Effect of Scapular Stabilization Exercise on Breastfeeding Women with Non-specific Neck Pain

Обзор

The purpose of this study is to determine whether scapular stabilization exercises can help breastfeeding women with non-specific neck pain by reducing their neck pain, cervical range of motion, and neck disability index.

Подробное описание

The best infant feeding practice is breastfeeding, which has both immediate and long-term advantages for mothers, babies, the environment, the economy, and society as a whole. Mothers who are nursing frequently experience neck pain. Because the scapula and neck are closely related, scapular stabilization is becoming more and more popular for patients with neck pain.

Вмешательства

• Другое scapular stabilization exercises
  Cools exercise using the Thera-Band, including sidelying external rotation, side-lying forward flexion, prone horizontal abduction with external rotation, and prone extension exercises to promote lower trapezius and middle trapezius activity with minimal activation of the upper trapezius part.
• Другое Muscle Energy Technique
  Muscle Energy Technique for the 1.sternocleidomastoid 2. levator scapulae 3. upper trapezius 4. pectoralis major Through mild isometric contractions, it uses the intrinsic energy of a muscle to lengthen it and induce relaxation through autogenic inhibition.
• Другое Advice about the right the breastfeeding ergonomic.
  The patients sit with their backs supported with pillows. Don't lean over the infant. Keep the arms supported and feet on the ground.

Первичные конечные точки

• functional neck disability [Срок оценки: at beginning of the study and after four weeks of treatment]
• neck pain intensity [Срок оценки: at beginning of the study and after four weeks of treatment]

Вторичные конечные точки (2)

• pressure pain threshold [Срок оценки: at beginning of the study and after four weeks of treatment]
• cervical range of motion [Срок оценки: at beginning of the study and after four weeks of treatment]

Критерии участия

Критерии включения

• exclusive breastfeeding mothers with immediate to 6-month-old infants.
• The bilateral cradle position is employed by patients when nursing.
• Patients had mechanical neck pain.
• Patients with a body mass index below 30 kg/m²
• Patients have moderate pain intensity, ranging from 3 to 7 on the visual analogue scale
• The patients' scores on the Neck Disability Index ranged from 10 to 40 out of 50.

Критерии исключения

• Patients had preterm babies or low-birth-weight babies.
• pregnant patients
• Patients had postpartum complications.
• Patients had inflammation, infection, severe degeneration, congenital deformity, and trauma.
• Patients had sensory abnormalities or a positive motor reflex.
• Patients had cancer, metabolic, or systemic diseases.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Faculty of Physical Therapy/ Cairo University — Giza

Публикации

• Abd El-Azeim AS, Mahmoud AG, Mohamed MT, El-Khateeb YS. Impact of adding scapular stabilization to postural correctional exercises on symptomatic forward head posture: a randomized controlled trial. Eur J Phys Rehabil Med. 2022 Oct;58(5):757-766. doi: 10.23736/S1973-9087.22.07361-0. Epub 2022 Jun 8. PMID 35673945
• Nitayarak H, Charntaraviroj P. Effects of scapular stabilization exercises on posture and muscle imbalances in women with upper crossed syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil. 2021;34(6):1031-1040. doi: 10.3233/BMR-200088. PMID 34151819

Идентификаторы

NCT: NCT06817135 · scapular stabilization ex.

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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