Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.
4 mai 2026 mis à jour par: 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.
Aperçu de l'étude
Statut
Recrutement
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Interventionnel
Inscription (Estimé)
34
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Coordonnées de l'étude
- Nom: Imran Amjad
- Numéro de téléphone: 03324390125
- E-mail: Imran.amjad@riphah.edu.pk
Lieux d'étude
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Punjab Province
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Lahore, Punjab Province, Pakistan, 6400
- Recrutement
- Gangaram Hospital
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Contact:
- Dr.Hina gul, PhD*
- Numéro de téléphone: 03214979172
- E-mail: hina.gul@riphah.edu.pk
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
Accepte les volontaires sains
Oui
La description
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).
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: 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.
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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.
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Comparateur actif: 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
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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 |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Numeric Pain Rating Scale
Délai: 8th week
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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.
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8th week
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Manual Muscle Testing
Délai: 8th week
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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
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8th week
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Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
Délai: 8th week
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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
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8th week
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Les enquêteurs
- Chercheur principal: hina gul, PhD*, Riphah International University
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
- 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.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Réel)
1 octobre 2025
Achèvement primaire (Estimé)
1 juin 2026
Achèvement de l'étude (Estimé)
1 juillet 2026
Dates d'inscription aux études
Première soumission
4 mai 2026
Première soumission répondant aux critères de contrôle qualité
4 mai 2026
Première publication (Réel)
8 mai 2026
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
8 mai 2026
Dernière mise à jour soumise répondant aux critères de contrôle qualité
4 mai 2026
Dernière vérification
1 mai 2026
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- REC/RCR & AHS/25/0509
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
NON
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Non
Étudie un produit d'appareil réglementé par la FDA américaine
Non
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