Post Mastectomy Shoulder Problems and Kinesio Taping

Study Overview
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Brief Summary
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Applications of new treatment modality which is Kinesio tape in post mastectomy shoulder problems.

Detailed Description
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Post-mastectomy complications are often noted and complaints by breast cancer survivors. It often involves the development of chronic arm pain with accompanying limitation of shoulder motion. Aim of the study was to investigate the effect of the kinesio tape (KT) on the shoulder pain and range of motion (ROM). Method: 74 female patients underwent modified radical mastectomy were involved in this study. They were randomly divided into two groups, experimental who received KT for shoulder joint in addition to conventional physiotherapy program while, the control group received the physiotherapy program only. Outcome measures were visual analogues scale, shoulder ROM and shoulder Pain and Disability Index.

Official Title
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Investigating the Effect of Kinesio Tape Over the Conventional Physical Therapy Management of Shoulder Related Complications in Post-mastectomy Peri-menopausal Females: A Randomized Control Trial

Conditions
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Post Mastectomy Complications

Intervention / Treatment
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* Device: Kinesio tape
* Procedure: physiotherapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Underwent modified radical mastectomy for at least 2 weeks and taking chemotherapy and radiation therapy for stage 1 or II breast cancer. Presence of shoulder pain with associated limitation of motion of the shoulder. Good compliance and willingness to participate in kinesio taping sessions with a written consent Exclusion Criteria: Still diagnosed with active breast CA at the time of the study. Presence of skin hypersensitivity to kinesio tape material. Presence of treatment contraindications including the presence of a pacemaker, heart disease, pregnancy, infectious disease, epilepsy thrombophlebitis, arterial hypertension or metastatic cancer . Presence of mental disturbances of the sensorium or language problems which can make communication and cooperation problematic.

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 50 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: Kinesio tape<br>The first 3 kinesio tape application was inhibition technique for supraspinatus, deltoid and teres minor muscles. the fourth Kinesio tape was mechanical correction for the shoulder joint. in addition to active-assistive range of motion exercises (AAROME), active stretching exercises and strengthening exercises for the shoulder joint. Likewise, patients also received postural correction exercises | Device: Kinesio tape<br>* Standard 2 -inches ( 5-m) Kinesio TexR tape was used for application in the experimental group<br>* Other names: Kinesio TexR tape;Procedure: physiotherapy program<br>* active-assistive range of motion exercises (AAROME), active stretching exercises and strengthening exercises for the shoulder joint. Likewise, patients also received postural correction exercises<br>* Other names: exercises;|
| Active Comparator: Physiotherapy program<br>active-assistive range of motion exercises (AAROME), active stretching exercises and strengthening exercises for the shoulder joint. Likewise, patients also received postural correction exercises | Procedure: physiotherapy program<br>* active-assistive range of motion exercises (AAROME), active stretching exercises and strengthening exercises for the shoulder joint. Likewise, patients also received postural correction exercises<br>* Other names: exercises;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) | It is a perpendicular line on the scale that corresponded to their perceived pain intensity. | 2 weeks change from the baseline scores | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Shoulder Pain and Disability Index (SPADI) | It consists of 13 items that assess two domains; a 5-item subscale which measures pain and an 8-item subscale which measures disability. Total score is calculated by averaging the pain and disability subscale scores. | 2 weeks change from the baseline scores | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mastectomy, Shoulder Pain, ROM, Kinesio Tape