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Abstract
This study was conducted to determine the therapeutic efficacy of acupuncture - like TENS and active exercise on controlling pain and shoulder ROM after mastectomy. Thirty female patients underwent mastectomy surgery with ages ranged from 40 - 60 years were selected randomly and divided into two equal groups in number; each group contains 15 patients. Patients in group (A): managed with acupuncture - like TENS and active free range of motion exercises in addition to traditional program. While patients in group (B): received traditional physical therapy intervention. All patients were evaluated by visual analogue scale (VAS) to measure pain intensity post mastectomy and goniometer to measure shoulder ROM (flexion, abduction, external rotation). The evaluation was done pre treatment, after one month (post I) and after two months (post II). The results of this study showed that acupuncture like - TENS and active free exercise were an effective approaches on controlling pain and increasing ROM post mastectomy as proved through significant decrease in visual analogue scale and increase in active free shoulder ROM (flexion, abduction and external rotation) in group A than in group B