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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; 31:215. [PMID: 36922413 PMCID: PMC10017571 DOI: 10.1007/s00520-023-07641-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 02/13/2023] [Indexed: 03/18/2023]
Abstract
PURPOSE The main aim of the trial was to assess the combined impact of graded Thera-Band strengthening exercises and scapular stabilization exercises on shoulder pain, physical function, and quality of life (QoL) in post-mastectomy adhesive capsulitis (AC). METHODS Seventy females with unilateral post-mastectomy AC partook in the trial. Participants were subdivided equally into two groups at random. Both groups obtained the traditional physical therapy program; in addition, the intervention group received graded Thera-Band exercises for shoulder muscles and scapular stabilization exercises 5 days a week for 8 weeks. Range of motion (ROM) and muscle power of shoulder were assessed by digital goniometer and handheld dynamometer, respectively. Disability of the Arm, Shoulder, and Hand questionnaire (DASH) was utilized for assessment of shoulder function and visual analogue scale (VAS) for pain measurement while short-form (SF-36) for QoL assessment. All evaluation data was recorded prior to the trial and at the eighth week of interventions for both groups. RESULTS All participants achieved improvements in shoulder ROM, muscle power, pain, and all aspects of QoL; however, higher statistical improvements were reported in all measurements with respect to strengthening exercises group (p < 0.001). CONCLUSION The addition of graded Thera-Band strengthening exercises and scapular stabilization exercises in post-mastectomy AC rehabilitation program has significant benefits in shoulder function and patients' QoL. TRIAL REGISTRATION This study is retrospectively registered at ClinicalTrials.gov NCT05311839.
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Affiliation(s)
- Nancy H Aboelnour
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St, Bein El sarayat, Dokki, PO 12624, Giza, Egypt.
| | - FatmaAlzahraa H Kamel
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St, Bein El sarayat, Dokki, PO 12624, Giza, Egypt.,Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah, Qassim, Saudi Arabia
| | - Maged A Basha
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah, Qassim, Saudi Arabia.,Department of Physical Therapy, El-Sahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt
| | - Alshimaa R Azab
- Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.,Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Islam M Hewidy
- Adjunct Faculty at Physical Therapy Department, New York Medical College, Valhalla, NY, USA
| | - Mohamed Ezzat
- Department of Physical Therapy for Orthopedics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Noha M Kamel
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St, Bein El sarayat, Dokki, PO 12624, Giza, Egypt
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Oliveira RCD, Freitas LBD, Gomes RR, Cliquet Júnior A. ORTHOPEDIC RELATED COMORBIDITIES IN SPINAL CORD-INJURED INDIVIDUALS. ACTA ORTOPEDICA BRASILEIRA 2020; 28:199-203. [PMID: 32788864 PMCID: PMC7405849 DOI: 10.1590/1413-785220202804224403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Objective: This study aims to review, identify and study the determinations of the main
orthopedic aspects in SCI patients. Methods: A total of 80 articles from PUBMED and three theses (MSc. /DSc.) were
examined. Results: The results refer to the most essential joints. There is a chronic overload
on the shoulder girdle due to the use of the upper limb as a supporting
joint. The elbow presents osteoarthritis, subclinical, acute and chronic
pain, mainly in quadriplegic patients. In the hand and wrist joints there
are cases of paralysis, osteoporosis and osteoarthritis. Hips are the main
weight-bearing joints while sitting which leads to a substantial
degenerative process of this joint. Lastly, on the knee, feet and ankles,
spasticity, contractures, osteoporosis and deformities can arise. Conclusion: Along with the increase in cases and research that analyze the alterations
that spinal cord-injured individuals suffer, it is necessary to recognize
the orthopedic changes to understand their limits and identify the relevance
of the rehabilitation program to improve the muscle performance. Level
of Evidence II, Prognostic Studies - Investigating the Effect of a
Patient Characteristic on the Outcome of Disease.
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