Impact of Proximal Motor Control Exercise on Scapular Muscles Activation Pattern Post Mastectomy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Proximal stabilization exercises, Conventional physical therapy.
- Who it may be relevant to
- Registry conditions: Post Mastectomy. Basic parameters: 35 years — 55 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Mastectomy after breast cancer is usually accompanied by shoulder dysfunction which interferes with the daily life activities of the patients and causes physical and psychological impairments. This study aims to assess the impact of strength and stabilization exercise on scapular muscles activation pattern after mastectomy.
Detailed description
A total of 80 patients (n=40 per group), aged 35-55 years, diagnosed with shoulder dysfunction post mastectomy will be recruited for this study. Participants will be recruited from Baheya Hospital and National Cancer Institute. Participants will be screened for eligibility prior to being enrolled in the study participating in the study assessments.
Interventions
- Other Proximal stabilization exercises
Patients will receive Scapular mobilization in five manners, superior glide, inferior glide, up-ward rotation, down-ward rotation, and distraction. Each mobilization will be done ten times. A thirty second break will be given between each set. Also scapular strengthening exercises composed of diagonal two (D2) flexion pattern to augment the upper, middle, lower, and serratus anterior muscles' activity level. To activate upper trapezius muscle, shoulder shrug exercise will be used. To activate se - Other Conventional physical therapy
Patients will receive shoulder joint mobilization, posterior capsular stretching, and ROM exercises in form of Codman/pendulum exercise. To mobilize the shoulder joint, distraction of the glenohumeral joint, posterior glide and caudal glide will be performed to the patients in a supine lying position at a frequency of two to three oscillations/second for one to two minutes. Every direction was repeated three to four times. At the resting position rhythmic oscillations grade I and II will be appl
Primary outcome measures
- EMG Muscle Activation Amplitude [Time frame: Baseline and 6 weeks]
Secondary outcome measures (1)
- Shoulder pain and disability index (SPADI) [Time frame: Baseline and 6 weeks]
Eligibility criteria
Inclusion criteria
- Post-mastectomy female subjects.
- Age between 35-55 years.
- All patients have shoulder dysfunction (three months to four months post mastectomy).
Exclusion criteria
- Participants who have rheumatoid arthritis.
- History of trauma or injuries.
- Neurological deficits (stroke, Parkinsonism).
- History of surgery on involved shoulder.
- Diabetic patient.
- Patients who rejected to participate in the trial, or to summit the formal consent form.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 3 centers
- Out patient clinic , faculty of Physical Therapy, Ahram Canadian university — Giza
- Out patient clinic , faculty of Physical Therapy, Benha university — Banhā
- Out patient clinic , faculty of Physical Therapy, Beni Sueif university — Banī Suwayf
Identifiers
NCT: NCT07103109 · Scapular Ms -Mastectomy 2025