Effect of scapular stabilization exercises versus mulligan technique on shoulder kinematics and postural changes post mastectomy / Ahmed Abdallah Mohamed Rady Sary ; Supervised Adel Abdelhamid Nossier , Yasser Moustafa Elkerm , Hany Mohamed Elgohary

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Objective: To evaluate the effects of scapular stabilization exercises versus Mulligan technique on post-mastectomy shoulder kinematics and body posture. Design: Randomized controlled trial. Participants: female patients who were suffering from limitation in shoulder joint motion, forward head posture and shoulders height asymmetry post mastectomy. Interventions: The participants were assigned randomly in 3 groups: 1- Group (A) scapular stabilization exercises group includes 20 patients received scapular stabilization exercises plus traditional physical therapy, 2- Group (B) Mulligan technique group includes 20 patients received Mulligan mobilization for shoulder joint and cervical vertebrae plus traditional physical therapy. 3- Group (C) Control group includes 20 patients received traditional physical therapy only. Main Outcome Measures: Shoulder range of motion (ROM) procedures included measurement of flexion, and abduction active range of motion and posture assessment procedure of cervical angle and acromions{u2019} horizontal alignment. They were evaluated at the beginning and after 6 weeks of training. Results: All groups showed significant difference in shoulder range of motion, there was high percent of clinical improvement in favor of group B compared to the other groups. There was significant increase of cervical angle at post treatment only in group A.There was significant reduction in acromions{u2019} horizontal alignment in group A and B only and the greatest improvement was in group A

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