الفهرس | Only 14 pages are availabe for public view |
Abstract Breast cancer survivors frequently experience shoulder pain and decreased range of motion that makes their daily activities more difficult. Purpose: to evaluate if bee venom phonophoresis has beneficial effects on improving the shoulder dysfunction in post mastectomy patients. Patients, materials and methods: Forty female patients aging from 40-65 years suffering from shoulder dysfunction three to six months following modified radical mastectomy were randomly allocated into two groups of equal numbers: study group (group A) received bee venom phonophoresis with pulsed ultrasound around the shoulder and a control group (group B) received pulsed ultrasound around the shoulder only. The intervention program conducted for three consecutive weeks, three sessions a week. Patients in both groups received their Medical care and selected exercise program.The shoulder pain and disability index (SPADI) and gemtyrom mobile application were used to assess the patients before and after the interventions.Results: At the baseline assessment, no significant differences were detected between the two groups regarding the age, SPADI (p = 0.42) and shoulder abduction and flexion ROM (p > 0.05). While the post-intervention measures revealed that, there was a significant decrease in SPADI post treatment in the group A and B (p > 0.001) and a significant increase in shoulder abduction and flexion ROM post treatment in the group A and B when compared with the pre-treatment measures (p > 0.001). Comparison between the post treatment measures of the two groups revealed a non-significant difference in SPADI, shoulder abduction and flexion ROM (p > 0.05). Conclusion: Depending on the study, it can be concluded that bee venom phonophoresis is as effective as traditional ultrasound in improving shoulder dysfunction post mastectomy. |