About this trial
The purpose of this study is to evaluate the effect of kinetic control exercises on shoulder dysfunction in post-mastectomy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age from 40 to 50 years.
All patients have no diabetes or blood problems.
All patients enrolled to the study will have their informed consent.
Disqualifiers
Age less than 40 or more 50 years.
Diabetes mellitus.
Subjects with lymphedema
Subjects suffering from active malignant tumors.
Trial design
Parallel
Treatments tested in this trial
kinetic Control exercises
Other interventionKinetic Control exercises consist of 45-minute sessions, with 3 sessions per week for 8 weeks. The framework for testing and rehabilitation includes initial assessment, rehabilitation before failure, and retesting the same position. Biofeedback measures scapular retraction, and biofeedback pressure training assesses and improves scapular stabilizer control by monitoring pressure changes during specific movements.
traditional treatment
Other interventiontraditional therapy inform of stretching and strengthening exercise as shoulder roll, arm circle, wall climb, back climb and hand behind neck. Patients will receive 3 sessions per week for 8 weeks, the time of session is 45 - 60 min according to patient ability
Treatment groups
Trial outcomes
Primary outcomes
assessment of change of range of motion
Patients will be seated with their affected limb relaxed, and their goniometer will measure their resting position and active range. They will measure shoulder abduction and flexion, which are rarely affected by day-to-day activities, and external shoulder rotation.
Secondary outcomes
assessment of ability to maintain controlled shoulder movements while stabilizing the scapular and shoulder
it is a series of tests to assess kinetic control, including shoulder flexion, scapular retraction, and isometric holds. The tests focus on maintaining consistent pressure, detecting compensatory patterns, and evaluating fatigue. The tests also include a scapular stabilization test and a shoulder flexion stability test, which measure muscle activation patterns and stability.
assessment of ability to maintain controlled shoulder movements while stabilizing the scapular and shoulder
The tests also include a scapular stabilization test and a shoulder flexion stability test, which measure muscle activation patterns and stability.
Sponsors and contacts
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