This randomized controlled trial aims to evaluate the effects of muscle energy techniques with and without manual axial distraction among post-mastectomy patients with axillary web syndrome. Fifty-eight participants will be randomly allocated into two groups and will receive the interventions for six weeks. It is hypothesized that the group that will receive both the muscle energy technique and manual axial distraction will produce greater improvements compared to the other group that will receive only MET.
Patients diagnosed with AWS following breast cancer surgery
Females aged 30 to 60 years old
Participants must be within 1 month to 2 years post-surgery
Participants having limited shoulder ROM
Any previous history of shoulder pathology
Patients with a cervical problem that radiates pain down the shoulder
Pregnant females
Bilateral mastectomy