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Идёт набор NCT07576426

Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.

Без фазы С лечением Scapular Dyskinesis

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: motor control retraining, scapular stabilization exercises.
Кому может быть актуально
Состояния в реестре: Scapular Dyskinesis. Базовые параметры: 20 лет — 40 лет · Женщины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
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Официальное название

Combine Effects of Motor Control Retraining and Scapular Stabilization Exercises on Pain, Strength and Function in Breast Feeding Females With Scapular Dyskinesia.

Обзор

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.

Подробное описание

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.

Вмешательства

  • Другое 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
  • Другое 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.

Первичные конечные точки

  • Numeric Pain Rating Scale [Срок оценки: 8th week]
  • Manual Muscle Testing [Срок оценки: 8th week]
  • Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire [Срок оценки: 8th week]

Критерии участия

Критерии включения

  • 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

Критерии исключения

  • 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).

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

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Пакистан · 1 центр
  • Gangaram Hospital — Lahore

Публикации

  • 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

Идентификаторы

NCT: NCT07576426 · REC/RCR & AHS/25/0509

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗