Tag: Shoulder function

Exploring the impact of active release technique combined with strengthening exercises on shoulder function and scapular position in upper cross syndrome

Sridivyadharshini S R, Kotteeswaran K, Kamalakannan M, Bharathi Krishnan K, Bharathi Ravichandran

Sridivyadharshini S R, Kotteeswaran K, Kamalakannan M, Bharathi Krishnan K, Bharathi Ravichandran – Exploring the impact of active release technique combined with strengthening exercises on shoulder function and scapular position in upper cross syndrome –  Fizjoterapia Polska 2025; 25(3); 249-254

DOI: https://doi.org/10.56984/8ZG7D191MJQ

Abstract
The purpose of this study was to evaluate the effect of the active release technique combined with strengthening exercises using the SPADI to improve shoulder function and a vernier caliper to measure scapular position in upper cross syndrome. In this experimental study at SMCH, 70 participants aged 30 to 50 were selected based on inclusion and exclusion criteria. Written informed consent was obtained from all subjects prior to the commencement of the study. The experimental protocol and procedures were explained to all subjects before obtaining their consent. These 70 participants were allocated into two groups using convenient sampling: the ART with strengthening group and the conventional group. Both groups received a 30-minute exercise program. The study employed standard outcome measures including the SPADI score to evaluate shoulder function and a vernier caliper to assess scapular position. The pre-test and post-test values were analysed. The results suggest that the ART with strengthening group showed significant improvement when compared with the conventional group, with p < 0.0001, indicating superior changes in scapular position and shoulder function. The active release technique group demonstrated better outcomes. According to this study, the ART with strengthening group achieved better results than the conventional group. ART with strengthening is more effective in improving shoulder function and scapular position among subjects with upper cross syndrome.
Key words
active release technique, strengthening exercises, upper cross syndrome, shoulder function, scapular position
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Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study

G. Balaji, P. Senthil

G. Balaji, P. Senthil – Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study –  Fizjoterapia Polska 2024; 24(2); 42-49

DOI: https://doi.org/10.56984/8ZG56084SH

Abstract
Introduction: Post radical mastectomy patients will have physical problems like reduced shoulder movements and upperlimb muscles strength. The performance and overall function of upper limb and Quality of Life (QOL) will reduce followed by these muscle’s reduced activity. The aim of present study is To find the effects of manual lymphatic drainage with low resistance training of upper limb on shoulder function and QOL of post mastectomy patients. Generally, upper limb muscles like Trapezius, serratus anterior, pectoralis s group. 1 subject from experimental group withdrawal from study. The treatment duration is 12 weeks based on cancer Rehabilitation principle. Outcome measures are taken Lymph ICF(for QOL), anatomical circumferential measurements(for Lymphedema). Patients selected based on the inclusion and exclusion criteria. Experimental group Patients receiving upper limb low resistance training and manual lymphatic drainage techniques and controll group Patients receiving only manual lymphatic drainage techniques. Both group of patients are advised to wear upper limb elastic stockings for 8 hours per day. Result: All Outcome measures taken in baseline(pre) and end of 12 weeks(post) in both groups. Data was analysed by using paired ’t’ test. Results analysed based on pre and post test values. Conclusion:The study has designed a structured low resistance upperlimb exercise program for post radical mastectomy patients in improving shoulder function and QOL.
Keywords
Breast cancer Rehabilitation, Post radical mastectomy, QOL, Low resistance training, Lymphedema, Shoulder function
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