| Maitland mobilization and scapular stabilization exercises on shoulder dysfunction post neck dissection surgeries |
| كود المقالة : 1017-IPTCCU. (R1) |
| المؤلفون |
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Esraa Mamdouh Abd elsalam * Faculty of Physical Therapy, Cairo University |
| المستخلص |
| Shoulder complaints are frequently observed following neck dissection surgeries (NDS), even in cases where the spinal accessory nerve (SAN) remains intact. Purpose: Trial conducted to investigate the impact of Maitland mobilization (MM) and scapular stabilization exercises on shoulder dysfunction in cases post-NDS. Methods: Sixty cases (39 females and 21 males) aged between 30 and 50 years. They were randomly assigned into three equal groups. Group A received both MM and scapular stabilization exercises. Group B received only MM, while group C performed only scapular stabilization exercises. Each group also received standard physical therapy. The interventions were administered three times weekly for two months. Shoulder range of motion (ROM) was measured using a digital goniometer, and the Shoulder Pain and Disability Index (SPADI) was used to assess pain and function, both before and after the treatment period. Results: All three groups exhibited significant improvements in shoulder flexion, abduction, and external rotation ROM, along with significant reductions in SPADI scores post-treatment (p < 0.001). Group A demonstrated significantly greater gains in ROM and greater reductions in SPADI scores in comparison with groups B and C (p < 0.001). Furthermore, group B showed superior improvements in shoulder flexion, abduction, and SPADI scores relative to group C (p < 0.001), though no significant difference in external rotation was observed between groups B and C (p > 0.05). Conclusion: The combined use of MM and scapular stabilization exercises proved more effective on shoulder dysfunction post- NDS than either technique applied individually. |
| الكلمات الرئيسية |
| Keywords: Maitland mobilization, Scapular stabilization exercises, Shoulder dysfunction, Shoulder Pain and Disability Index, Neck dissection surgeries. |
| الحالة: تم الموافقة على المقالة |