Maitland Mobilization and Scapular Stabilization Shoulder Dysfunction
Maitland Mobilization and Scapular Stabilization Exercises on Shoulder Dysfunction Post Neck Dissection Surgeries
Study Overview
Status
Conditions
Intervention / Treatment
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.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Giza, Egypt, 12613
- Faculty of Physical Therapy
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: 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.
|
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 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
ROM exercises, stretching exercises and strengthening exercises for shoulder muscles
|
|
Experimental: 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.
|
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
ROM exercises, stretching exercises and strengthening exercises for shoulder muscles
|
|
Experimental: 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.
|
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
ROM exercises, stretching exercises and strengthening exercises for shoulder muscles
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Digital Goniometer
Time Frame: 2 months
|
Digital goniometer is a device which measures joint ranges, together with velocity and acceleration variables, with a high level of precision and at a relatively low-cost, practically similar to current analogical tools.
The digital goniometer is a device specifically designed for the measurement of angles of movement of the human body with a resolution of 1°, representing an ideal substitute to traditional goniometers, which are usually based on a scale of 5° increments
|
2 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Shoulder Pain and Disability Index
Time Frame: 2 months
|
The shoulder pain and disability index (SPADI) is a self-report questionnaire developed to measure the pain and disability associated with shoulder pathology.
The SPADI consists of 13 items in two subscales: pain (5 items) and disability (8 items), the original version has each item scored on a visual analogue scale (VAS) and a second version has items scored on a numerical rating scale (NRS)
|
2 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Research Ethical Committee Faculty of Physical Therapy, Cairo University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 81893
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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