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Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability

Primary Purpose

Neck Cancer, Mobility Limitation, Pain Syndrome

Status
Active
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Muscle energy technique
Maitland mobilization
Traditional shoulder exercise
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Cancer focused on measuring Muscle energy technique, Maitland's mobilization, shoulder pain and disability, neck dissection surgeries

Eligibility Criteria

25 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age range between 25-70 years. Male and female patients participated in the study. All patients had shoulder pain following different NDS All patients had no previous shoulder pain. All patients enrolled in the study had their informed consent. Exclusion Criteria: Previous shoulder pain from any other causes. Pregnancy. Epileptics. Radiotherapy. Chemotherapy.

Sites / Locations

  • Shaimaa Mohamed Ahmed El Sayeh

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Muscle energy technique

Maitland mobilization

Arm Description

This group includes 15 patients who received muscle energy technique post-surgery in addition to traditional shoulder exercise, 3 sessions/week for four weeks.

This group includes 15 patients who received mobilization in addition to traditional shoulder exercise, 3 sessions/week for four weeks.

Outcomes

Primary Outcome Measures

Visual analogue scale (VAS)
A Visual Analogue Scale (VAS) is one of the pain rating scales used for the first time in 1921 by Hayes and Patterson. It is often used in epidemiology and clinical research to measure the intensity or frequency of various symptoms.
The SPADI (Shoulder Pain and Disability Index)
It is a self-reported questionnaire consisting of 13 items divided in two parts: pain and disability sub-scale.
Shoulder active range of motion
Through using the universal goniometer to measure the shoulder flexion, abduction and, external rotation.

Secondary Outcome Measures

Full Information

First Posted
August 21, 2023
Last Updated
August 21, 2023
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT06010381
Brief Title
Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability
Official Title
Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability After Neck Dissection Surgeries.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 1, 2021 (Actual)
Primary Completion Date
August 30, 2023 (Anticipated)
Study Completion Date
September 13, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study was to investigate the effect of muscle energy technique versus Maitland's mobilization on shoulder pain and disability after neck dissection surgeries.
Detailed Description
Thirty patients with shoulder pain and limited ROM post-neck dissection surgeries participated in this study. Patients were subdivided into two groups, fifteen patients in each group. Group A received the muscle energy technique and group B received Maitland's mobilization. Data obtained from both groups regarding Visual Analogue Scale (VAS), The Shoulder Pain and Disability Index (SPADI), and shoulder flexion, abduction, and external ROM were statistically analyzed and compared.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Cancer, Mobility Limitation, Pain Syndrome, Shoulder Pain, Surgery
Keywords
Muscle energy technique, Maitland's mobilization, shoulder pain and disability, neck dissection surgeries

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Patients were subdivided into two groups, fifteen patients in each group. Group A received the muscle energy technique and group B received Maitland's mobilization.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Muscle energy technique
Arm Type
Active Comparator
Arm Description
This group includes 15 patients who received muscle energy technique post-surgery in addition to traditional shoulder exercise, 3 sessions/week for four weeks.
Arm Title
Maitland mobilization
Arm Type
Active Comparator
Arm Description
This group includes 15 patients who received mobilization in addition to traditional shoulder exercise, 3 sessions/week for four weeks.
Intervention Type
Other
Intervention Name(s)
Muscle energy technique
Intervention Description
It was applied on the shoulder flexion and the external rotation. An isometric contraction of the agonist muscle (the muscle which requires stretching) for 7 seconds with gentle muscle contraction to avoid the risk of increasing the muscle tone. This contraction started just short of the restrictive barrier. After that, the patient is asked to relax for 2-3 seconds and then the therapist stretches the contracted muscle in the opposite direction for 30 seconds. This is repeated three repetitions for each muscle.
Intervention Type
Other
Intervention Name(s)
Maitland mobilization
Intervention Description
At the start of each session, the physical therapist examined the patient's ROM in all directions to obtain information about the end-range position and the end feel of the glenohumeral joint. Start with rhythmic mid-range mobilization with the patient in a supine position. The therapist's hands are placed close to the glenohumeral joint, and the humerus is brought into a position of maximal flexion in the sagittal plane. After 10 to 15 repetitions of intensive mobilization techniques in this end-range position, the direction of mobilization will be altered by varying the plane of elevation or by varying the degree of rotation. When alternating the direction of mobilization, other movements such as gliding techniques and distraction in that joint position were (inferior gliding, anterior gliding, and posterior gliding).
Intervention Type
Other
Intervention Name(s)
Traditional shoulder exercise
Intervention Description
Traditional shoulder exercises in the form of shoulder range of motion exercises, stretching exercises and, scapular stabilization.
Primary Outcome Measure Information:
Title
Visual analogue scale (VAS)
Description
A Visual Analogue Scale (VAS) is one of the pain rating scales used for the first time in 1921 by Hayes and Patterson. It is often used in epidemiology and clinical research to measure the intensity or frequency of various symptoms.
Time Frame
Change from baseline at four weeks after the intervention
Title
The SPADI (Shoulder Pain and Disability Index)
Description
It is a self-reported questionnaire consisting of 13 items divided in two parts: pain and disability sub-scale.
Time Frame
Change from baseline at four weeks after the intervention
Title
Shoulder active range of motion
Description
Through using the universal goniometer to measure the shoulder flexion, abduction and, external rotation.
Time Frame
Change from baseline at four weeks after the intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age range between 25-70 years. Male and female patients participated in the study. All patients had shoulder pain following different NDS All patients had no previous shoulder pain. All patients enrolled in the study had their informed consent. Exclusion Criteria: Previous shoulder pain from any other causes. Pregnancy. Epileptics. Radiotherapy. Chemotherapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shaimaa MA El Sayeh, PhD
Organizational Affiliation
Lecturer at Faculty of Physical Therapy, Cairo University
Official's Role
Study Director
Facility Information:
Facility Name
Shaimaa Mohamed Ahmed El Sayeh
City
Cairo
ZIP/Postal Code
02
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability

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