Hussein Gamal Hussein Mogahed, Nabil Abdo Mohamed, Mahmoud Hamada Mohamed Abdel Wahed
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Hussein Gamal Hussein Mogahed1*, Nabil Abdo Mohamed2, Mahmoud Hamada Mohamed Abdel Wahed3
1Lecturer in the Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
2Lecturer in Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Egypt.
3Lecturer in the Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Ahram Canadian University, Giza, Egypt.
Volume - 13,
Issue - 10,
Year - 2020
Objective: To determine the effect of Cyriax soft tissue release and Scapular Proprioceptive Neuromuscular Facilitation in improving shoulder range of motion in post mastectomy adhesive capsulitis. Materials and methods: This study was conducted on forty female patients who had unilateral post mastectomy adhesive capsulitis participated in this study. Their ages ranged from 35-65 years. The patients were selected from Egyptian National Cancer Institute and randomly assigned into equal two groups. Group (A) included 20 patients received Cyriax soft tissue release, Scapular Proprioceptive Neuromuscular Facilitation in addition to traditional shoulder exercises. Group (B) included 20 patients received traditional shoulder exercises. Both groups were administrated to three sessions per week for 2 months. Patients were instructed to continue exercises as a home program. The study was conducted from 1/3/2019 to 1/5/2019. Standardized goniometer was used to measure shoulder flexion and abduction range of motion as well as shoulder pain and disability index was used for pain assessment. Results: Cyriax soft tissue release and Scapular Proprioceptive Neuromuscular Facilitation with traditional exercises (Group A) had a significant effect in improving shoulder range of motion and decreasing pain in post mastectomy adhesive capsulitis rather than (Group B) that patients administrated to traditional shoulder exercises only. Conclusion: It can be concluded that Cyriax soft tissue release and Scapular Proprioceptive Neuromuscular Facilitation were valuable, effective and inexpensive combined maneuvers in increasing shoulder flexion and abduction range of motion, improving shoulder function and decreasing pain in post mastectomy adhesive capsulitis.
Cite this article:
Hussein Gamal Hussein Mogahed, Nabil Abdo Mohamed, Mahmoud Hamada Mohamed Abdel Wahed. Impact of 8-Weeks Combined Cyriax Soft Tissue Release and Proprioceptive Neuromuscular Facilitation on Glenohumeral Rhythm in Post Mastectomy Adhesive Capsulitis. Research J. Pharm. and Tech. 2020; 13(10):4903-4908. doi: 10.5958/0974-360X.2020.00862.8
1. Beyaz SG, et al. Postmastectomy pain: a cross-sectional study of prevalence, pain characteristics, and effects on quality of life. Chinese Medical Journal. 2016;129(1):66-71.
2. King M, et al. Quality of life three months and one year after first treatment for early stage breast cancer: influence of treatment and patient characteristics. Quality of Life Research. 2000;9(7):789-800.
3. Singletary SE. Surgical margins in patients with early-stage breast cancer treated with breast conservation therapy. The American journal of surgery. 2002;184(5):383-393.
4. Kaur N, et al. Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer. Annals of Surgical Oncology. 2005;12(7):539-545.
5. Oliveira M, et al. Efficacy of shoulder exercises on loco regional complications in women undergoing radiotherapy for breast cancer: clinical trial. Brazilian Journal of Physical Therapy. 2009;13(2):136-143.
6. Blomqvist L, et al. Evaluation of arm and shoulder mobility and strength after modified radical mastectomy and radiotherapy. Acta Oncologica. 2004;43(3):280-283.
7. Dilaveri CA, et al. Medical factors influencing decision making regarding radiation therapy for breast cancer. International Journal of Women's Health. 2014;6: 945-951.
8. Neviaser AS and Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg. 2011;19: 536–542.
9. Neviaser AS and Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med. 2010;38: 2346–2356.
10. Park SW, Lee HS and Kim JH. The effectiveness of intensive mobilization techniques combined with capsular distension for adhesive capsulitis of the shoulder. J Phys Ther Sci. 2014;26: 1767–1770.
11. Taspinar F, et al. Comparison of patients with different pathologies in terms of shoulder protraction and scapular asymmetry. J Physiother Sci. 2013; 25:1033-1038.
12. Gaspar PD and Willis FB. Adhesive capsulitis and dynamic splinting: a controlled, cohort study. BMC Musculoskele Disord. 2009;7: 10-111.
13. Choi SH and Lee BH. Clinical useful of shoulder stability exercises for middle aged women. J Physiother Sci. 2013; 25:1243-1246.
14. F.G. Uysal and E., Kozanougue. Comparison of the Early Response of two methods of Rehabilitation in Adhesive Capsulitis. Swiss Med Wkly. 2014;134: 353-358.
15. Alaca N, Atalay A and Guven Z. Comparison of the long-term effectiveness of progressive neuromuscular facilitation and continuous passive motion therapies after total knee arthroplasty. J Phys Ther Sci. 2015;27: 3377-3380.
16. Lee JH, Park SJ and Na SS. The effect of proprioceptive neuromuscular facilitation therapy on pain and function. J Phys Ther Sci.2013;25: 712-713.
17. Cengiz A. EMG and peak force responses to PNF stretching and the relationship between stretching-induced force deficits and bilateral deficits. J Phys Ther Sci. 2007; 27: 631-634.
18. Adler SS, Beckers D and Buck M. PNF in practice. Germany: Springer.2008.
19. Claude Brezinski, Dominique Tournès and André-Louis Cholesky. Mathematician, Topog-rapher, and Army Officer, Birkhäuser, Basel.2014.
20. Williams J.W. Jr., Holleman D.R. Jr. and Simel D.L. Measuring shoulder function with the Shoulder Pain and Disability Index. J. Rheumatol. 1995;22(4):727-732.
21. Neha B, Arunmozhi R and Pooja A. The Effect of Cyriax And Myofascial Release In Adhesive Capsulitis – A Comparative Study. Journal of Nursing and Health Science. 2017;6(6):71-77.
22. K Jothi Prasanna, Rajeswari R and Sivakumar. Effectiveness of Scapular Proprioceptive Neuromuscular Facilitation (PNF) Techniques in Adhesive Capsulitis of the Shoulder Joint. 2017; 1:2-9.
23. V. chauhan, S. saxena and S. grover. Effect of Deep Transverse Friction Massage and Capsular Stretching in Idiopathic Adhesive Capsulitis. Ind J Physio Occupat Ther. 2011;5(4):185-188.
24. P.K. Arora, S Yardi and K. Pathak. Efficacy of Deep Transverse Friction Massage in Treatment of Chronic Ankle Sprain. IJPOT.2011;5(1):85-89.
25. Golshan M., and Smith B. Prevention and Management of Lymphedema in the Patient with Breast Cancer. The Journal of Supported Oncology. 2006;4(8):381- 386.
26. Chalmers G. Re-examination of the possible role of Golgi tendon organ and muscle spindle neuron reflexes in proprioceptive neuromuscular facilitation muscle stretching. Sports Biomech. 2004;3(1):159-183.
27. D. M. Choi and J.I. Jung. The clinical Efficacy of Thoracolumbar Fascia Release for Shoulder Pain. Physical Therapy of Rehabilitation and Research. 2015;4(1):55-59.
28. B.K..Smita and S. Shanmugam. Effects of Kinesiotaping and Maitland Mobilization in Management of Frozen Shoulder. International Journal of Sciences and Research. 2014;3(9):1817-1821.
29. Devoogdt N., VAN Kampen M. and Christiaens M.R. Short-and long-term recovery of upper limb func-tion after axillary lymph node dissection. Eur. J. Cancer Care. 2011; 20:77-86.
30. Maria Teresa, et al. Manual therapy associated with upper limb exercises vs. exercises alone for shoulder rehabilitation in postoperative breast cancer. 2014; 21: 327-33.