Intercostal Mulligan Moblization Post Mastectomy

NCT ID: NCT07181980

Last Updated: 2025-09-19

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-09-16
• Study Completion Date: 2026-09-16

Brief Summary

the study is to evaluate the therapeutic efficacy of intercostal mulligan Mobilization in decreasing pain and improve ROM for shoulder dysfunction Patients post mastectomy.

Conditions

Post Mastectomy Complications

Study Design

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

Study Groups

intercostal mulligan moblization

Group Type: ACTIVE_COMPARATOR

Intercostal mulligan mobilization with shoulder abduction

Intervention Type: OTHER

Intercostal mulligan mobilization with shoulder abduction: is mulligain technique where the patient was Side lying with affected side up and the therapist Therapist placed ulnar side of his hand along the intercostal space of affected rib in oblique direction on the patient's wall of chest. Therapist's other hand hold the patient's elevated arm close to his abdomen 3sets 10 reptations

• Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME .
• Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching.
• Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise .
• Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set.
• Scapular strengthening exercises : two sets of ten repetitions
• The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

Exercise

Intervention Type: OTHER

1.3.b. Therapeutic Exercise:

• Therapeutic exercise included: (prior to 3 month post mastectomy).
• Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME .
• Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. .
• Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise .
• Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. .
• Scapular strengthening exercises : Strengthening exercises performed using weights were initiated with two sets of ten repetitions, beginning with a weight of 0.5kg and progressed to 0.75 and then 1 kg.
• The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

control group

Group Type: ACTIVE_COMPARATOR

Exercise

Intervention Type: OTHER

1.3.b. Therapeutic Exercise:

• Therapeutic exercise included: (prior to 3 month post mastectomy).
• Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME .
• Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. .
• Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise .
• Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. .
• Scapular strengthening exercises : Strengthening exercises performed using weights were initiated with two sets of ten repetitions, beginning with a weight of 0.5kg and progressed to 0.75 and then 1 kg.
• The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

Interventions

Intercostal mulligan mobilization with shoulder abduction

Intercostal mulligan mobilization with shoulder abduction: is mulligain technique where the patient was Side lying with affected side up and the therapist Therapist placed ulnar side of his hand along the intercostal space of affected rib in oblique direction on the patient's wall of chest. Therapist's other hand hold the patient's elevated arm close to his abdomen 3sets 10 reptations

• Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME .
• Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching.
• Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise .
• Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set.
• Scapular strengthening exercises : two sets of ten repetitions
• The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

Intervention Type: OTHER

Exercise

1.3.b. Therapeutic Exercise:

• Therapeutic exercise included: (prior to 3 month post mastectomy).
• Assistive range of motion exercises (AAROME): Two sets of 15 repetitions of each exercise were performed for AAROME .
• Active stretching: Two sets of 10 repetitions with 15- sec hold and relax times were performed for active stretching. .
• Strengthening exercises for the shoulder joint: Two sets of 15 repetitions of each exercise .
• Postural correction exercises: 3 sets of postural correction were performed with 3-5 repetitions per set. .
• Scapular strengthening exercises : Strengthening exercises performed using weights were initiated with two sets of ten repetitions, beginning with a weight of 0.5kg and progressed to 0.75 and then 1 kg.
• The Intervention protocol: 45 to 50 minutes sessions 3 days per week for 8 week

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients post modified radical mastectomy at least 3 months prior and had a limited ROM in abduction.
• Patients post mastectomy with lateral chest wall pain.
• Age ranges between 40-60 years.
• All patients had informed written consent

Exclusion Criteria

• Receiving any previous rehabilitation programs for the upper extremities
• The presence of any type of metastases
• The presence of lymphedema
• Bilateral breast cancer surgery
• Locoregional recurrence
• Withdrawal of the consent at any time during the study for any reason

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

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Aya Medhat Nagib Abd Elhakim

Submitted In Partial Fulfilment of The Requirements For Master Degree In Department of Physical Therapy for surgery Cairo university

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Aya M Submitted In Partial Fulfilment of The Requirements For Master, B.Sc. of physical therapy

Role: PRINCIPAL_INVESTIGATOR

Cairo universty

Locations

Cario U

Cairo, , Egypt

Countries

Egypt

Central Contacts

Amany R lecturer of physical therapy Cairo university, PHD physical therapy

Role: CONTACT

Amany.reffat.ar@cu.com

+201018965528

Wafaa H professor in physical therapy, PHD n physical therapy

Role: CONTACT

Drwafaa501@gmail.com

+201223106426

References

Salati SA, Alsulaim L, Alharbi MH, Alharbi NH, Alsenaid TM, Alaodah SA, Alsuhaibani AS, Albaqami KA. Postmastectomy Pain Syndrome: A Narrative Review. Cureus. 2023 Oct 20;15(10):e47384. doi: 10.7759/cureus.47384. eCollection 2023 Oct.

Reference Type: BACKGROUND

PMID: 38021812 (View on PubMed)

Min J, Yeon S, Ryu J, Kim JY, Yang EJ, Il Kim S, Park S, Jeon JY. Shoulder function and health outcomes in newly diagnosed breast cancer patients receiving surgery: a prospective study. Clin Breast Cancer. 2023 Jun;23(4):e247-e258. doi: 10.1016/j.clbc.2023.03.001. Epub 2023 Mar 6.

Reference Type: BACKGROUND

PMID: 36990840 (View on PubMed)

Other Identifiers

P.T.REC/012/005413

Identifier Type: -

Identifier Source: org_study_id