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Trial Title:
Muscle Energy Technique and Mulligan's Mobilization in Breast Cancer Surgery Patients
NCT ID:
NCT05911867
Condition:
Mobility Limitation
Muscle Relaxation
Kinematics
Postural; Defect
Breast Cancer
Conditions: Official terms:
Breast Neoplasms
Mobility Limitation
Study type:
Interventional
Study phase:
N/A
Overall status:
Recruiting
Study design:
Allocation:
Randomized
Intervention model:
Parallel Assignment
Intervention model description:
controlled, single-blinded, and randomized clinical trial
Primary purpose:
Treatment
Masking:
Double (Participant, Outcomes Assessor)
Masking description:
both participants and outcome assessors are blind for groups allocation and treatment
modalities
Intervention:
Intervention type:
Other
Intervention name:
combination of mobilization with movement and muscle energy techniques
Description:
The examiner passively abducts the arm in the horizontal plane until the first barrier to
motion by applying pressure to the distal humerus. The participant then actively abduct
the arm in the horizontal plane for a three-second active-assisted stretch.
Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal
Glides (SNAG), involves the therapist standing behind the patient and applying force to
the spinous process of each vertebra using a thumb-over-thumb technique. The patient
actively performs repeated flexion or extension of their neck, returning back to the
neutral position. The passive gliding is maintained in the anterosuperior direction along
the facet joint line while flexing or extending the neck throughout the range.
Arm group label:
combination of mobilization with movement and muscle energy techniques
Other name:
MWM
Intervention type:
Other
Intervention name:
muscle energy techniques Interventions:
Description:
The examiner passively abduct the arm in the horizontal plane until the first barrier to
motion by applying pressure to the distal humerus. This passive stretch will be held for
three seconds. The examiner then instruct the participant to attempt to horizontally
adduct the test arm at 25% of their maximal effort while the examiner applied manual
resistance at the distal humerus to create an isometric contraction lasting five seconds.
The participant then actively abduct the arm in the horizontal plane for a three-second
active-assisted stretch.
Arm group label:
muscle energy techniques
Other name:
MET
Intervention type:
Other
Intervention name:
mobilization with movement
Description:
Regarding the cervical spine, the second technique, Cervical Self-Natural Apophyseal
Glides (SNAG), involves the therapist standing behind the patient and applying force to
the spinous process of each vertebra using a thumb-over-thumb technique. The patient
actively performs repeated flexion or extension of their neck, returning back to the
neutral position. The passive gliding is maintained in the anterosuperior direction along
the facet joint line while flexing or extending the neck throughout the range.
Arm group label:
mobilization with movement
Summary:
A recent study aimed to examine the combined effect of Mulligan and muscle energy
techniques on postural changes and shoulder kinematics among women who had undergone
breast cancer surgery with axillary dissection.
Detailed description:
90 female patients who had undergone breast cancer surgery with axillary dissection were
recruited and randomly assigned to three groups. Group A received Mulligan and muscle
energy technique, group B received Mulligan technique only, and group C received muscle
energy technique. The study measured shoulder kinematics and postural changes using a
digital inclinometer for range of motion, PAS/SAPO for cervical angle, and the horizontal
alignment of acromions and quick DASH for upper extremity activities. Outcome
measurements were taken at three different time points: baseline, six weeks
post-intervention, and eight weeks after the intervention during a follow-up assessment.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- female
- between 50 and 65 years
- limited shoulder range of motion
Exclusion Criteria:
- having metastases
- lymphedema
- traumatic or musculoskeletal disorders affecting the arm
- not taking anticoagulants
- not having undergone bilateral breast cancer surgery
- not having a locoregional recurrence
- not having vascular disorders in the affected arm
Gender:
Female
Minimum age:
50 Years
Maximum age:
65 Years
Healthy volunteers:
No
Locations:
Facility:
Name:
Hany Mohamed Elgohary
Address:
City:
Cairo
Zip:
11432
Country:
Egypt
Status:
Recruiting
Contact:
Last name:
Hany M Elgohary, PhD
Phone:
0590997821
Email:
gohary75pt@hotmail.com
Start date:
June 1, 2023
Completion date:
September 30, 2023
Lead sponsor:
Agency:
Cairo University
Agency class:
Other
Source:
Cairo University
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05911867
