Marwa Mahdy Abd Elhameed, Hagar Reda Shawky El-Habiby, E.M. Othman, Sherif Bahaa El-Din Zayed, Shaimaa M. A. Elsayeh, Dr. Heba Mohamed Mohamady
Marwa Mahdy Abd Elhameed, Hagar Reda Shawky El-Habiby, E.M. Othman, Sherif Bahaa El-Din Zayed, Shaimaa M. A. Elsayeh, Dr. Heba Mohamed Mohamady – Muscle energy technique versus Maitland’s mobilization on shoulder pain and disability after neck dissection surgeries – Fizjoterapia Polska 2024; 24(4); 396-401
DOI: https://doi.org/10.56984/8ZG01A8C7L3
Abstract
Background. A substantial number of patients who undergo various neck dissection procedures experience shoulder dysfunction and pain, which can significantly complicate or disrupt daily routines, social engagements, and overall Quality of Life (QOL). Muscle Energy Techniques (MET) and mobilization have been demonstrated to effectively reduce shoulder pain and disability.
Objective. The objective of this study was to examine the therapeutic benefits of MET and mobilization in improving shoulder pain and disability following neck dissection surgeries and compare these two techniques’ efficacies.
Design. The present study employed a randomized, single-blind, controlled trial
Methods. Thirty patients between the ages of 25 and 70 (13 men and 17 women) with shoulder dysfunction following six months’ post-neck dissection surgeries were enrolled in the study. Patients were equally randomized into two groups of 15per each: Group A received the Muscle Energy Technique (MET), and Group B underwent Maitland’s Mobilization. Both groups participated in identical conventional physiotherapy regimens. Both interventions were administered at a frequency of three sessions per week over four weeks. Visual Analogue Scale (VAS) for pain assessment, Shoulder Pain, and Disability Index (SPADI), in addition to shoulder range of motion (flexion, abduction, and lateral rotation), were measured before and after four weeks of intervention.
Results. Following four weeks of intervention, both groups exhibited significant improvements in VAS, SPADI, and shoulder flexion, abduction, and lateral rotation, with p values ≤ 0.001. A comparison between the groups showed a statistically significant difference in all measured outcomes, favoring Group A, with p-values < 0.001.
Conclusion. The Muscle Energy Technique (MET) and Maitland’s Mobilization were effective therapeutic strategies for alleviating shoulder pain and disability following neck dissection surgeries. However, the results showed that MET outperformed Maitland’s Mobilization strategies.
Keywords
disability, muscle energy technique, Maitland’s mobilization, neck dissection, shoulder pain
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