Selected Exercise Program on Upper Cross Syndrome Post-unilateral Mastectomy

N/ANot Yet RecruitingNCT07447024

Cairo University60 enrolled

Overview

The purpose of the study is to evaluate the therapeutic efficacy of exercise rehabilitation program on upper limb range and forward head posture post unilateral radical mastectomy.

Upper cross syndrome (forward head posture and rounded shoulder) is a major problem facing physical therapist, which causes an increase in pain, limitation of quality of life and delayed rehabilitation process. The lack in knowledge and information in the published studies about effects of exercise program in forward head posture and rounded shoulder in female's management post unilateral mastectomy. This study will be carried out to investigate the effectiveness exercise program in improving the range of motion in shoulder and forward head posture in females post unilateral mastectomy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Mastectomy

Interventions

Selected exercise programOTHER

Patients who have upper cross syndrome post unilateral modified radical mastectomy and who will receive exercise program (strengthening, active range of motion exercise, and strengthening exercises including prone scapular stabilization, shoulders shrug McKenzie exercise for neck, repeated shoulder horizontal adduction, repeated shoulder flexion, repeated shoulder extension, neck flexion McKenzie exercises) and routine medical treatment. Patients will receive 3 sessions per week for 12weeks, time of session is 45 minutes.

Routine medical therapyDRUG

For pain relief: Acetaminophen: 2 pills two times per day. Ibuprofen 400 mg: 1 pill two times per day. Hormonal therapy: Tamoxifen 20 mg: once daily. Silicone gel creams (Biocorneum): 3 times per day. These medications will be given for all patients throughout the treatment period (12 weeks).

Eligibility

Sex: FEMALEMin age: 45 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * The subject selection will be according to the following criteria: * Age range between 45-65years. * Females only will participate in the study. * All patients have upper cross syndrome post-unilateral modified radical mastectomy * All patients relatives enrolled the study will have their informed consent. Exclusion Criteria: * Age more than 65 years or less than45 years. * Subjects who have hearing problems * Patients have acute viral diseases, acute tuberculosis, mental disorders or those with pacemakers. * Diabetic, cardiac and renal patients. * Genetic disease * Patients who had any other breast cancer operations

Locations (1)

Vivian Samy Ayad

Cairo, Egypt

Outcomes

Primary Outcomes

Craniovertebral angle (CVA)

The Craniovertebral angle (CVA) is measured by creating an angle between a horizontal line passing through the seventh cervical (C7) vertebra and a line connecting C7 to the tragus of the ear. It is commonly used to assess forward head posture, with smaller angles indicating more severe forward head posture. How to Measure the Craniovertebral Angle: • Use software (KINOVEA) to draw a straight horizontal line passing through C7. Draw a second line connecting the C7 mark to the tragus of the ear. Measure the angle formed by these two lines (the acute angle). * Normal value of CVA: more than 50 degree. * Patients selected with CVA ranged between 30-50 degrees.

Time frame: 12 weeks

Cobb angle

To measure the Cobb angle, identify the most tilted vertebrae at the top and bottom of a scoliosis curve on an X-ray (anteroposterior view). Steps to Measure Cobb Angle: 1. Identify End Vertebrae: Select the highest vertebra (upper end vertebra) and lowest vertebra (lower end vertebra) in the curve that are most tilted toward the concavity. 2. Draw Parallel Lines: * Draw a line parallel to the superior (top) endplate of the upper vertebra. * Draw a line parallel to the inferior (bottom) endplate of the lower vertebra. 3. Draw Perpendicular Lines: Draw a line perpendicular (90 degrees) to each of the lines drawn in step 2. 4. Measure the Angle: The angle formed at the intersection of these two perpendicular lines is the Cobb angle. A curve of more than or equal 10 degrees is defined as scoliosis.

Time frame: 12 weeks

The Functional Shoulder Score (FSS)

The FSS is an 11-item patient-reported subjective outcome questionnaire consisting of two major categories - pain (one question) and activities of daily living (ADLs) (10 questions). Subjects will answer each question on a 10-point numeric rating scale, with a lower number always indicating worse pain or greater difficulty in function. The maximum score of 100 represents the total absence of pain and best possible function. The minimum score of 0 represents the worst possible result. Fifty points will be allocated for pain and 50 for ADLs. The final score will be calculated by multiplying the value indicated by the patient's answer to the question about pain by 5 and adding this to the half the sum of the total value recorded for ADLs.