Motor Control Retraining Exercises on Shoulder Dysfunction Post Mastectomy
ConditionPost Mastectomy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age40-55
SponsorCairo University
About this trial
Motor control and strengthening exercises can improve function in shoulder impingement patients by realigning the scapula and changing muscle recruitment patterns. Peripheral musculoskeletal impairments can be associated with cortical reorganisation. Movement retraining using the principles of motor control retrain muscle recruitment patterns and improve scapular kinematics, reducing subacromial impingement, thus improving function and reducing pain.
Furthermore, the need of this study is developed from the lack in the quantitative knowledge and information in the published studies about the effect of motor control retraining exercises on shoulder dysfunction post-mastectomy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female patients with age range between 40-55 years.
All patients have shoulder dysfunction.
Patients were 2 months to 4 months post modified radical mastectomy or axillary lymph node dissection.
Patients received their radiotherapy or chemotherapy or both.
Disqualifiers
Rheumatoid arthritis.
History of trauma or accidental injuries.
Neurological involvement (stroke, Parkinsonism).
History of surgery on involved shoulder.
Trial design
Design model
Parallel
Treatments tested in this trial
motor control retraining exercises
Other interventionThe motor control retraining package was targeted at correcting movement impairments of the scapula by re-educating muscle recruitment. There were two components to the package: 1. Motor control exercises to correct alignment and coordination, which involve a) learning optimal scapular orientation at rest and then controlling optimal orientation during active arm movements; b) muscle specific exercises for trapezius and serratus anterior 2. Manual therapy techniques commonly used in clinical practice to manage symptoms, as trigger point therapy and pectoralis minor supine manual stretch will be performed as necessary.
traditional physical therapy for shoulder dysfunction
Other interventionshoulder joint mobilization, posterior capsule stretching and shoulder range of motion exercise (ROM) (Codman's pendulum exercises)
Treatment groups
60 Participants
are divided into 2 treatment groupsGroup A: study group (motor control retraining group)Active comparator 2 interventions
Group B: control group ( conventional treatment group)Placebo comparator 1 intervention
Trial outcomes
Primary outcomes
1
Instrumented digital hand-held dynamometer
Hand-held dynamometry (Lafayette manual muscle tester) will be used to measure isometric strength of shoulder flexion and abduction. It is an ergonomic hand-held device for objectively providing reliable, accurate readings that conform to most manual muscle testing protocols. It has good to excellent validity and reliability for most measures of isometric muscle strength particularly for proximal muscle groups.
Time frame
8 weeks2
Digital inclinometer
A digital inclinometer is used to measure shoulder flexion, abduction and upward rotation of scapula. It has digital screen that display the angle at which the inclinometer is situated allowing direct joint angle measurements
Time frame
8 weeksSecondary outcomes
1
Shoulder Pain and Disability Index (SPADI)
The SPADI is a self-administered questionnaire that contains thirteen items which assess two domains (pain and disability) (Shamley et al., 2012). It has an 8-item subscale to evaluate disability and a 5-item subscale to measure pain. Each subscale is summed and transformed to a score out of 100. A mean is taken of the two subscales to give a total score out of 100, higher score indicating greater impairment or disability
Time frame
8 weeksSponsors and contacts
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Source ClinicalTrials.gov