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

4. maj 2026 opdateret af: Riphah International University

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

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.

Studieoversigt

Detaljeret beskrivelse

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.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

34

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 6400
        • Rekruttering
        • Gangaram Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • 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

Exclusion Criteria:

  • 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).

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: motor control retraining & scapular stabilization exercises
Motor control retraining is a specialized therapeutic approach designed to restore proper movement patterns by enhancing the coordination, timing, and sequencing of muscle activation. These exercises perform in Supine line, prone line & side lying position.Scapular stabilization exercises can be effectively performed in clinical physiotherapy settings, home environments, or fitness centers, depending on the patient's comfort, supervision needs, and availability of equipment such as resistance bands or light dumbbells.

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

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.
Aktiv komparator: motor control retraining
Motor control retraining is a specialized therapeutic approach designed to restore proper movement patterns by enhancing the coordination, timing, and sequencing of muscle activation

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

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Numeric Pain Rating Scale
Tidsramme: 8th week
The Numeric Pain Rating Scale (NPRS) is a simple and effective tool used to assess the intensity of pain experienced by an individual. Scoring is typically done on a scale from 0 to 10, where 0 indicates no pain, 1-3 represents mild pain, 4-6 indicates moderate pain, and 7 10 denotes severe to the worst possible pain. This scale provides a quick, reliable, and sensitive measure of pain, making it valuable for both clinical assessment and research purposes.
8th week
Manual Muscle Testing
Tidsramme: 8th week
Manual Muscle Testing (MMT) is a widely used clinical assessment tool to evaluate the strength of individual muscles or muscle groups based on the examiner's application of resistance.Scoring in MMT is typically based on a six-point scale from 0 to 5, where each grade reflects a different level of muscle function
8th week
Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
Tidsramme: 8th week
The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire is a standardized self-report tool used to measure physical function and symptoms in individuals with upper extremity musculoskeletal disorders. It assesses the impact of arm, shoulder, or hand problems on the ability to perform certain daily activities, as well as the severity of symptoms such as pain, weakness, and stiffness. The DASH is widely used in both clinical practice and research due to its high reliability, validity, and sensitivity to changes in upper limb function
8th week

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: hina gul, PhD*, Riphah International University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

  • Lafrance S, Ouellet P, Alaoui R, Roy J-S, Lewis J, Christiansen DH, et al. Motor control exercises compared to strengthening exercises for upper-and lower-extremity musculoskeletal disorders: a systematic review with meta-analyses of randomized controlled trials. Physical Therapy. 2021;101(7):pzab072.
  • 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, Khan MS. Advancements in Postpartum Rehabilitation: A Systematic Review. Cureus. 2024;16(8)
  • Peteraitis T, Smedes F. Scapula motor control training with Proprioceptive Neuromuscular Facilitation in chronic subacromial impingement syndrome: A case report. Journal of Bodywork and Movement Therapies. 2020;24(3):165-71.
  • Ratajczak M, Górnowicz R. The influence of breastfeeding factors on the prevalence of back and neck pain: data from an online survey. BMC Musculoskeletal Disorders. 2024;25(1):675.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. oktober 2025

Primær færdiggørelse (Anslået)

1. juni 2026

Studieafslutning (Anslået)

1. juli 2026

Datoer for studieregistrering

Først indsendt

4. maj 2026

Først indsendt, der opfyldte QC-kriterier

4. maj 2026

Først opslået (Faktiske)

8. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

8. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

4. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

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Kliniske forsøg med Scapular dyskinesis

Kliniske forsøg med motor control retraining

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