Evaluating the combined effect of scar management techniques and scapular strengthening exercises on posture and scapulohumeral rhythm in women after mastectomy: a protocol study

Although it is established that scarring following a mastectomy affects shoulder mechanics, there is a scarcity of research available. This study aims to evaluate the effectiveness of a combined intervention of scapular strengthening exercises and scar tissue management techniques on posture and scapulohumeral rhythm in women following unilateral mastectomy. A total of 28 participants who meet the inclusion criteria will be recruited for the study. The participants will be randomly divided into two groups, one group will receive cupping therapy for scar management while the other group will receive Cyriax deep friction massage. Both the groups will receive scapular strengthening exercises. The intervention will be performed and supervised by qualified physiotherapists. This research is distinctive as it combines two essential, but often separately examined rehabilitation aspects which are scapular strengthening exercises and scar management methods, to tackle postural and scapulohumeral rhythm issues in women following mastectomy. Furthermore, this study fills a notable void in the existing literature by investigating the direct effects of scar management techniques on postural alignment and scapular movement patterns, a topic that has garnered little focus despite its importance in clinical practice.