Effects of Stabilization Exercises and Posture Training on Breast Feeding Females Suffering From Scapular Dyskinesia

NCT05916807 | Completed

• 1 other identifier: Ashley Nudrat
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

A randomized clinical trial study will be conducted through a non-probability convenience sampling technique. Study will be conducted at Jinnah Hospital, Lahore. Sample size will be collected through open epi tool. The total sample size of 52 is calculated. Two treatment groups will be taken for conducting the research. Group A with twenty-six (26) patients will be treated with stabilization exercises and Group B with twenty-six (26) patients whom will be treated with posture training. Difference between pre-treatment and post-treatment readings will be calculated using Paired sample t-test for parametric data. For nonparametric data Wilcoxon signed rank test will be used. This is a non-parametric test that compares paired groups. Generalized physiotherapy rehabilitation protocol will be implemented in Group A for scapular stabilization by demonstrating scapular retraction (Shoulder Blade Squeezes), External Rotation, Shoulder Diagonals, Horizontal Rows, Shoulder Extension, Angel Wings, Active: Push with a plus, Physio ball Scapular Exercises, Platform Walks. In Group B, postural training different nursing positions will be guided as crossover hold, laid-back position, on the pillow position, cradle, football hold, side-lying position. The intervention will be provided in twelve sessions over a 4-week intervention period (three sessions per week) each session of 30 to 50 minutes accompanied by an individual daily at-home exercise program. The participants were advised not to use other forms of treatment during the trial (pharmacologic or non-pharmacologic treatment). NPRS will be used to measure the pain intensity and functional limitation will be assessed using the UEFI, goniometer to check the range limitation. Total study duration will be ten months after the approval of synopsis. Data will be analysed by using SPSS 26.

Conditions

Scapular Dyskinesis

Keywords

Breast feeding; Pain; Range of motion; Scapular dyskinesis

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating scale

  The Numeric Pain Rating Scale (NPRS) (an outcome measure) that is a one dimensional measure of pain intensity in adults, including those with chronic pain due to rheumatic diseases. Validity 0.86 to 0.95

  4th week

• UPPER EXTREMITY FUNCTIONAL INDEX

  The Upper Extremity Functional Index is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction.

  4th week

• RANGE OF MOTION

  A goniometer is an instrument that measures the available range of motion at a joint. The art and science of measuring the joint ranges in each plane of the joint are called goniometry.

  4th Week

Study Arms (2)

Stabilization Exercises

EXPERIMENTAL

Twenty-six (26) patients will be treated with stabilization exercises in breast feeding females suffering from scapular dyskinesia.

Other: Stabilization Exercises

Posture Training

EXPERIMENTAL

Twenty-six (26) patients will be treated with posture training of breast-feeding females suffering from scapular dyskinesia.

Other: Posture Training

Interventions

Stabilization Exercises OTHER

It consists of 26 patients who will receive stabilization exercises which will be divided in three components in lying posture, sitting, standing, rolling and kneeling positions to treat posterior, inferior muscles of scapula for 35-45 min for 3 days a week for 4 weeks.

Stabilization Exercises

Posture Training OTHER

It consists of 26 patients who will receive postural training and breast-feeding patterns for the mother and child for 35-45 min in 3 days a week for 4 weeks.

Posture Training

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Positive Scapular Dyskinesis Test
• Age 25-40 Years
• Breast feeding females from last 6 months
• Primigravida females

You may not qualify if:

• Cesarean section females
• Neck or shoulder pain due to any other comorbidity e.g. Previous history of trauma or fracture
• Any spinal deformity like scoliosis or kyphosis
• Disc prolapse facet joint stenosis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Jinnah Hospital, Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (3)

• Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.

  PMID: 31430250 BACKGROUND

• de Carvalho SC, Castro ADAE, Rodrigues JC, Cerqueira WS, Santos DDCB, Rosemberg LA. Snapping scapula syndrome: pictorial essay. Radiol Bras. 2019 Jul-Aug;52(4):262-267. doi: 10.1590/0100-3984.2017.0226.

  PMID: 31435089 BACKGROUND

• Ezeukwu OA, Ojukwu CP, Okemuo AJ, Anih CF, Ikele IT, Chukwu SC. Biomechanical analysis of the three recommended breastfeeding positions. Work. 2020;66(1):183-191. doi: 10.3233/WOR-203162.

  PMID: 32417825 BACKGROUND

MeSH Terms

Conditions

Breast Feeding; Pain

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Adeela Arif, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: June 23, 2023
• Study Start: December 5, 2022
• Primary Completion: July 25, 2023
• Study Completion: August 15, 2023
• Last Updated: December 29, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)