Effect of CKC and WS Exercises on Postural Stability in Unilateral Post Mastectomy Lymphedema
Effect of Closed Kinetic Chain and Weight Shifting Exercises on Postural Stability in Unilateral Post Mastectomy Lymphedema
Cairo University
60 participants
Apr 30, 2025
INTERVENTIONAL
Conditions
Summary
Post-mastectomy lymphedema is one of the most common chronic complications that significantly impacts patients' quality of life following breast cancer surgery. postural stability is maintained through the intricate integration of muscular forces, sensory input from mechanoreceptors, and biomechanical feedback. closed kinetic chain (CKC) exercises play a crucial role in enhancing musculoskeletal stability by countering gravitational forces during both rest and movement. weight shifting and balance are fundamental components of functional movement. Proprioceptive training, which focuses on improving body awareness and balance, is essential for developing trunk control
Eligibility
Inclusion Criteria6
- Women who had a history of BCRS with upper limb lymphedema. • Age range of 40-60 years.
- • The body mass index (BMI) is less than 30 Kg/m2.
- • Consciousness and ability to communicate orally or in writing.
- • Treatment by unilateral mastectomy with lymph node dissection.
- • No obvious abnormal spine morphology or postural abnormalities visible to the naked eye.
- • All participants had moderate lymphedema according to the lymphedema severity assessment.
Exclusion Criteria12
- Patients with metastases. • Differences between lower limb length.
- • Having acute or chronic vestibular, neurological, and orthopedic diseases.
- • Surgery related to spine causing limitation of motion.
- • Women with psychiatric disorders, reconstructive surgery.
- • Bilateral mastectomy. Diagnosis with a neurological, skeletal, or rheumatic disorder or other disease that seriously affects body posture.
- • History of bodily injury such as a spinal, shoulder, or neck injury, resulting in permanent alteration of the normal body posture prior to the unilateral mastectomy.
- • Failure to complete follow-up for any reason over the course of the study.
- • Peripheral polyneuropathy, cognitive dysfunction.
- • Patients taking medication that affects body balance.
- • Severe arthritis or orthopedic conditions in their lower extremity
- • Poor conditioning, acute pain in any reason,
- • Neurological disorders including visual problems.
Interventions
Closed kinetic chain (CKC) exercises emphasize weight-bearing movements where the distal segment of the extremity is fixed, and motion occurs as the proximal segment moves over the stabilized distal segment.
Weight-shifting is a crucial aspect of dynamic postural control, which refers to the ability to maintain one's bodyweight within the base of support. Lateral weight-shifting, in particular, is essential for maintaining posture under dynamic conditions and is commonly performed in various activities of daily living
CDT includes (skin care, manual lymphatic drainage, compression bandages, compression garments and exercises).
Locations(1)
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NCT06977620