Motor Control Retraining Exercises on Shoulder Dysfunction Post Mastectomy

Motor control and strengthening exercises can improve function in shoulder impingement patients by realigning the scapula and changing muscle recruitment patterns. Peripheral musculoskeletal impairments can be associated with cortical reorganisation. Movement retraining using the principles of motor control retrain muscle recruitment patterns and improve scapular kinematics, reducing subacromial impingement, thus improving function and reducing pain. Furthermore, the need of this study is developed from the lack in the quantitative knowledge and information in the published studies about the effect of motor control retraining exercises on shoulder dysfunction post-mastectomy.

Inclusion Criteria: * The subject selection will be according to the following criteria: * Female patients with age range between 40-55 years. * All patients have shoulder dysfunction. * Patients were 2 months to 4 months post modified radical mastectomy or axillary lymph node dissection. * Patients received their radiotherapy or chemotherapy or both. Exclusion Criteria: * The potential participants will be excluded if they meet one of the following criteria: * Rheumatoid arthritis. * History of trauma or accidental injuries. * Neurological involvement (stroke, Parkinsonism). * History of surgery on involved shoulder. * Diabetic patient. * Moderate and severe lymphoedema.