Effect of Shockwave Therapy on Cervical Myofascial Syndrome in Lactating Women

Effect of Shockwave Therapy on Cervical Myofascial Pain Syndrome in Lactating Women

the aim of the study is to determine the effect of shockwave therapy on cervical myofascial pain syndrome in lactating women

Study Overview

• Status: Completed
• Conditions: Cervical Myofascial Pain Syndrome
• Intervention / Treatment: Device: Shockwave

Detailed Description

Neck and shoulder pain was 73,1%,one fourth of which occurred after birth.the most common area was the superior part of the trapezius.the symptoms of patients are pain, stiffness and limited range of motion (ROM).

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: H A Rezk, Master; Phone Number: 01200012471; Email: dr.hebamonsef@gmail.com
• Study Contact Backup: Name: H A Rezk; Phone Number: 01010453449; Email: dr.hebamonsef@gmail.com

Study Locations

• Egypt
  • Giza, Egypt, 12611
    • Faculty of physical therapy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Multipara two months after labor.
• number of parity not more than 3.
• age range 25_35.BMI less than 35 Kg/m2

Exclusion Criteria:

• Diabetic women
• Women with malignancy
• Neck pain from other conditions such as(spinal
• instability, spinal fracture, spinal cord compression,inflammatory disease, spinal infection, congenital postural deformity

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Postural correction exercise; All women in both groups (A&B) will receive postural correction exercises which includes: A.mckenzie exercises: The exercise routine consists of seven types of movements,at static maximum strength, with 15_20 repetitions, holding each repetition for seven seconds.the subjects complete one 20-minutes set per day,three times a week for four weeks B.strengthening exercise targeted the periscapular muscles (Y to W,l to W), scapular retraction.strengthening exercises will be progressively performed for 3sets, with 10 to15 repetitions C.pectoralis flexibility on a foam roller.Hold for 5seconds and repeated 10 time s	Device: Shockwave; Shockwave therapy session once a week for month 1000shock per session; Other Names: Postural correction exercise
Experimental: Shockwave therapy; All women in group (B) will receive shockwave therapy once a week for the duration of the trial (4 weeks) The dosage used will be as the following: Energy flux Density (EFD)=0,25 ml/mm2 Number of shocks=1000 shocks(kamel et al.,2020). Time:2-5minutes per session.	Device: Shockwave; Shockwave therapy session once a week for month 1000shock per session; Other Names: Postural correction exercise

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual analogue scale	Pain level will be assessed for both groups (A&B) before and after treatment program by using (VAS). scores are based on self-reported measures of symptoms that are recorded with a single hand written mark placed at one point along the length of a10 cm line."0 cm" means no pain."10cm" means maximum pain.	4 weeks
Pressure Algometer	Pain threshold for each woman in both groups (A&B) will be measured before and after the treatment program by using "Pressure Algometer" . The pressure pain threshold measurements for trapezius will be performed at mid-way between the seventh cervical vertebrae and acromial angle in limited area in the second and third quadrants (Barbero et al.' 2013).	4 weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): August 25, 2023
• Primary Completion (Actual): September 25, 2023
• Study Completion (Actual): September 25, 2023

Study Registration Dates

• First Submitted: May 18, 2023
• First Submitted That Met QC Criteria: May 18, 2023
• First Posted (Actual): May 26, 2023

Study Record Updates

• Last Update Posted (Actual): March 8, 2024
• Last Update Submitted That Met QC Criteria: March 7, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Nervous System Diseases; Disease; Musculoskeletal Diseases; Rheumatic Diseases; Muscular Diseases; Neuromuscular Diseases; Syndrome; Fibromyalgia; Myofascial Pain Syndromes
• Other Study ID Numbers: P.T.REC/012/1004409

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No