Effect of Thera Band Exercises on Adhesive Capsulitis Post Mastectomy

Study Overview
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Brief Summary
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Breast cancer surgeries particularly mastectomy results in limited shoulder movement which can lead to arm, shoulder pain and stiffness. Females who underwent mastectomy have reported a significantly higher incidence of shoulder morbidity

Detailed Description
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Exercise therapy might help in reduction of pain and restoration of the range, coordination and control of movement in patients with adhesive capsulitis. Graded resistance exercises are effective in decreasing fatigue levels, enhancing functional capacity and muscle strength. Rehabilitation exercises which strengthen the scapular stability can be extremely beneficial in rehabilitation treatment of patients with shoulder pain and problems

Official Title
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Combined Effect of Graded Thera Band and Scapular Stabilization Exercises on Shoulder Adhesive Capsulitis Post Mastectomy

Conditions
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Adhesive Capsulitis of Shoulder

Intervention / Treatment
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* Other: Exercise
* Other: Thera band


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ranged from 40-60 years. 2nd stage of adhesive capsulitis, Shoulder pain and stiffness for at least 3 months. Restriction in shoulder flexion, abduction, internal and external rotation ROM less than 50% when compared to the other shoulder. Exclusion Criteria: Shoulder or acromioclavicular joint osteoarthritis. Bone diseases. Infection. Severe osteoporosis. Tumors or metastasis. History of previous shoulder trauma or accidental injuries. Previous history of dislocation. Previous history of surgery on the specific shoulder. Any other shoulder problems.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Thera band exercises group<br>received graded Thera band exercises for 5 days per week for eight weeks in addition to the conventional physical therapy program. | Other: Exercise<br>* Hot packs, active range of motion exercises, pendular exercises, wall climb exercises, mobilization exercises, and shoulder capsular stretching<br>* Other names: conventional physical therapy program;Other: Thera band<br>* graded Thera band exercises for shoulder flexion, abduction, internal, and external rotation<br>* Other names: graded Thera band exercises and scapular stabilization exercises;|
| Experimental: conventional physiotherapy program group<br>received a conventional physical therapy program. | Other: Exercise<br>* Hot packs, active range of motion exercises, pendular exercises, wall climb exercises, mobilization exercises, and shoulder capsular stretching<br>* Other names: conventional physical therapy program;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder range of motion | A digital goniometer flexion and abduction, internal and external rotation range of motion | at baseline | 
| Shoulder range of motion | A digital goniometer flexion and abduction, internal and external rotation range of motion | after 8 weeks | 
| physical function | the Disability of the Arm, Shoulder, and Hand questionnaire [DASH] is used to measure physical function | at baseline | 
| physical function | the Disability of the Arm, Shoulder, and Hand questionnaire [DASH] is used to measure physical function | after 8weeks | 
| Health-related quality of life | assessed using the Medical Outcomes Study short-form (SF-36). | at baseline | 
| Health-related quality of life | assessed using the Medical Outcomes Study short-form (SF-36). | after 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Muscle strength | A handheld dynamometer (J Tech Commender Muscle Tester, Salt Lake City, Utah, USA) | at baseline | 
| Muscle strength | A handheld dynamometer (J Tech Commender Muscle Tester, Salt Lake City, Utah, USA) | after 8 weeks | 
| Visual analogue scale | used to assess the intensity of shoulder pain. consists of 10-cm line, and was utilized to quantify the pain severity within shoulder, where the score of zero means no pain, while a score of ten means significant pain | at baseline | 
| Visual analogue scale | used to assess the intensity of shoulder pain.consists of 10-cm line, and was utilized to quantify the pain severity within shoulder, where the score of zero means no pain, while a score of ten means significant pain | after 8 weeks |