Maitland Mobilization and Scapular Stabilization Shoulder Dysfunction

NCT ID: NCT06555913

Last Updated: 2024-08-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-01
• Study Completion Date: 2024-07-01

Brief Summary

Sixty patients from both genders suffering from shoulder disability post unilateral NDS (modified radical, selective) will participate in this study. Their ages will be ranged from 30 to 50 years. They will be selected randomly from Damanhur Oncology center, El-Behira, Egypt. They will be randomly distributed into three equal groups (each group 20 patients).

Detailed Description

Design of the study:

In this study the patients were randomly assigned into three equal groups (twenty patients for each group).

Group (A) :

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique and scapular stabilization exercises in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group (B):

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group (C) :

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received scapular stabilization exercises in addition to the traditional physical therapy program which include (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Conditions

Head and Neck Cancer

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Maitland Mobilization and Scapular Stabilization

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique and scapular stabilization exercises in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group Type: EXPERIMENTAL

Maitland Mobilization

Intervention Type: OTHER

MM applies a passive oscillatory technique, classified from Grade I-IV with respect to intensity, to the shoulder in order to treat pain and stiffness.

Grade I refers to an intensity of small amplitude that is applied at the beginning of the joint ROM, where there is no loading on connective tissue; it is often used in cases of severe pain

Scapular Stabilization

Intervention Type: OTHER

Scapular stabilization exercises are thought to have an important role in improving pain and dysfunction in the shoulder. The concept that an unstable

scapula is associated with pathology and dysfunction of the shoulder is well accepted. The predominant theory emphasizes that for optimal function of the glenohumeral joint, the scapula must provide a stable base upon which upper extremity tasks are completed. Impaired scapular stability increases the risk for pathologies such as impingement or rotator cuff tears

Traditional Physical Therapy

Intervention Type: OTHER

ROM exercises, stretching exercises and strengthening exercises for shoulder muscles

Maitland Mobilization

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group Type: EXPERIMENTAL

Maitland Mobilization

Intervention Type: OTHER

MM applies a passive oscillatory technique, classified from Grade I-IV with respect to intensity, to the shoulder in order to treat pain and stiffness.

Grade I refers to an intensity of small amplitude that is applied at the beginning of the joint ROM, where there is no loading on connective tissue; it is often used in cases of severe pain

Traditional Physical Therapy

Intervention Type: OTHER

ROM exercises, stretching exercises and strengthening exercises for shoulder muscles

Scapular Stabilization

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received scapular stabilization exercises in addition to the traditional physical therapy program which include (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group Type: EXPERIMENTAL

Scapular Stabilization

Intervention Type: OTHER

Scapular stabilization exercises are thought to have an important role in improving pain and dysfunction in the shoulder. The concept that an unstable

scapula is associated with pathology and dysfunction of the shoulder is well accepted. The predominant theory emphasizes that for optimal function of the glenohumeral joint, the scapula must provide a stable base upon which upper extremity tasks are completed. Impaired scapular stability increases the risk for pathologies such as impingement or rotator cuff tears

Traditional Physical Therapy

Intervention Type: OTHER

ROM exercises, stretching exercises and strengthening exercises for shoulder muscles

Interventions

Maitland Mobilization

MM applies a passive oscillatory technique, classified from Grade I-IV with respect to intensity, to the shoulder in order to treat pain and stiffness.

Grade I refers to an intensity of small amplitude that is applied at the beginning of the joint ROM, where there is no loading on connective tissue; it is often used in cases of severe pain

Intervention Type: OTHER

Scapular Stabilization

Scapular stabilization exercises are thought to have an important role in improving pain and dysfunction in the shoulder. The concept that an unstable

scapula is associated with pathology and dysfunction of the shoulder is well accepted. The predominant theory emphasizes that for optimal function of the glenohumeral joint, the scapula must provide a stable base upon which upper extremity tasks are completed. Impaired scapular stability increases the risk for pathologies such as impingement or rotator cuff tears

Intervention Type: OTHER

Traditional Physical Therapy

ROM exercises, stretching exercises and strengthening exercises for shoulder muscles

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients' age will be ranged between 30-50 years.
• Both genders will participate in this study.
• All patients suffering from shoulder pain and disability following unilateral modified radical NDS or selective NDS.
• All patients will begin the treatment program from 1 to 3 months after NDS.
• All patients will have limited ROM of shoulder flexion, abduction, external rotation.
• All patients enrolled to the study will have their informed consent.

Exclusion Criteria

• Subjects with rotator cuff tears or other •shoulder ligament injuries.
• Adhesive capsulitis secondary to Diabetes mellitus or fractures.
• Recurrent shoulder dislocation.
• Recent fracture or surgery to the shoulder.
• Reflex sympathetic dystrophy.
• Neurological disorder.
• Epilepsy or any psychological disorders.
• The presence of residual local-regional cancer or distant metastases to other regions.

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Esraa Mamdouh Abd-Elsalam Shaaban

Specialist of Physical Therapy - Hosh Essa Hospital - El-Behira.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Research Ethical Committee Faculty of Physical Therapy

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

Faculty of Physical Therapy

Giza, , Egypt

Countries

Egypt

Other Identifiers

81893

Identifier Type: -

Identifier Source: org_study_id