Effects of Visual-Feedback Induced Therapy and Active Release Technique on Shoulder Pain, Lymphedema, and Functional Disability in Post-Mastectomy Patients.

This randomized controlled trial aims to compare the effects of visual-feedback induced therapy and Active Release Technique on shoulder pain, lymphedema, and functional disability in post-mastectomy patients. Participants will be randomly assigned to receive either conventional physiotherapy combined with Active Release Technique or conventional physiotherapy combined with visual-feedback therapy. Outcomes will be measured at baseline and after 6 weeks of intervention.

Inclusion Criteria: * Female patients aged 40-65 years. * History of unilateral mastectomy performed at least 2 months prior. * Persistent shoulder pain (Numeric Pain Rating Scale 4-7). * Reduced shoulder range of motion or functional limitation affecting daily activities. * Mild to moderate lymphedema of the affected upper limb . Exclusion Criteria: * History of neurological disorders affecting motor function (e.g., stroke, MS). * Previous shoulder surgery unrelated to mastectomy. * Active infection or open wounds in the affected limb. * Already developed frozen shoulder in diabetic patient. * Severe lymphedema requires intensive medical management. * Cognitive impairment prevents participation in therapy.