Effects of Inhibition Compression Versus Scapular Mobilization Technique on Shoulder in Patients With Mastectomy

NCT ID: NCT06914258

Last Updated: 2025-04-06

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-03-20
• Study Completion Date: 2026-02-20

Brief Summary

A mastectomy is a medical surgery in which the breast is removed whole or in part. Breast cancer is the second most prevalent cancer diagnosed in women. Rotator cuff dysfunction-related shoulder pain is a common symptom associated with mastectomy, reconstruction, and therapy for breast cancer.) Patients who get treatment for breast cancer report reduced strength (prevalence 17-33%), loss of upper limb range of motion (prevalence 2-51%), and reduced ability to carry out daily life tasks.

Detailed Description

The study aims to observe the effectiveness of inhibition compression therapy versus scapular mobilization on shoulder in patients with mastectomy. By investigating the effectiveness of inhibition compression therapy versus scapular mobilization, this study can contribute to improved pain management, enhanced quality of life, and reduced healthcare utilization for breast cancer survivors. It will be randomized control trial (RCT). The study will be conduct in Gujranwala institute of nuclear medicine. It will be non-probability convenience sampling technique. Duration of the study will be 6 months after the approval of synopsis

Conditions

Mastectomy; Lymphedema

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Inhibition Compression

Group Type: EXPERIMENTAL

Inhibition Compression

Intervention Type: COMBINATION_PRODUCT

Group A will receive conventional Physiotherapy treatment along with the scapular mobilization which will include;

• Electrotherapy (TENS and hot pack) for 10 min
• Active and passive ROMs for 5 min
• pectoral stretching for 5min
• shoulder joint mobilization. To mobilize the shoulder joint, distraction of the glenohumeral joint, posterior glide and caudal glide were performed to the patient in supine position at a frequency of two to three oscillations/second for one to two minutes. (10 min)
• Manual scapular mobilization will be done in sideline with their back towards the physiotherapist.

Scapular Mobilization Technique

Group Type: EXPERIMENTAL

Scapular Mobilization Technique

Intervention Type: COMBINATION_PRODUCT

Group B will receive the same baseline physiotherapy treatment as in group A along with the Inhibition compression therapy which is a (MET). MET was performed on shoulder. Patient position: supine lying position. Following are the steps involved in application of MET: (1) stretch the muscle to a felt 'barrier' or to their tolerance of stretching (2) create a voluntary contraction that is isometric of the muscle being stretched while being resisted with equal and regulated counterforce by the physiotherapist for 7-10 seconds. (3) a stretch is held for a set amount of time after the muscle relaxes (4) the physiotherapist "takes up the slack" once the muscle relaxes Duration of treatment was approximately 15-20 minutes.

Interventions

Inhibition Compression

Group A will receive conventional Physiotherapy treatment along with the scapular mobilization which will include;

• Electrotherapy (TENS and hot pack) for 10 min
• Active and passive ROMs for 5 min
• pectoral stretching for 5min
• shoulder joint mobilization. To mobilize the shoulder joint, distraction of the glenohumeral joint, posterior glide and caudal glide were performed to the patient in supine position at a frequency of two to three oscillations/second for one to two minutes. (10 min)
• Manual scapular mobilization will be done in sideline with their back towards the physiotherapist.

Intervention Type: COMBINATION_PRODUCT

Scapular Mobilization Technique

Group B will receive the same baseline physiotherapy treatment as in group A along with the Inhibition compression therapy which is a (MET). MET was performed on shoulder. Patient position: supine lying position. Following are the steps involved in application of MET: (1) stretch the muscle to a felt 'barrier' or to their tolerance of stretching (2) create a voluntary contraction that is isometric of the muscle being stretched while being resisted with equal and regulated counterforce by the physiotherapist for 7-10 seconds. (3) a stretch is held for a set amount of time after the muscle relaxes (4) the physiotherapist "takes up the slack" once the muscle relaxes Duration of treatment was approximately 15-20 minutes.

Intervention Type: COMBINATION_PRODUCT

Eligibility Criteria

Inclusion Criteria

• Age 40 to 75 years (42)
• unilateral breast cancer followed by chemotherapy or radiations. (27)
• modified radical mastectomy surgery (27)
• limited ROM of shoulder
• Female

Exclusion Criteria

• Patients with recurrent breast cancer (42)
• History of ischemic heart disease
• History of high blood pressure
• History of other surgery
• Any neurological issue

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Superior University

OTHER

Sponsor Role: lead

Responsible Party

Muhammad Naveed Babur

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Gujranwala institute of nuclear medicine

Chak One Hundred Seventy-five Nine Left, , Pakistan

Countries

Pakistan

Other Identifiers

MSRSW/Batch-Fall23/818

Identifier Type: -

Identifier Source: org_study_id