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The aim of study was to investigate the comparative effectiveness of Isometrics versus Range of Motion (ROM) Exercises on Pain, Mobility and Functional Independence post-mastectomy. A randomized clinical trial was conducted, in which 30 participants were randomly assigned to 2 parallel groups. One group received Isometric Exercises, while the other received Range of Motion Exercises. Outcome measures included pain, range of motion and functional independence. Treatments were administered 3 times per week with 2 sets of each exercise with 5-7 repetitions per day for a duration of eight weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isometrics Exercise Group A | Experimental | Group A received a hot pack for 10-15 minutes and performed deep breathing exercises for 3-4 repetitions. Patients were instructed in diaphragmatic breathing, where they inhaled deeply, held their breath for 2-3 seconds, and then exhaled. Following this, isometric exercises were performed, consisting of 2 sets of each exercise with 5-7 repetitions per set, done three times per week for a total duration of 8 weeks. |
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| Range of Motion Exerccise Group B | Active Comparator | Group B received a hot pack for 10-15 minutes and performed deep breathing exercises for 3-4 repetitions. Patients were guided in diaphragmatic breathing, where they inhaled deeply, held their breath for 2-3 seconds, and then exhaled. Afterward, they performed Range of Motion (ROM) exercises, consisting of 2 sets of each exercise with 5-7 repetitions per set, conducted three times per week over a period of 8 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isometrics Exercise | Procedure | Shoulder Squeeze: The therapist instructed the patient to lift their arms to shoulder height while keeping the elbows bent, then move the arms backward until the shoulder blades come together. Arm Lift to Front and Side: The therapist instructed the patient to raise their arm forward and upward while applying gentle resistance for 2-3 seconds to facilitate front arm elevation. Then, the patient was guided to lift the arm sideways, with slight resistance applied for 2-3 seconds to assist in side-arm elevation. |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain | Numeric Pain Rating Scale (NPRS) with decreasing values indicates improved patient condition and reduced pain intensity. | Eight Weeks |
| Shoulder ROM | Goniometer with increasing ROM indicates improved patient condition and joint movements. | Eight Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Functional Independence | Upper Extremity Functional Scale determines the level of function of participant where higher score indicates improved upper extremity function and reduced functional impairment. | Eight Weeks |
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Inclusion Criteria:
Exclusion Criteria:
Females
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| Name | Affiliation | Role |
|---|---|---|
| Dr Izza Ayub; PT | Department of Rehabilitaion Sciences, The University of Faisalabad | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Faisalabad | Faisalābad | Pakistan |
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| Range of Motion Exercises | Procedure | Wall Climb for Flexion: The therapist instructed the patient to move their fingers upward along the wall until they reach their limit, then repeat the movement. Arm across Chest for Adduction and Internal Rotation: The therapist instructed the patient to move the affected arm toward the unaffected arm and shoulder. Wand Exercise for Flexion and Abduction: The patient was instructed to hold a wand with both hands and move it forward and sideways toward the affected side |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D016059 | Range of Motion, Articular |
| ID | Term |
|---|---|
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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