Scapular PNF and Activity Oriented Antiedema Proprioceptive Therapy on Shoulder Dysfunction Post Matectomy Lymphedema

NCT ID: NCT06602180

Last Updated: 2025-06-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 93 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-09-20
• Study Completion Date: 2025-05-31

Brief Summary

Ninety -three female patients suffering from shoulder dysfunction after breast cancer-related arm lymphedema, will National Cancer Institute (Cairo university) be randomly distributed into three groups equal in number.

Detailed Description

In this study the patients will be randomly assigned into three groups (Thirty - one patient for each group):

Group (A):

Thirty-one patients will receive: Scapular PNF technique, Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT).

Group (B):

Thirty-one patients will receive Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT))

Group (C):

Thirty-one patients will receive Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT)

.

Conditions

Upper Limb Edema

Study Design

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

Study Groups

Exprimental group A

Thirty-one patients will receive: Scapular PNF technique, (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (CDT).

Group Type: EXPERIMENTAL

Scapular PNF technique, (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT).

Intervention Type: OTHER

Complex or combined decongestive physical therapy (CDT):

skin care and patient education, manual lymphatic drainage MLD, joints exercises, and compression garments.

Scapular PNF:

Proprioceptive Neuromuscular Facilitation (PNF) is treatment approach that focus on motor learning, helps the patient to relax, improves coordination, and normalizes the motion. The repeated contractions technique increases active range of motion and strength and guides the patient's motion towards the desired motion,

TAPA involves an intervention protocol composed of:

10-min neuro dynamics oriented to the activity 10-min proprioceptive neuromuscular facilitation activities. 10-min proprioceptive anti-edema bandaging, including patient and/or caretaker instructions for placement, as well as assistance on techniques to use for performing everyday activities,

Experimental: group B

Thirty-one patients will receive Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT))

Group Type: EXPERIMENTAL

Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT))

Intervention Type: OTHER

Proprioceptive Neuromuscular Facilitation (PNF) is treatment approach that focus on motor learning, helps the patient to relax, improves coordination, and normalizes the motion. The repeated contractions technique increases active range of motion and strength and guides the patient's motion towards the desired motion,

Complex or combined decongestive physical therapy (CDT):

skin care and patient education, manual lymphatic drainage MLD, joints exercises, and compression garments

Experimental: group C:

Thirty-one patients will receive Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT)

Group Type: EXPERIMENTAL

Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT)

Intervention Type: OTHER

Activity-Oriented Proprioceptive Antiedema Therapy TAPA:

TAPA involves an intervention protocol composed of:

• 10-min neuro dynamics oriented to the activity
• 10-min proprioceptive neuromuscular facilitation activities.
• 10-min proprioceptive anti-edema bandaging, including patient and/or caretaker instructions for placement, as well as assistance on techniques to use for performing everyday activities,

Complex or combined decongestive physical therapy (CDT):

skin care and patient education, manual lymphatic drainage MLD, joints exercises, and compression garments

Interventions

Scapular PNF technique, (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT).

Complex or combined decongestive physical therapy (CDT):

skin care and patient education, manual lymphatic drainage MLD, joints exercises, and compression garments.

Scapular PNF:

Proprioceptive Neuromuscular Facilitation (PNF) is treatment approach that focus on motor learning, helps the patient to relax, improves coordination, and normalizes the motion. The repeated contractions technique increases active range of motion and strength and guides the patient's motion towards the desired motion,

TAPA involves an intervention protocol composed of:

10-min neuro dynamics oriented to the activity 10-min proprioceptive neuromuscular facilitation activities. 10-min proprioceptive anti-edema bandaging, including patient and/or caretaker instructions for placement, as well as assistance on techniques to use for performing everyday activities,

Intervention Type: OTHER

Scapular PNF technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT))

Proprioceptive Neuromuscular Facilitation (PNF) is treatment approach that focus on motor learning, helps the patient to relax, improves coordination, and normalizes the motion. The repeated contractions technique increases active range of motion and strength and guides the patient's motion towards the desired motion,

Complex or combined decongestive physical therapy (CDT):

skin care and patient education, manual lymphatic drainage MLD, joints exercises, and compression garments

Intervention Type: OTHER

Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) technique for the affected shoulder region plus conventional physiotherapy program in a form of (Complex decongestive therapy (CDT)

Activity-Oriented Proprioceptive Antiedema Therapy TAPA:

TAPA involves an intervention protocol composed of:

• 10-min neuro dynamics oriented to the activity
• 10-min proprioceptive neuromuscular facilitation activities.
• 10-min proprioceptive anti-edema bandaging, including patient and/or caretaker instructions for placement, as well as assistance on techniques to use for performing everyday activities,

Complex or combined decongestive physical therapy (CDT):

skin care and patient education, manual lymphatic drainage MLD, joints exercises, and compression garments

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

The subject selection will be according to the following criteria:

• Age range between 40-60 years.
• Only female patients will participate in the study.
• All female patients diagnosed as unilateral breast cancer.
• All Female patients operated on for BC with BCRL in stages I and II.
• All female patients suffering from shoulder dysfunction after breast cancer-related arm lymphedema.
• All patients enrolled to the study will have their informed consent.

Exclusion Criteria

The potential participants will be excluded if they meet one of the following criteria:

• Patients with health problems, diseases or dysfunctions that prevented them from participating in the intervention.
• Patients with bilateral lymphedema.
• Patients with previous primary lymphedema.
• Patients with metastasis.
• Patients whom staging was not possible due to atypical findings or poor image.
• Patients with active arm infection.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Rasha Abdalfattah Ahmed Selim

Master of physical therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

rasha ahmed, master

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

Faculty of Physical Therapy

Cairo, , Egypt

Countries

Egypt

Other Identifiers

152427

Identifier Type: -

Identifier Source: org_study_id