CompletedNot Applicable

The Effect of Mirror Therapy After Thoracotomy

Turkey (Türkiye)70 participantsStarted 2022-03-06

Plain-language summary

After thoracotomy, limitation in shoulder functions, ipsilateral shoulder pain, decrease in shoulder muscle strength and deterioration in quality of life occur. The exercise program applied after thoracotomy includes active range of motion exercises, postural correction activities, scapular strengthening exercises, and stretching of the chest and shoulder muscles. Mirror therapy can improve motor functions and reduce unilateral pain. This study aims to evaluate the effects of upper extremity exercises based on mirror therapy after thoracotomy on ipsilateral shoulder pain, shoulder joint range of motion, shoulder muscle strength, shoulder function, quality of life, movement and fear of re-injury. The patients were divided into 2 groups as "mirror therapy group" and "control group", by choosing a simple randomization so that they could not see what was written on their pre-prepared papers. Standard medical treatment, care and pulmonary rehabilitation program were applied to both groups. In addition to the routine rehabilitation program after thoracotomy, the study group received a total of 24 sessions of foal therapy, 3 sessions a week, for 8 weeks. Data were collected using the Personal Information Form including the demographic characteristics of the patients, Tampa Kinesiophobia Scale, Numerical Pain Rating Scale (NPRS), Shoulder Active Range of Motion, Pain Catastrophization Scale, Shoulder Pain and Disability Index, Shoulder muscle strength, SF-12. performed before and after treatment.

Who can participate

Age range25 Years – 65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patients who were hospitalized in Akdeniz University Hospital Thoracic Surgery Clinic and underwent lung resection with standard posterolateral thoracotomy (lobectomy, segmentectomy or wedge resection), * Those between the ages of 25-65, * Hemodynamically stable, * Those who were extubated at the 2nd or 3rd postoperative hour and who did not develop any complications after extubation, * No known cerebrovascular disease, * Not having morbid obesity and heart disease that will prevent working, * Does not have cognitive and cognitive impairments that will prevent communication, * No previous paralysis and related effects, * Individuals who agree to participate in the study. Exclusion Criteria: * Those who stayed in the intensive care unit for more than 4 days in the postoperative period, * Those who have had another surgical procedure within 6 months, * Those with postoperative cooperation problems such as delirium, * Those with Rotator Cuff injuries, * Those with cervical radiculopathy, * Those with rheumatological diseases, * Those with neurological disease, * Those with a history of dislocation, subluxation, * Those with a history of fracture, * Those with congenital deformity, * Those who have a history of surgery related to the shoulder, * Those who have trouble perceiving tests and exercises

What they're measuring

Change of Pain Score

Timeframe: Change from Baseline Pain Score at 8 weeks.

Change of Active Shoulder Range of Motion

Timeframe: Change from Baseline Active Shoulder Range of Motion at 8 weeks.

Change of Shoulder Muscle Strength

Timeframe: Change from Baseline Shoulder Muscle Strength at 8 weeks.

Change of Quality of Life Score

Timeframe: Change from Baseline Quality of Life Score at 8 weeks.

Change of Shoulder, Pain and Disability Index Score

Timeframe: Change from Baseline Shoulder, Pain and Disability Index Score at 8 weeks.

Change of Tampa Kinesiophobia Scale

Timeframe: Change from Baseline Tampa Kinesiophobia Scale Score at 8 weeks.

Trial details

NCT IDNCT05962736

SponsorAkdeniz University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2023-04-10

View on ClinicalTrials.gov More Post-thoracotomy Pain Syndrome trials