This randomized controlled trial aims to compare the effects of visual-feedback induced therapy and Active Release Technique on shoulder pain, lymphedema, and functional disability in post-mastectomy patients. Participants will be randomly assigned to receive either conventional physiotherapy combined with Active Release Technique or conventional physiotherapy combined with visual-feedback therapy. Outcomes will be measured at baseline and after 6 weeks of intervention.
Female patients aged 40-65 years.
History of unilateral mastectomy performed at least 2 months prior.
Persistent shoulder pain (Numeric Pain Rating Scale 4-7).
Reduced shoulder range of motion or functional limitation affecting daily activities.
History of neurological disorders affecting motor function (e.g., stroke, MS).
Previous shoulder surgery unrelated to mastectomy.
Active infection or open wounds in the affected limb.
Already developed frozen shoulder in diabetic patient.