Pre-Surgery Rehab for a Child With Humeral Head and Shaft Deformity: A Case Report

The goal of this observational study (single-patient case report) is to learn whether a structured pre-operative physical therapy rehabilitation program can improve shoulder function, reduce pain, and improve quality of life in an 11-year-old girl with humeral head and shaft deformity (post-inflammatory changes). The main questions it aims to answer are: Does shoulder range of motion and muscle strength improve after the program? Does pain and functional ability (including posture) improve after the program? Participants will: Attend 12 sessions over October-November 2025 (2 sessions/week) at the Faculty of Physical Therapy, Cairo University Receive a standardized session program that may include: TENS, low-level laser therapy, manual therapy (Spencer technique), phonophoresis PNF stretching and progressive exercises, plus scapular taping Complete evaluations at baseline, mid-program, and after the program, including goniometry (ROM), manual muscle testing, pain scale (VAS), postural assessment, and a functional ability checklist