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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A (experimental group) | Experimental | MWM techniques combined with a tailored therapeutic exercise program |
|
| Group B (control group) | Active Comparator | Conventional physiotherapy combined with a tailored therapeutic exercise program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobilization with Movement (MWM) and Tailored Therapeutic Exercise Program | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Pain Intensity | Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS). | Changes in Pain intensity at Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up) |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Functional Status | Functional status will be evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. | Changes in Functional Status Baseline, 4 weeks, 8 weeks, and 12 weeks (follow-up) |
| Changes in Cervical Range of Motion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed M ElMeligie, Ph.d | Contact | +201064442032 | mohamed.elmeligie@acu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Amal Fawzy, Ph.d | Faculty of Physical Therapy, Ahram Canadian University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient clinic of faculty of physical therapy, Ahram Canadian University | Recruiting | Al Ḩayy Ath Thāmin | Giza Governorate | 3221405 | Egypt |
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Two-arm randomized controlled trial with an equal allocation ratio (1:1) for the experimental and control groups
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|
| Conventional Physiotherapy | Other | 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). |
|
Cervical range of motion will be assessed using a goniometer. |
| 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 | 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) |
| ID | Term |
|---|---|
| D013901 | Thoracic Outlet Syndrome |
| ID | Term |
|---|---|
| D009408 | Nerve Compression Syndromes |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D009068 | Movement |
| ID | Term |
|---|---|
| D010829 | Physiological Phenomena |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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