Efficacy of Scapular Mobilization and Myofascial Release on Shoulder Girdle Function after Mastectomy
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- Category: Vol. 85, March 2017
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Efficacy of Scapular Mobilization and Myofascial Release on Shoulder Girdle Function after Mastectomy, LAMIAA S. TOLBA, SAMAH H. NAGUIB, KHADRA M. ALI and YASSER M. EL-KARM
Abstract
Purpose: To determine the efficacy of scapular mobiliza-tion and muscle release in increasing the shoulder flexion and abduction range of motion after mastectomy.
Methods: This study was conducted on forty patients who had shoulder girdle dysfunction participated in this study. Their ages ranged from 35-65 years. The participants were selected from Oncology Center (Ayady El-Mostakbal Center for Oncology in Alexandria) and randomly distributed into two equal groups. Group (A) this group included 20 patients who had shoulder girdle dysfunction received scapular mobi-lization and muscle release treatment in addition to traditional shoulder exercises. 2 sessions per week for 24 sessions, time of treatment were 45min (5-10min) for scapular mobilization, 25min for muscle release and 10min for traditional exercises for shoulder. Group (B) this group included 20 patients who had shoulder girdle dysfunction received traditional shoulder exercises. Time was 15 minutes in each session, 2 sessions per week for 24 sessions. Patient continued these exercises as a home program, 10 repetitions of each exercise below 5 times a day. The study was conducted from December 2015 to March 2016.
Material and Methodes: Goniometer was used to measure shoulder flexion and abduction range of motion, pressure algometer to measure the pain threshold and shoulder pain and disability index to determine the improvement of shoulder function. Results showed that both scapular mobilization and myofascial release with traditional exercises (Group A) and traditional shoulder exercises only (Group B) were effective in improvement function of shoulder girdle and pain threshold but scapular mobilization and myofascial release with tradi-tional shoulder exercises (Group A) were more effective than traditional exercises only.
Conclusion: It can be concluded that scapular mobilization and myofascial release were valuable and effective method in increase shoulder flexion and abduction ROM, improving shoulder function and increasing pain threshold.