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This study will be carried out at the outpatient clinic of the faculty of physical therapy, Cairo university, El Galaa general hosbital after referral from endocrine surgeon. Participants will perform these exercises in a room supervisor physiotherapist.
All participants will sign a written consent form after receiving full information about the purpose of the study, procedure, possible benefits, privacy, and use of data.
This study will investigate the effects of Baduanjin exercises on shoulder dysfunction post thyroidectomy. To assign patients to different treatment groups, a table of random numbers generated by a computer was used. Patients were allocated randomly into two groups using this method. This study will be carried out at the outpatient clinic of the faculty of physical therapy, Cairo University, El Galaa general hospital and National Cancer Institute in Cairo to be treated in the outpatient clinic after referral from endocrine surgeon. Participants will perform these exercises in a room supervisor physiotherapist.
All participants will sign a written consent form after receiving full information about the purpose of the study, procedure, possible benefits, privacy, and use of data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Baduanjin exercises | Experimental | This group included 40 participants post thyroidectomy; they will receive Baduanjin exercises and conservative shoulder care |
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| control group | No Intervention | This group included 40 participants post thyroidectomy; they will receive conservative shoulder care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Baduanjin exercises | Other | Baduanjin has 8 movement forms, which are relatively less demanding. Assistive equipment is also not necessary during Baduanjin. These advantages make Baduanjin a suitable form of exercise training for post thyroidectomy patients. The movements involved in Baduanjin require the individual to reach beyond the base of support, change the base of support between bilateral and unilateral stance, and perform movements in a sustained squatting posture. These maneuvers challenge balance and require muscle strength to be executed successfully. In 8 movement forms of Baduanjin all include shoulder joint function exercises, thus making Baduanjin a potentially useful method for improving activity level and arm strength. |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain and disability index (SPADI) | It was used to determine the shoulder pain and disability. It comprises of 13 items: a 5 item subscale to evaluate the pain and an 8 item subscale to evaluate the disability. The total score is determined by averaging the pain and disability subscale scores. The SPADI exhibits great construct validity, associating admirably with other district explicit shoulder questionnaires. The translated version of the SPADI in the Arabic language showed excellent internal consistency, with a Cronbach's α values of 0.98, and test retest reliability.the SPADI score ranges from 0 to 100, with higher scores indicating greater shoulder pain and disability | at baseline and at 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder range of motion :( active range of motion (ROM)) using Image J | The ImageJ, a photograph-based goniometry tool, can measure the angle using images or videos during these exercises. Measurement method using ImageJ during active ROM exercises.Three-dimensional motion capture systems, such as Vicon, have been widely used with increased accuracy . However, as these technologies can be costly and are unavailable in many clinical settings , the ImageJ open-source software is considered particularly for measuring the ROM of the upper limbs during exercise |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of physical therapy ,Cairo University | Cairo | 285 | Egypt |
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| ID | Term |
|---|---|
| C535842 | Thyroiditis, Chronic |
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Prospective Randomized controlled trial
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| at baseline and at 12 weeks |
| Total calcium concentration | at baseline and at 12 weeks |