Pilates Exercise Versus Proprioceptive Neuromuscular Facilitation in Shoulder Dysfunction Post Mastectomy

Cairo University (CU)

Status: Completed

Conditions: Shoulder Dysfunction; Mastectomy; Proprioceptive Neuromuscular Fascilitation; Pilates

Treatments: Other: Pilates exercises; Other: The conventional program; Other: proprioceptive neuromuscular facilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06652282

Ahmed-005293

Details and patient eligibility

About

The purpose of the study was done to evaluate the therapeutic efficacy of Pilates versus PNF in treatment of shoulder dysfunction and limitation of range of motion after mastectomy

Full description

Mastectomy is the removal of the entire breast, with five types: simple or total mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy. Post-surgical pain and changes in breast shape can lead to side effects like wound infection, hematoma, seroma, shoulder pain, edema, and decreased range of motion. Mastectomy rates vary worldwide, with the highest rate in central and eastern Europe at 77%. Some women at high risk of breast cancer choose to have a mastectomy even when there's no sign of cancer.

Pilates improve flexibility, build strength, and develop control and endurance in the entire body. It emphasizes alignment, breathing, developing a strong core, and improving coordination and balance. The core, consisting of muscles of the abdomen, low back, and hips, is often called the "powerhouse" and is thought to be the key to a person's stability.

Proprioceptive Neuromuscular Facilitation (PNF) is a stretching technique used to improve muscle elasticity and has been shown to have a positive effect on active and passive range of motions.

Enrollment: 60 patients

Sex: Female

Ages: 40 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Age range between 40-75 years.

• Only females will participate in the study.
• All patients have no diabetes or blood problems.
• All patients enrolled to the study will have their informed consent

Exclusion criteria

Age less than 40 or more than 75 years.

• Diabetes mellitus.
• Subjects suffering from active malignant tumors.
• Subjects treated with skin graft.
• Subjects with Mental illness.
• Subjects with skin diseases
• Subjects with any previous cause for shoulder dysfunction

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Pilates exercise

Experimental group

Description:

This group includes 20 patients who had mastectomy and will recieve Pilates exercise in addition to conventional physical therapy program (stretching exercises and strengthening exercises), and routine medical treatment. Patients will receive 3 sessions per week for 12 weeks, time of session is 45 - 60 min according to patient ability

Treatment:

Other: Pilates exercises

proprioceptive neuromuscular facilitation (PNF)

Active Comparator group

Description:

This group includes 20 patients who had mastectomy and will receive PNF exercise in addition to conventional physical therapy program (stretching exercises and strengthening exercises) and routine medical treatment. Patients will receive 3 sessions per week for 12 weeks, time of session is 45 - 60 min according to patient ability

Treatment:

Other: proprioceptive neuromuscular facilitation

Conventional exercise

Active Comparator group

Description:

This group includes 20 patients who had mastectomy and will receive conventional physical therapy program (stretching exercises and strengthening exercises) and routine medical treatment. Patients will receive 3 sessions per week for 12 weeks, time of session is 45 - 60 min according to patient ability

Treatment:

Other: The conventional program