this study will be conducted to investigate the effect of scapular mobilization and scapular Proprioceptive neuromuscular facilitation on shoulder dysfunction after latissimus dorsi flap breast reconstruction
age ranged from 40 to 55 years.
All patients were female patients suffering from shoulder dysfunction after latissimus dorsi flap breast reconstruction.
All patients suffering from moderate or severe pain on shoulder joint and limited range of motion that may affect daily activities.
All patients begun the treatment program 3 to 4 weeks after LDF breast reconstruction.
Current metastases.
Neurological deficit affecting the shoulder functioning during daily activities.
Pathology of the shoulder joint including rotator cuff tear adhesive capsulitis and tendinitis.
Pain or disorder of the cervical spine, elbow, wrist or hand.