Intercostal Mulligan Moblization Post Mastectomy

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

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