Effectiveness of Oncological Physiotherapy on Painful Shoulder Cervical Ganglion in Head and Neck Cancer
Cancer, Shoulder Pain, Rehabilitation
About this trial
This is an interventional treatment trial for Cancer focused on measuring cervical lymph node dissection, iatrogenic damage, spinal accessory nerve, physiotherapy
Eligibility Criteria
Inclusion Criteria: Patients with cancer located in the head and neck. Different types of cancer, undergoing cervical lymph node dissection between levels II and V, with pain and/or functional impotence in the shoulder. Exclusion Criteria: Patients with bone metastases Patients with functional limitations in the shoulder prior to surgery or that can be demonstrated to be due to other causes. Patients who are minors Incident cases of painful shoulder in patients with Cervical level I lymph node dissection
Sites / Locations
- Centro Investigación Fisioterapia y DolorRecruiting
- Physiotherapy and Pain InstituteRecruiting
- Patricia Martinez Merinero
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Therapeutic strength exercise group
Passive mobilization group
A treatment with therapeutic strength exercises, twice a week, for two months, with a total of 10 exercises, with 20 repetitions each, aimed at improving the strength of the trapezius and sternocleidomastoid muscles mainly, as well as improving mobility in flexion, abduction and rotation of the affected upper limb. The protocol will be carried out in approximately 30 minutes.
A treatment with passive kinesitherapy, where the physiotherapist will perform the movements of flexion, abduction and rotation of the shoulder, without the patient's intervention; active kinesitherapy, where the patient will perform specifically prescribed movements, without weight, to improve the articular and muscular balance of the scapulohumeral complex and neurodynamics, where mobilisations of the accessory spinal nerve will be performed through therapeutic exercise and manual neurodynamic therapy. This treatment will be carried out once a week for two months in 30-minute sessions.