Pre-Surgery Rehab for a Child With Humeral Head and Shaft Deformity: A Case Report

Summary

The goal of this observational study (single-patient case report) is to learn whether a structured pre-operative physical therapy rehabilitation program can improve shoulder function, reduce pain, and improve quality of life in an 11-year-old girl with humeral head and shaft deformity (post-inflammatory changes).

The main questions it aims to answer are:

Does shoulder range of motion and muscle strength improve after the program? Does pain and functional ability (including posture) improve after the program?

Participants will:

Attend 12 sessions over October-November 2025 (2 sessions/week) at the Faculty of Physical Therapy, Cairo University

Receive a standardized session program that may include:

TENS, low-level laser therapy, manual therapy (Spencer technique), phonophoresis PNF stretching and progressive exercises, plus scapular taping Complete evaluations at baseline, mid-program, and after the program, including goniometry (ROM), manual muscle testing, pain scale (VAS), postural assessment, and a functional ability checklist

Conditions

• Osteomyelitis Chronic
• Bone Defects

Interventions

DEVICE

Transcutaneous Electrical Nerve Stimulation

a method of pain relief that uses a device to send low-voltage electrical impulses through electrodes placed on the skin

DEVICE

Low-Level Laser Therapy

a non-invasive medical treatment that uses low-level lasers or light-emitting diodes (LEDs) to stimulate cell function and accelerate the body's natural healing process

OTHER

Manual Therapy

a hands-on treatment approach

OTHER

Phonophoresis

a medical procedure that uses therapeutic ultrasound to deliver topical medications through the skin and into deeper tissues

OTHER

PNF stretching

is an advanced technique that combines muscle contraction and relaxation to increase flexibility and range of motion

OTHER

kinesio taping

Kinesio tape will be applied to the shoulder and scapular region to support improved alignment and scapular control during movement.

Sponsors & Collaborators

• Cairo University

  lead OTHER

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-10-01

Primary Completion

2025-11-01

Completion

2025-11-01

Countries

• Egypt

Study Locations