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NCT Number: NCT06555913

Maitland Mobilization and Scapular Stabilization Shoulder Dysfunction

Sixty patients from both genders suffering from shoulder disability post unilateral NDS (modified radical, selective) will participate in this study. Their ages will be ranged from 30 to 50 years. They will be selected randomly from Damanhur Oncology center, El-Behira, Egypt. They will be randomly distributed into three equal groups (each group 20 patients).

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Key information

Conditions

Head and Neck Cancer Head and Neck Neoplasms Neoplasms Neoplasms by Site

Age range

30 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Physical Therapy

Giza, 12613, Egypt

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Maitland mobilization

Other

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

Other

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

Traditional Physical therapy

Other

ROM exercises, stretching exercises and strengthening exercises for shoulder muscles

Primary outcomes

  1. 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

Secondary outcomes

  1. 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)

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Maitland Mobilization and Scapular Stabilization Exercises on Shoulder Dysfunction Post Neck Dissection Surgeries

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 15, 2024
Registry last updated
Aug 20, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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