Ereny S. Wahba, Noran A. Elbehary, Reda Kotb Abd Elrazik, Hamada Ahmed Hamada

Ereny S. Wahba, Noran A. Elbehary, Reda Kotb Abd Elrazik, Hamada Ahmed Hamada – Effect of Pilates Exercises on Shoulder Dysfunction Post Thyroidectomy: A Prospective Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(4); 136-141

Abstract
Introduction. Thyroid cancer is the most common type of cancer in the endocrine system. Thyroidectomy has potential complications. Shoulder dysfunction is the most reported physical complication following neck dissection surgery post thyroidectomy. Various treatment is utilized to diminish or counteract shoulder distortion. The purpose of this study was conducted to determine the effect of Pilates Exercises on Shoulder Dysfunction after Thyroidectomy. Methods. A prospective, randomized, controlled study with the pretest-posttest design was performed; 50 patients who were 6 months to 1-year post unilateral neck dissection and aged 30-50 years (at the time of surgery). They were randomly assigned to 2 groups: Experimental Group (Group- A): (25 Patients, 14 males and 11 females) were treated with Pilate’s exercises in the clinic under the supervision of a physiotherapist, for 12 weeks, 3 sessions /week. Control Group (Group-B): (25 patients, 12 males and 13 females) were treated with conventional therapy. All treatment interventions were applied at the frequency of 3 sessions/week for 12 weeks. The participants were recruited from the National Cancer Institute in Cairo to be treated in the outpatient clinic, Faculty of Physical Therapy, Cairo University at the period from September 2018 and May 2019. Results. Outcome measures were taken with Shoulder Pain and disability index (SPADI) was developed to evaluate the shoulder pain and disability and Shoulder range of motion: Active ROM of shoulder flexion, abduction, and external and internal rotation; was measured by a digital goniometer, before the treatment, and 12 weeks after the intervention. The comparison among the 2 groups revealed that there was a significant decrease in pain, disability and total percentage of SPADI of group A compared with that of group B (p < 0.05); Also there was a significant increase in flexion, abduction, external and internal shoulder ROM of group A compared with that of group B (p < 0.05). Conclusions. It was concluded that Pilate’s exercises have greater efficacy than conventional therapy in the rehabilitation of patients with shoulder dysfunction post thyroidectomy.

Key words:
thyroidectomy, shoulder dysfunction, Pilate’s exercises

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