Mulligan Technique on Shoulder Dysfunction
Head and Neck Cancer
About this trial
This is an interventional treatment trial for Head and Neck Cancer focused on measuring Mulligan Technique, Shoulder Dysfunction, Neck Dissection Surgeries
Eligibility Criteria
Inclusion Criteria: Patients' age will be between 30-50 years old. Both gender 76 patients will participate in this study. Patients with stage I, II adhesive capsulitis post neck dissection surgeries. Frozen shoulder patients with painful, stiff shoulder for at least 3 months. Frozen Shoulder with at least 25% restricted shoulder range of motion. All patients have from moderate to severe pain (VAS score > 4). Patients who are able to comprehend command and willing to participate in the study. All patients enrolled to the study had their informed consent. Exclusion Criteria: Patients with rotator cuff tears and other shoulder ligament injuries or tendon calcification. Rheumatoid arthritis shoulder secondary to fracture, dislocation. Musculoskeletal injuries of glenohumeral joint like fracture and dislocation. Malignancies in the shoulder region, neurological disorders, thoracic outlet syndrome and peripheral nerve injuries Epilepsy or any psychological disorders. Cervical disk lesion, cervical radiculopathy. Cervical spine fracture or spondylolisthesis.
Sites / Locations
- Faculty of Physical TherapyRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Mulligan Mobilization Technique Plus Traditional Physical Therapy Program
Traditional Physical Therapy Program
Mulligan Mobilization Technique in addition to traditional physical therapy program (myofascial release, capsular stretching ex. strengthening ex. and ROM ex.) 3 sessions per week for 6 weeks. The therapist applied passive accessory glide to increase shoulder flexion, abduction, external rotation as the patient moved the arm actively in the desired direction with in a pain free range with dosage: 3 sets for 10 repetitions with 1 minute rest between sets. 3 times a week for 6 weeks. Traditional physical therapy will include chin tucks, shoulder shrugs, shoulder circle, scapular retraction/adduction and shoulder ROM exercises, including shoulder flexion and abduction to improve glenohumeral & scapulothoracic motion and shoulder extension & adduction with moderate resistance and shoulder internal/external rotation with approximately two sets of 15 repetitions.
Traditional physical therapy program (myofascial release, capsular stretching ex. strengthening ex. and ROM ex.) 3 sessions per week for 6 weeks. Traditional physical therapy will include chin tucks, shoulder shrugs, shoulder circle, scapular retraction/adduction and shoulder ROM exercises, including shoulder flexion and abduction to improve glenohumeral & scapulothoracic motion and shoulder extension & adduction with moderate resistance and shoulder internal/external rotation with approximately two sets of 15 repetitions.