Motor Control Retraining Exercises on Shoulder Dysfunction Post Mastectomy
Motor Control Retraining Exercises On Shoulder Dysfunction Post Mastectomy
Cairo University
60 participants
May 5, 2025
INTERVENTIONAL
Conditions
Summary
Motor control and strengthening exercises can improve function in shoulder impingement patients by realigning the scapula and changing muscle recruitment patterns. Peripheral musculoskeletal impairments can be associated with cortical reorganisation. Movement retraining using the principles of motor control retrain muscle recruitment patterns and improve scapular kinematics, reducing subacromial impingement, thus improving function and reducing pain. Furthermore, the need of this study is developed from the lack in the quantitative knowledge and information in the published studies about the effect of motor control retraining exercises on shoulder dysfunction post-mastectomy.
Eligibility
Inclusion Criteria5
- The subject selection will be according to the following criteria:
- Female patients with age range between 40-55 years.
- All patients have shoulder dysfunction.
- Patients were 2 months to 4 months post modified radical mastectomy or axillary lymph node dissection.
- Patients received their radiotherapy or chemotherapy or both.
Exclusion Criteria7
- The potential participants will be excluded if they meet one of the following criteria:
- Rheumatoid arthritis.
- History of trauma or accidental injuries.
- Neurological involvement (stroke, Parkinsonism).
- History of surgery on involved shoulder.
- Diabetic patient.
- Moderate and severe lymphoedema.
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Interventions
The motor control retraining package was targeted at correcting movement impairments of the scapula by re-educating muscle recruitment. There were two components to the package: 1. Motor control exercises to correct alignment and coordination, which involve a) learning optimal scapular orientation at rest and then controlling optimal orientation during active arm movements; b) muscle specific exercises for trapezius and serratus anterior 2. Manual therapy techniques commonly used in clinical practice to manage symptoms, as trigger point therapy and pectoralis minor supine manual stretch will be performed as necessary.
shoulder joint mobilization, posterior capsule stretching and shoulder range of motion exercise (ROM) (Codman's pendulum exercises)
Locations(1)
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NCT07002983