Pre-Surgery Rehab for a Child With Humeral Head and Shaft Deformity: A Case Report
NCT ID: NCT07283302
Last Updated: 2025-12-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1 participants
INTERVENTIONAL
2025-10-01
2025-11-01
Brief Summary
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The main questions it aims to answer are:
Does shoulder range of motion and muscle strength improve after the program? Does pain and functional ability (including posture) improve after the program?
Participants will:
Attend 12 sessions over October-November 2025 (2 sessions/week) at the Faculty of Physical Therapy, Cairo University
Receive a standardized session program that may include:
TENS, low-level laser therapy, manual therapy (Spencer technique), phonophoresis PNF stretching and progressive exercises, plus scapular taping Complete evaluations at baseline, mid-program, and after the program, including goniometry (ROM), manual muscle testing, pain scale (VAS), postural assessment, and a functional ability checklist
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Detailed Description
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The rehabilitation program is intended to maximize safe functional capacity pre-operatively by addressing modifiable impairments commonly associated with this condition, such as pain, limited range of motion, weakness, altered scapulohumeral mechanics, and compensatory movement patterns. The case report will describe treatment components (e.g., education, therapeutic exercise, flexibility and strengthening strategies, neuromuscular re-education, and other noninvasive physical therapy modalities as clinically indicated), how the program is progressed over time, and any precautions used to ensure age-appropriate and condition-appropriate care.
To evaluate response to the program, the study will collect structured pre- and post-program measurements relevant to shoulder/upper-limb status, such as:
* Pain and symptom severity
* Shoulder range of motion
* Muscle strength and/or functional performance
* Activity limitations and functional use of the affected arm
* Observed posture and movement quality (as clinically applicable) The report will also capture treatment adherence, any adverse events, and notable barriers/facilitators to participation (e.g., tolerance, fatigue, caregiver involvement). Findings will be presented descriptively to help clinicians and families understand what a pre-operative rehabilitation plan may include for a child with humeral deformity, and what types of short-term changes may be observed during the pre-surgical period.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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interventional
This single-arm case report includes a structured pre-operative physical therapy rehabilitation program for a pediatric patient with humeral head and shaft deformity. The intervention consists of supervised sessions incorporating pain-modulation modalities (as clinically indicated), manual therapy to improve shoulder mobility, therapeutic exercises for flexibility, strengthening, and neuromuscular control, and scapular stabilization/positioning strategies (including taping as needed). Treatment is progressed based on tolerance and clinical response, with the goal of improving pre-operative shoulder pain, range of motion, strength, posture, and functional use of the upper limb.
Transcutaneous Electrical Nerve Stimulation
a method of pain relief that uses a device to send low-voltage electrical impulses through electrodes placed on the skin
Low-Level Laser Therapy
a non-invasive medical treatment that uses low-level lasers or light-emitting diodes (LEDs) to stimulate cell function and accelerate the body's natural healing process
Manual Therapy
a hands-on treatment approach
Phonophoresis
a medical procedure that uses therapeutic ultrasound to deliver topical medications through the skin and into deeper tissues
PNF stretching
is an advanced technique that combines muscle contraction and relaxation to increase flexibility and range of motion
kinesio taping
Kinesio tape will be applied to the shoulder and scapular region to support improved alignment and scapular control during movement.
Interventions
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Transcutaneous Electrical Nerve Stimulation
a method of pain relief that uses a device to send low-voltage electrical impulses through electrodes placed on the skin
Low-Level Laser Therapy
a non-invasive medical treatment that uses low-level lasers or light-emitting diodes (LEDs) to stimulate cell function and accelerate the body's natural healing process
Manual Therapy
a hands-on treatment approach
Phonophoresis
a medical procedure that uses therapeutic ultrasound to deliver topical medications through the skin and into deeper tissues
PNF stretching
is an advanced technique that combines muscle contraction and relaxation to increase flexibility and range of motion
kinesio taping
Kinesio tape will be applied to the shoulder and scapular region to support improved alignment and scapular control during movement.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
FEMALE
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Sameh Eldaly
Researcher
Locations
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Out patinets clinics, Faculty of Physical Therapy Cairo University
Giza, , Egypt
Countries
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Other Identifiers
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P.T.REC/012/006101
Identifier Type: -
Identifier Source: org_study_id
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