Efficacy of Positional Release Muscles for Neck Pain During Lactation

NCT06988241 | Completed

• 1 other identifier: KFSIRB200-439
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose of the study: To determine the efficacy of neck muscles positional release for Neck Pain during lactation.Methods:Fifty patient with postpartum neck pain will be recruited. Patients will be randomly assigned into two groups, group A and group B . Patients in both groups will receive posture correction advices during lactation and posture correction exercises but group A will receive additional positional release for upper trapezius. All patients will be evaluated for Pressure pain threshold (PPT) of upper trapezius by algometry, neck disability using Arabic version of neck disability index, pain intensity using 11-numerical rating scale.

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (1)

• Intensity of neck pain

  Neck pain intensity will be measured by 11- numerical rating scale.Primary outcome updated to pain intensity to better reflect the study objective.

  baseline and four weeks

Secondary Outcomes (2)

• Pressure pain threshold (PPT)

  baseline and four weeks

• functional status related to neck disability

  baseline and four weeks

Study Arms (2)

Positional Release

EXPERIMENTAL

Positional Release For upper trapezius + Posture correction advices during lactation + posture correction exercises

Other: positional release; Other: Posture correction

Posture correction

OTHER

Posture correction advices during lactation + posture correction exercises

Other: Posture correction

Interventions

positional release OTHER

All participants in group (A) will receive the same program of group B added to positional release . In order to make the positional release , the therapist will pick up the trigger points by palpation in the upper trapezius muscle by pincer palpation method and distinguished with dots on the skin. Participants will be made supine lying and relaxed by maintaining the cervical spine in a neutral position. Lateral flexion of subject's head toward the side of a tender point, the therapist grasps the subject's forearm and abducts shoulder to approximately 90° and adds slight flexion or extension to fine-tune.The most comfortable position achieved will be held for 90 seconds and after that passive return of the body part to an anatomically neutral position will be maintained for 5 minutes. All participants will be treated three times per week for 4 consecutive weeks and will be instructed to maintain their normal activities while avoiding any undue stress to the neck.

Also known as: strain counter strain

Positional Release

Posture correction OTHER

Posture correction advices during lactation + posture correction exercises

Positional Release; Posture correction

Eligibility Criteria

• Age: 25 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• lactating mothers.
• Age between 25-35 years old.
• six weeks to one year after childbirth.
• at least a moderate level of education.

You may not qualify if:

• Mothers were excluded if they had facet joint, neurological, or cardio vascular and respiratory conditions.
• History of breast cancer.

Sponsors & Collaborators

• Kafrelsheikh University: lead

Study Sites (1)

Faculty of physical therapy kafr Elsheikh university

KafrElSheikh, kafrElsheikh, 33516, Egypt

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical Therapist

Study Record Dates

• First Submitted: May 17, 2025
• First Posted: May 23, 2025
• Study Start: May 23, 2025
• Primary Completion: November 25, 2025
• Study Completion: November 25, 2025
• Last Updated: December 12, 2025

Record last verified: 2025-12

Locations

EG (1)