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Scapular Mobilization and Proprioceptive Neuromuscular Facilitation on Shoulder Dysfunction After Latissimus Dorsi Flap Breast Reconstruction
Sponsor: Cairo University
Summary
this study will be conducted to investigate the effect of scapular mobilization and scapular Proprioceptive neuromuscular facilitation on shoulder dysfunction after latissimus dorsi flap breast reconstruction
Key Details
Gender
FEMALE
Age Range
40 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
36
Start Date
2026-04-25
Completion Date
2026-09-01
Last Updated
2026-04-23
Healthy Volunteers
No
Conditions
Interventions
scapular mobilization and scapular proprioceptive neuromuscular facilitation exercises
for scapular mobilization, The patient will be laying on the affected forearm on their back. The therapist is standing before the patient's affected shoulder, placing the index finger of one hand under the medial scapular border, the other hand grasping the superior border of the scapula. The scapula was moved superiorly and inferiorly for superior and inferior glide, and then the scapula is rotated upward and downward for scapular rotation. Second, with the patient was in the same position the physiotherapist put the ulnar fingers under the medial scapular border and distracted the scapula from the thorax. Sets of 10 repetitions were applied performed at a rate of one cycle per 6 s, with a rest interval of 30 seconds between sets. for PNF is applied by a trained therapist in two diagonals, anterior elevation and posterior depression and posterior elevation and anterior depression with 20 repetitions for each diagonal. plus tradional physical therapy.
traditional physical therapy
the patients will recieve the traditional physical therapy program in the form of shoulder Range of motion, stretching and strengthening exercises.