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

February 10, 2025 updated by: Saadyya Ahmed Abdalhamed Aladawi
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.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Estimated)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Saadyya A. Abdalhamed Aladawi, Asst Lect
  • Phone Number: 00201116364807
  • Email: dr.saadyya@gmail.com

Study Contact Backup

Study Locations

  • Egypt
    • Dokki
      • Giza, Dokki, Egypt, 12613
        • Recruiting
        • Faculty of Physical Therapy/ Cairo University
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

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

Exclusion criteria:

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: control group
Got a standard physical therapy program, muscle energy technique for (sternocleidomastoid, elevator scapulae, upper trapezius and pectoralis major) and advice
Other: 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.
Other Names:
  • Post Isometric Relaxation
  • Autogenic Inhibition
Other: 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.
Experimental: Experimental group
got the same conventional physical therapy program plus scapular stabilization exercises.
Other: 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.
Other Names:
  • Post Isometric Relaxation
  • Autogenic Inhibition
Other: 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.
Other: 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
functional neck disability
Time Frame: at beginning of the study and after four weeks of treatment
The Arabic version of the Neck Disability Index Questionnaire (NDI) is used to assess the functional neck disability. It consists of 10 items; each item scores from 0 to 5, where a score of 0 indicates no limitation and a score of 5 indicates maximum limitation.
at beginning of the study and after four weeks of treatment
neck pain intensity
Time Frame: at beginning of the study and after four weeks of treatment
The Visual Analog Scale VAS was used to assess neck pain intensity for both groups at the beginning of the study and after four weeks of treatment. It is a 10 cm line. 0 means no paint and 10 means maximum pain and the patient chooses a point on the line which reflects the pain
at beginning of the study and after four weeks of treatment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
pressure pain threshold
Time Frame: at beginning of the study and after four weeks of treatment
The local pressure pain threshold over the upper trapezius was measured using a pressure algometer. It is a portable digital algometer that responds linearly to force applications between 0 and 1300 kPa, or roughly 0 and 14 kg. With a 1-cm² circular rubber tip, the device measures the maximum force applied before the subject verbally indicates that the pain threshold has been reached.
at beginning of the study and after four weeks of treatment
cervical range of motion
Time Frame: at beginning of the study and after four weeks of treatment
The cervical range of motion (flexion, extension, lateral flexion (Rt & Lt), and rotation (Rt & Lt)) is measured with a universal goniometer.
at beginning of the study and after four weeks of treatment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Saadyya Ahmed Abdalhamed Aladawi

Investigators

  • Principal Investigator: Prof. Dr. Amel M. Yousef, Prof., Cairo University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 1, 2024

Primary Completion (Estimated)

March 1, 2025

Study Completion (Estimated)

June 1, 2025

Study Registration Dates

First Submitted

February 5, 2025

First Submitted That Met QC Criteria

February 5, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

February 10, 2025

Last Verified

February 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • scapular stabilization ex.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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