Maitland Mobilization and Scapular Stabilization Shoulder Dysfunction

Maitland Mobilization and Scapular Stabilization Exercises on Shoulder Dysfunction Post Neck Dissection Surgeries

Sixty patients from both genders suffering from shoulder disability post unilateral NDS (modified radical, selective) will participate in this study. Their ages will be ranged from 30 to 50 years. They will be selected randomly from Damanhur Oncology center, El-Behira, Egypt. They will be randomly distributed into three equal groups (each group 20 patients).

Design of the study:

In this study the patients were randomly assigned into three equal groups (twenty patients for each group).

Group (A) :

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique and scapular stabilization exercises in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group (B):

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received Maitland mobilization Technique in addition to the traditional physical therapy program which included (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Group (C) :

This group included twenty patients suffering from shoulder disability following NDS (modified radical, selective). They received scapular stabilization exercises in addition to the traditional physical therapy program which include (ROM exercises, stretching exercises and strengthening exercises for shoulder muscles) 3 sessions per week, for 2 months.

Inclusion Criteria:

• Patients' age will be ranged between 30-50 years.
• Both genders will participate in this study.
• All patients suffering from shoulder pain and disability following unilateral modified radical NDS or selective NDS.
• All patients will begin the treatment program from 1 to 3 months after NDS.
• All patients will have limited ROM of shoulder flexion, abduction, external rotation.
• All patients enrolled to the study will have their informed consent.

Exclusion Criteria:

• Subjects with rotator cuff tears or other •shoulder ligament injuries.
• Adhesive capsulitis secondary to Diabetes mellitus or fractures.
• Recurrent shoulder dislocation.
• Recent fracture or surgery to the shoulder.
• Reflex sympathetic dystrophy.
• Neurological disorder.
• Epilepsy or any psychological disorders.
• The presence of residual local-regional cancer or distant metastases to other regions.