Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability

Sponsor

Cairo University (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT06010381

Collaborator

(none)

Enrollment

Location

Arms

22.4

Anticipated Duration (Months)

1.3

Patients Per Site Per Month

Study Details

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.

Condition or Disease	Intervention/Treatment	Phase
Neck Cancer Mobility Limitation Pain Syndrome Shoulder Pain Surgery	Other: Muscle energy technique Other: Maitland mobilization Other: Traditional shoulder exercise	N/A

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention 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.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)

Primary Purpose:

Treatment

Official Title:

Muscle Energy Technique Versus Maitland Mobilization on Shoulder Pain and Disability After Neck Dissection Surgeries.

Actual Study Start Date :

Nov 1, 2021

Anticipated Primary Completion Date :

Aug 30, 2023

Anticipated Study Completion Date :

Sep 13, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Muscle energy technique This group includes 15 patients who received muscle energy technique post-surgery in addition to traditional shoulder exercise, 3 sessions/week for four weeks.	Other: Muscle energy technique 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. Other: Traditional shoulder exercise Traditional shoulder exercises in the form of shoulder range of motion exercises, stretching exercises and, scapular stabilization.
Active Comparator: Maitland mobilization This group includes 15 patients who received mobilization in addition to traditional shoulder exercise, 3 sessions/week for four weeks.	Other: Maitland mobilization 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). Other: Traditional shoulder exercise Traditional shoulder exercises in the form of shoulder range of motion exercises, stretching exercises and, scapular stabilization.

Arm

Intervention/Treatment

Active Comparator: Muscle energy technique

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

Other: Muscle energy technique

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.

Other: Traditional shoulder exercise

Traditional shoulder exercises in the form of shoulder range of motion exercises, stretching exercises and, scapular stabilization.

Active Comparator: Maitland mobilization

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

Other: Maitland mobilization

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).

Other: Traditional shoulder exercise

Traditional shoulder exercises in the form of shoulder range of motion exercises, stretching exercises and, scapular stabilization.

Outcome Measures

Primary Outcome Measures

Visual analogue scale (VAS) [Change from baseline at four weeks after the intervention]
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) [Change from baseline at four weeks after the intervention]
It is a self-reported questionnaire consisting of 13 items divided in two parts: pain and disability sub-scale.
Shoulder active range of motion [Change from baseline at four weeks after the intervention]
Through using the universal goniometer to measure the shoulder flexion, abduction and, external rotation.

Eligibility Criteria

Criteria

Ages Eligible for Study:

25 Years to 70 Years

Sexes Eligible for Study:

All

Accepts 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.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Shaimaa Mohamed Ahmed El Sayeh	Cairo		Egypt	02

Sponsors and Collaborators

Cairo University

Investigators

Study Director: Shaimaa MA El Sayeh, PhD, Lecturer at Faculty of Physical Therapy, Cairo University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Shaimaa Mohamed Ahmed Elsayeh, Lecturer of Physical Therapy, Cairo University

ClinicalTrials.gov Identifier:

NCT06010381

Other Study ID Numbers:

P.T.REC/012/003370

First Posted:

Aug 24, 2023

Last Update Posted:

Aug 24, 2023

Last Verified:

Aug 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Shaimaa Mohamed Ahmed Elsayeh, Lecturer of Physical Therapy, Cairo University

Muscle energy technique

Maitland's mobilization

shoulder pain and disability

neck dissection surgeries

Additional relevant MeSH terms:

Shoulder Pain

Mobility Limitation

Study Results

No Results Posted as of Aug 24, 2023