Intercostal Mulligan Moblization Post Mastectomy

Effect of Intercostal Mulligan Moblization on Shoulder Dysfunction Post Mastectomy

the study is to evaluate the therapeutic efficacy of intercostal mulligan Mobilization in decreasing pain and improve ROM for shoulder dysfunction Patients post mastectomy.

Inclusion Criteria:

• Patients post modified radical mastectomy at least 3 months prior and had a limited ROM in abduction.
• Patients post mastectomy with lateral chest wall pain.
• Age ranges between 40-60 years.
• All patients had informed written consent

Exclusion Criteria:

• Receiving any previous rehabilitation programs for the upper extremities
• The presence of any type of metastases
• The presence of lymphedema
• Bilateral breast cancer surgery
• Locoregional recurrence
• Withdrawal of the consent at any time during the study for any reason