Pilates Exercise Versus Manual Lymphatic Drainage On Axillary Web Syndrome Post Mastectomy

Summary

1-Subjects: Sixty-eight patients sample size according to G power who have Axillary web syndrome post mastectomy participated in this study. Their ages ranged from 35 to 55 years. The participants selected from learning hospitals (Al kasr Al Ayni hospital and National cancer institute) and randomly distributed into 2 equal groups.

1.1 Design of study: In this study the patients randomly assigned into two equal groups (34 patients for each group) 1.1(a) Group A: (Pilates Exercise)

1.1(b) Group B: (Manual Lymphatic Drainage)

2\. Equipment's and Tools: Equipment in this study divided into two main categories: measuring and therapeutic equipment.

2.1. Measuring Equipment:

The following tools are used to assess Range of motion and pain for shoulder joint:

2.1 (a) Measuring and assessment of pain by:

* Visual analogue scale 2.2 (b) Measuring range of motion (ROM) by:
* Electronic Goniometer 2.3 (c) Measuring Disability of the arm, shoulder and hand by:
* DASH questionnaire (Disability of the arm, shoulder and hand). 2.2. Therapeutic Equipment: 1. Pilates exercise 2- Manual lymphatic drainage 3. Procedures of the study:

The procedures of this study are classified into the following:

3.1 Measurement Procedures: All measurements have been taken before treatment (pre) after 9 weeks (post 1) after 9 weeks (post 2).

1.1 (a) Assessment of pain of shoulder joint

• Assessment of upper limb pain using visual analogue scale 3.1(b) Assessment of Range of motion of shoulder joint: By Electronic Goniometer. 3.1 (c) Assessment of Disability of the arm, shoulder and hand The disabilities of the arm, shoulder and hand questionnaire (DASH) 1.2 Therapeutic procedures: 3.2(a) procedures of Pilates exercise program:

1. Shoulder Abduction with External Rotation exercise
2. Shoulder bridge exercise
3. Mermaid sitting exercise.
4. Standing Pilates mermaid exercise with towel
5. Rocking exercise
6. Saw Pilates exercise.
7. Bird-dog Pilates exercise.
8. Roll up exercise.
9. Cobra pose exercise.
10. Child pose exercise.

Conditions

• Mastectomy; Lymphedema

Interventions

OTHER

Pilates exercise

1. Shoulder Abduction with External Rotation exercise 2. Shoulder bridge exercise 3. Mermaid sitting exercise. 4. Standing Pilates mermaid exercise with towel 5. Rocking exercise 6. Saw Pilates exercise. 7. Bird-dog Pilates exercise. 8. Roll up exercise. 9. Cobra pose exercise. 10. Child pose exercise.

OTHER

Manual lymphatic massage

procedures of Manual lymphatic drainage program Things to know about MLD Massage * Use only gentle pressure, just enough to see your skin move. * Massage should not be painful. * Do not rub your skin red. * Do massage each day. * Repeat each step 5 to 10 times. * The massage should take about 15 to 30 minutes.

Sponsors & Collaborators

• Cairo University

  lead OTHER

Principal Investigators

• Prof. Dr. Haidy N Asham · Professor of Physical Therapy for Surgery

• Ass. Prof. Dr. Ereny S Wahba Khalil · Assistant professor of Physical Therapy for Surgery

• Prof. Dr. Mohamed A Hassan Abolkasem · Professor of Clinical Oncology

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

35 Years

Max Age

55 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-07-03

Primary Completion

2022-09-04

Completion

2022-12-01

Countries

• Egypt

Study Locations