Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.
2026年5月4日 更新者：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.
調査の概要
詳細な説明
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.
研究の種類
介入
入学 (推定)
34
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Imran Amjad
- 電話番号：03324390125
- メール：Imran.amjad@riphah.edu.pk
研究場所
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Punjab Province
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Lahore、Punjab Province、パキスタン、6400
- 募集
- Gangaram Hospital
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コンタクト：
- Dr.Hina gul, PhD*
- 電話番号：03214979172
- メール：hina.gul@riphah.edu.pk
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
はい
説明
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).
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：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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アクティブコンパレータ：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 |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Numeric Pain Rating Scale
時間枠：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
時間枠：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
時間枠：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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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：hina gul, PhD*、Riphah International University
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- 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.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2025年10月1日
一次修了 (推定)
2026年6月1日
研究の完了 (推定)
2026年7月1日
試験登録日
最初に提出
2026年5月4日
QC基準を満たした最初の提出物
2026年5月4日
最初の投稿 (実際)
2026年5月8日
学習記録の更新
投稿された最後の更新 (実際)
2026年5月8日
QC基準を満たした最後の更新が送信されました
2026年5月4日
最終確認日
2026年5月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。