Mobilization With Movement on Pain, Function, and Quality of Life in Patients With Thoracic Outlet Syndrome

Ahram Canadian University120 enrolled

Overview

This randomized controlled trial aims to evaluate the effects of Mobilization with Movement (MWM) on pain, function, and quality of life in patients with Thoracic Outlet Syndrome (TOS) compared to conventional physiotherapy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

120

Conditions

Thoracic Outlet Syndrome

Interventions

Mobilization with Movement (MWM) and Tailored Therapeutic Exercise ProgramOTHER

The intervention consists of MWM techniques targeting the cervical and thoracic spine, and the first rib, applied by a certified physiotherapist for 8 weeks, 2 sessions per week, each session lasting 45 minutes. The intervention also includes a tailored therapeutic exercise program for the patients, comprising postural correction, stretching, and strengthening exercises. This intervention will be compared to conventional physiotherapy in the control group.

Conventional PhysiotherapyOTHER

Conventional physiotherapy, including manual therapy (soft tissue mobilization, joint mobilization, and nerve gliding techniques) for 8 weeks, 2 sessions per week, each session lasting 45 minutes, combined with a tailored therapeutic exercise program (including postural correction, stretching, and strengthening exercises).

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults aged 18-65 years, diagnosed with TOS by a specialist, and experiencing symptoms for at least 3 months Exclusion Criteria: * Previous surgery for TOS * contraindications to manual therapy * other comorbidities significantly affecting upper limb function

Locations (1)

Outpatient clinic of faculty of physical therapy, Ahram Canadian University

Al Ḩayy Ath Thāmin, Giza Governorate, Egypt

RECRUITING

Outcomes

Primary Outcomes

Changes in Pain Intensity

Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS).

Time frame: Changes in Pain intensity at Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up)

Secondary Outcomes

Changes in Functional Status

Functional status will be evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.

Time frame: Changes in Functional Status Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up)

Changes in Cervical Range of Motion

Cervical range of motion will be assessed using a goniometer.

Time frame: Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up)

Changes in Quality of Life

Quality of life will be assessed using the Short Form-36 (SF-36) questionnaire

Time frame: Changes in quality of life at Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up)aseline, 4 weeks, 8 weeks, and 12 weeks (follow-up)

Central Contacts

Mohamed M ElMeligie, Ph.d

CONTACT

+201064442032 mohamed.elmeligie@acu.edu.eg

Data from ClinicalTrials.gov

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