Impact of Scapular Mobilization And Strengthening Exercises on Shoulder Function Post Mastectomy
Condition: Oncologic Complications; Exercise Therapy; Shoulder Pain; Shoulder Syndrome
MeSH terms: Shoulder Pain
Study type: Interventional

Summary: 
      The most common complications following mastectomy are pain, lymphedema of the upper limb
      ipsilateral to surgery, decreased range of motion (ROM), limited to 90° of flexion,
      abduction, and external rotation to 40° of the shoulder, and postural changes. It was
      reported that 60% of breast cancer patients show a reduction in shoulder flexion and
      abduction at 1-month post-surgery and 10% of survivors show a persistent ROM reduction at 12
      months. So, The purpose of the study was to evaluate the therapeutic impact of scapular
      mobilization and strengthening exercises on shoulder function post-mastectomy.
    

Detailed description: 
      In this randomized controlled trial study (RCT), forty female patients "The patient's ages
      ranged from 40 to 55 years" suffering from post-mastectomy shoulder dysfunction ((20° ≥ ROM
      limitation compared to the sound shoulder & 3 months to 6 months post mastectomy) were
      randomly assigned into two equal groups, each one had 20 patients.

      Group A (study group): This group included 20 patients with shoulder dysfunction
      post-mastectomy who received scapular mobilization and strengthening exercise in addition to
      their conventional physical therapy program for four weeks, three sessions/week.

      Group B (control group): This group included 20 patients with shoulder dysfunction who
      received conventional physical therapy programs in form of joint mobilization, posterior
      capsule stretching, and range of motion exercise (ROM) for four weeks, 3 sessions/week.

      Equipment and tools:

        -  Measurement tools were (The shoulder Pain and Disability Index (SPADI): for measurement
           of shoulder disability and inclinometer: for measurement of shoulder flexion, abduction,
           external rotation, and scapular upward rotation), the measurements were recorded before
           and after the study.

        -  Therapeutic equipment and tools were (Thera Bands of different colors and resistance and
           dumbbells of different weights).

      The potential participants were excluded if they met any of the following criteria: Diseases
      such as rheumatoid arthritis, history of trauma or accidental injuries, neurological
      involvement (stroke, Parkinsonism), history of surgery on the involved shoulder, and diabetic
      patient.
    

Intervention name(s): Scapular mobilization and Scapular strengthening exercises; Conventional physical therapy program
Intervention type(s): Other; Other
Intervention description(s): The intervention was applied for four weeks, 3 sessions/week. and the Shoulder Pain and Disability Index (SPADI): for measurement of shoulder disability and the Inclinometer: for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation were used for shoulder assessment before and after the intervention for both groups.; The intervention was applied for four weeks, 3 sessions/week. and the Shoulder Pain and Disability Index (SPADI): for measurement of shoulder disability and the Inclinometer: for measurement of shoulder flexion, abduction, external rotation, and scapular upward rotation were used for shoulder assessment before and after the intervention for both groups.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Forty patients suffering from post-mastectomy shoulder dysfunction were randomly assigned into two equal groups each one has 20 patients.
Group A (study group): Who received scapular mobilization and strengthening exercises in addition to their conventional physical therapy program.
Group B (control group): Who received a conventional physical therapy program in form of joint mobilization, posterior capsule stretching, and range of motion exercise.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Scapular mobilization; Scapular strengthening exercises; Mastectomy; Shoulder function