Combined effect of graded Thera-Band and scapular stabilization exercises on shoulder adhesive capsulitis post-mastectomy,Supportive Care in Cancer

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Combined effect of graded Thera-Band and scapular stabilization exercises on shoulder adhesive capsulitis post-mastectomy
Supportive Care in Cancer ( IF 2.8 ) Pub Date : 2023-03-16 , DOI: 10.1007/s00520-023-07641-6
Nancy H Aboelnour ₁ , FatmaAlzahraa H Kamel _{1,

2} , Maged A Basha _{2,

3} , Alshimaa R Azab _{4,

5} , Islam M Hewidy ₆ , Mohamed Ezzat ₇ , Noha M Kamel ₁

Affiliation

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.

中文翻译：

分级 Thera-Band 和肩胛稳定训练对乳房切除术后肩关节囊粘连的联合作用

目的

该试验的主要目的是评估分级 Thera-Band 强化训练和肩胛稳定训练对乳房切除术后粘连性囊炎 (AC) 患者的肩痛、身体功能和生活质量 (QoL) 的综合影响。

方法

70 名患有单侧乳房切除术后 AC 的女性参与了试验。参与者被随机平均分为两组。两组均获得传统理疗方案；此外，干预组接受分级的 Thera-Band 肩部肌肉锻炼和肩胛稳定锻炼，每周 5 天，持续 8 周。分别通过数字测角仪和手持式测力计评估肩关节的运动范围 (ROM) 和肌肉力量。手臂、肩部和手部残疾问卷 (DASH) 用于评估肩部功能，视觉模拟量表 (VAS) 用于疼痛测量，而简短形式 (SF-36) 用于 QoL 评估。两组的所有评估数据均在试验前和干预第八周时记录。