus Dorsi Flap Breast Reconstruction

Outcome Measures

Primary Outcomes (2)

• pain intensity

  The Visual analogue Scale (VAS) will be used for the measurement of pain. It consists of a line usually 100 mm in length, with anchor descriptors such as (in the pain context) "no pain" and "worst pain imaginable"

  up to eight weeks

• shoulder and arm disability

  Disability of the arm, shoulder and hand questionnaire will be used to assess shoulder and arm disability. This system gives a percentage disability score of upper limbs where 0 indicates no disability and 100 indicates complete disability. The DASH questionnaire consists of 30 questions assessing the impact of upper limb disability (if any) on activities of daily living. There are also optional sections within the questionnaire examining the effect of their limb function at the work place during sports or when playing musical instruments

  up to eight weeks

Secondary Outcomes (3)

• shoulder range of motion

  up to eight weeks

• scapular upward rotation

  up to eight weeks

• scapular downward rotation

  up to eight weeks

Study Arms (2)

scapular mobilization and scapular proprioceptive neuromuscular facilitation exercises

EXPERIMENTAL

eighteen female patients suffering from shoulder dysfunction after latissimus dorsi flap breast reconstruction. They received scapular mobilization and scapular PNF three session per week for 8 weeks in addition to the traditional physical therapy program.

Other: scapular mobilization and scapular proprioceptive neuromuscular facilitation exercises; Other: traditional physical therapy

traditional physical therapy

ACTIVE COMPARATOR

eighteen female patients suffering from shoulder dysfunction after latissimus dorsi flap breast reconstruction. They received a traditional physical therapy program, three sessions per week for eight weeks.

Other: traditional physical therapy

Interventions

traditional physical therapy OTHER

the patients will recieve the traditional physical therapy program in the form of shoulder Range of motion, stretching and strengthening exercises.

scapular mobilization and scapular proprioceptive neuromuscular facilitation exercises; traditional physical therapy

scapular mobilization and scapular proprioceptive neuromuscular facilitation exercises OTHER

for scapular mobilization, The patient will be laying on the affected forearm on their back. The therapist is standing before the patient's affected shoulder, placing the index finger of one hand under the medial scapular border, the other hand grasping the superior border of the scapula. The scapula was moved superiorly and inferiorly for superior and inferior glide, and then the scapula is rotated upward and downward for scapular rotation. Second, with the patient was in the same position the physiotherapist put the ulnar fingers under the medial scapular border and distracted the scapula from the thorax. Sets of 10 repetitions were applied performed at a rate of one cycle per 6 s, with a rest interval of 30 seconds between sets. for PNF is applied by a trained therapist in two diagonals, anterior elevation and posterior depression and posterior elevation and anterior depression with 20 repetitions for each diagonal. plus tradional physical therapy.

scapular mobilization and scapular proprioceptive neuromuscular facilitation exercises

Eligibility Criteria

• Age: 40 Years - 55 Years
• Gender Eligibility Details: this study depend on only female after mastectomy
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• age ranged from 40 to 55 years.
• All patients were female patients suffering from shoulder dysfunction after latissimus dorsi flap breast reconstruction.
• All patients suffering from moderate or severe pain on shoulder joint and limited range of motion that may affect daily activities.
• All patients begun the treatment program 3 to 4 weeks after LDF breast reconstruction.
• Informed consent was obtained from every patient enrolled in the trial.

You may not qualify if:

• Current metastases.
• Neurological deficit affecting the shoulder functioning during daily activities.
• Pathology of the shoulder joint including rotator cuff tear adhesive capsulitis and tendinitis.
• Pain or disorder of the cervical spine, elbow, wrist or hand.
• Shoulder surgery, shoulder dislocation fracture acromioclavicular joint osteoarthritis.
• Diabetes.
• Pregnancy.
• Shoulder manipulation under anesthesia, local corticosteroid injection.
• Psychological disorders.

Sponsors & Collaborators

• Cairo University: lead

Central Study Contacts

madonna isaac, master

CONTACT

01289962263; madonnamagdy76@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : Madonna Magdy Isaac Ibrahim

Model Details: scapular mobilization, scapular PNF and traditional physical therapy

Study Record Dates

• First Submitted: April 17, 2026
• First Posted: April 23, 2026
• Study Start: April 25, 2026
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: April 23, 2026

Record last verified: 2026-04