Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: motor control retraining, scapular stabilization exercises.
- Who it may be relevant to
- Registry conditions: Scapular Dyskinesis. Basic parameters: 20 years — 40 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Combine Effects of Motor Control Retraining and Scapular Stabilization Exercises on Pain, Strength and Function in Breast Feeding Females With Scapular Dyskinesia.
Overview
To evaluate the combined effects of motor control retraining and scapular stabilization exercises on pain reduction, muscle strength improvement, and functional enhancement in breastfeeding females diagnosed with scapular dyskinesia, and to determine the effectiveness of this combined approach in addressing their musculoskeletal impairments.
Detailed description
This will be a randomized controlled trial involving 60 breastfeeding females aged 20-40 years diagnosed with scapular dyskinesia. Participants will be randomly assigned to one of two groups: the intervention group receiving a combined program of motor control retraining and scapular stabilization exercises, and the control group receiving standard physical therapy care. The intervention will be administered three times per week for eight weeks. Outcome measures will include the Numeric Pain Rate Scale (NPRS) for pain, Manual Muscle testing for muscle strength, and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire for functional assessment. The data will be analyzing by the version of SPSS 25.
Interventions
- Other motor control retraining
the motor control retraining protocol will be performed three times per week, with each session lasting approximately 30 to 45 minutes. The intensity remains low. Th type of activity consists of targeted motor control exercises focusing on the scapula and shoulder girdle. Over a period of eight weeks, participants will complete about 24 sessions in total - Other scapular stabilization exercises
Frequency refers to performing the exercises 3 times per week, Intensity involves using low to moderate resistance (resistance bands or light weights), adjusted as the patient's strength improves, Time consists of 2 to 3 sets of 10-15 repetitions for each exercise, Type includes specific movements targeting the scapular stabilizers, such as wall slides, scapular retractions, serratus punches, prone Y and T exercises, and dynamic hugs.
Primary outcome measures
- Numeric Pain Rating Scale [Time frame: 8th week]
- Manual Muscle Testing [Time frame: 8th week]
- Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire [Time frame: 8th week]
Eligibility criteria
Inclusion criteria
- Currently breastfeeding (minimum 3 months postpartum)
- Diagnosed with scapular dyskinesia (clinical tests such as the scapular dyskinesis test)
- Complaints of shoulder or upper back pain during or after breastfeeding
Exclusion criteria
- History of shoulder surgery or recent trauma to the shoulder or spine
- Neurological disorders affecting upper limb function (cervical radiculopathy).
- Musculoskeletal conditions unrelated to scapular dyskinesia (rotator cuff tear, frozen shoulder)
- Participation in any shoulder rehabilitation program in the past 3 months.
- Contraindications to exercise (severe cardiopulmonary conditions or acute infections).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Gangaram Hospital — Lahore
Publications
- Lafrance S, Ouellet P, Alaoui R, Roy JS, Lewis J, Christiansen DH, Dubois B, Langevin P, Desmeules F. Motor Control Exercises Compared to Strengthening Exercises for Upper- and Lower-Extremity Musculoskeletal Disorders: A Systematic Review With Meta-Analyses of Randomized Controlled Trials. Phys Ther. 2021 Jul 1;101(7):pzab072. doi: 10.1093/ptj/pzab072. PMID 33609357
- da Silva Araújo G, Monteiro ER, da Silva Telles LG, de Almeida RA, Evangelista AL, Leitão L, et al. Acute effect of stretching performed before a resistance exercise session using different intervals on maximum repetitions performance in recreationally trained adults. Retos: nuevas tendencias en educación física, deporte y recreación. 2024(52):304-10.
- Shaik A, Khan S, Shaik A, Shaik KK. Advancements in Postpartum Rehabilitation: A Systematic Review. Cureus. 2024 Aug 5;16(8):e66165. doi: 10.7759/cureus.66165. eCollection 2024 Aug. PMID 39233964
- Peteraitis T, Smedes F. Scapula motor control training with Proprioceptive Neuromuscular Facilitation in chronic subacromial impingement syndrome: A case report. J Bodyw Mov Ther. 2020 Jul;24(3):165-171. doi: 10.1016/j.jbmt.2020.03.005. Epub 2020 Mar 15. PMID 32825984
- Ratajczak M, Gornowicz R. The influence of breastfeeding factors on the prevalence of back and neck pain: data from an online survey. BMC Musculoskelet Disord. 2024 Aug 29;25(1):675. doi: 10.1186/s12891-024-07785-4. PMID 39210354
Identifiers
NCT: NCT07576426 · REC/RCR & AHS/25/0509