Efficacy of scapular mobilization and myofascial release on shoulder girdle function after mastectomy / Lamiaa Said Tolba Saleh ; Supervised Samah Hosney Nagiub , Yasser Mostafa Elkarem , Khadra Mohammed Ali

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Purpose: To determine the efficacy of scapular mobilization and muscle release in increasing the shoulder flexion and abduction range of motion and decrease pain after mastectomy. Methods: - 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) received scapular mobilization and muscle release treatment in addition to traditional shoulder exercises, 2 session per week, for 24 sessions, Time of treatment was 45 min for each session. Group (B) received traditional shoulder exercises, Time was 10 minutes in each session, 2 sessions per week for 24 sessions, Patients continued these exercises as a home program, 10 repetitions of each exercise not more than 5 times a day.The study was conducted from December 2015 to March 2016. Results: Result showed that both scapular mobilization , myofascial release with traditional exercises were effective in improvement function of shoulder girdle and pain threshold.Conclusion: scapular mobilization and myofascial release is valuable and effective method in increase shoulder flexion and abduction ROM, improve shoulder function and increase pain threshold

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