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Shoulder pain, reduced mobility, and functional limitations are common complications following unilateral mastectomy, often leading to long-term disability and an increased risk of secondary shoulder-hand syndrome
Shoulder pain, reduced mobility, and functional limitations are common complications following unilateral mastectomy, often leading to long-term disability and an increased risk of secondary shoulder-hand syndrome. Conventional physiotherapy provides general postoperative rehabilitation but may not adequately address altered scapulothoracic mechanics or psychological factors that contribute to persistent dysfunction. Targeted scapular and shoulder exercises may enhance clinical recovery; however, high-quality evidence supporting their effectiveness remains limited
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Scapular-Shoulder Exercise Group | Experimental | Scapular and Shoulder Exercise Program (Intervention Group) Supervision and Duration
All participants will receive the standard physiotherapy protocol implemented at the center, including:
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| Control Group | Active Comparator | All participants will receive the standard physiotherapy protocol implemented at the center, including:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interventions 1. Scapular and Shoulder Exercise Program (Intervention Group) Supervision and Duration • 3 sessions/week • 45-60 minutes per session • Total duration: 8 weeks (24 sessions) • Conducted | Procedure | Interventions 1. Scapular and Shoulder Exercise Program (Intervention Group) Supervision and Duration
Exercise Components The program consists of five progressive phases: Phase 1: Mobility and Motor Control (Week 1-2)
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| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Function | Shoulder Function
| 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary out come | Pain Intensity • Visual Analog Scale (VAS, 0-10) at rest and during movement 2. Incidence of Secondary Shoulder-Hand Syndrome (SHS) Diagnosis based on recognized clinical criteria:
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Inclusion Criteria:
Participants must meet all of the following criteria:
Female adults between 30 and 65 years old.
History of unilateral breast cancer managed with either:
Postoperative interval between 4 and 12 weeks before enrollment.
Objective evidence of impaired shoulder mobility or function including:
Ability to ambulate independently and follow therapist instructions.
Willingness to commit to the full rehabilitation protocol for 8 weeks.
Exclusion Criteria:
Participants will be excluded if they have:
Women Following Unilateral Mastectomy
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ibrahim ismail Abuzaid, Assistant professor | Contact | 797756592 | ibrahim_ismail_2011@svu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hany elgohary | Jerash | 22B | Jordan |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36922413 | Result | Aboelnour NH, Kamel FH, Basha MA, Azab AR, Hewidy IM, Ezzat M, Kamel NM. Combined effect of graded Thera-Band and scapular stabilization exercises on shoulder adhesive capsulitis post-mastectomy. Support Care Cancer. 2023 Mar 16;31(4):215. doi: 10.1007/s00520-023-07641-6. | |
| 36814100 | Result | Pirincci CS, Dalyan M, Delialioglu SU, Celenay ST. Effects of scapulothoracic stabilization exercises on scapular function, posture, and balance in lymphedema after mastectomy: a randomized controlled trial. Women Health. 2023 Apr;63(4):251-265. doi: 10.1080/03630242.2023.2178836. Epub 2023 Feb 22. |
| Label | URL |
|---|---|
| Related Info | View source |
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A randomized clinical trial was conducted involving 66 women who underwent unilateral mastectomy. Participants were randomly assigned to either a Scapular-Shoulder Exercise Group (SSEG; n = 33) or a Control Group receiving conventional physiotherapy (CG; n = 33). The intervention lasted 8 weeks and consisted of scapular stabilization, mobility, neuromuscular control, and shoulder strengthening exercises. Outcomes were measured at baseline, post-treatment, and 8 week follow-up, including pain intensity (VAS), upper-limb function (DASH), shoulder range of motion, kinesiophobia (TSK-11), self-efficacy, psychological well-being, and incidence of secondary shoulder-hand syndrome. Data were analyzed using mixed-model ANOVA with Bonferroni post-hoc tests, chi-square analysis, and partial eta squared (ηp²) for effect sizes.
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A randomized clinical trial was conducted involving 66 women who underwent unilateral mastectomy. Participants were randomly assigned to either a Scapular-Shoulder Exercise Group (SSEG; n = 33) or a Control Group receiving conventional physiotherapy (CG; n = 33). The intervention lasted 8 weeks and consisted of scapular stabilization, mobility, neuromuscular control, and shoulder strengthening exercises. Outcomes were measured at baseline, post-treatment, and 8 week follow-up, including pain intensity (VAS), upper-limb function (DASH), shoulder range of motion, kinesiophobia (TSK-11), self-efficacy, psychological well-being, and incidence of secondary shoulder-hand syndrome. Data were analyzed using mixed-model ANOVA with Bonferroni post-hoc tests, chi-square analysis, and partial eta squared (ηp²) for effect sizes.
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| 16weeks |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D009934 | Organization and Administration |
| ID | Term |
|---|---|
| D006298 | Health Services Administration |
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