Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.
4 mei 2026 bijgewerkt door: 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.
Studie Overzicht
Toestand
Werving
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Geschat)
34
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studiecontact
- Naam: Imran Amjad
- Telefoonnummer: 03324390125
- E-mail: Imran.amjad@riphah.edu.pk
Studie Locaties
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Punjab Province
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Lahore, Punjab Province, Pakistan, 6400
- Werving
- Gangaram Hospital
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Contact:
- Dr.Hina gul, PhD*
- Telefoonnummer: 03214979172
- E-mail: hina.gul@riphah.edu.pk
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Ja
Beschrijving
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).
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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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Actieve vergelijker: 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 |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Numeric Pain Rating Scale
Tijdsspanne: 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
Tijdsspanne: 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
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8th week
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Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
Tijdsspanne: 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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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: hina gul, PhD*, Riphah International University
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
1 oktober 2025
Primaire voltooiing (Geschat)
1 juni 2026
Studie voltooiing (Geschat)
1 juli 2026
Studieregistratiedata
Eerst ingediend
4 mei 2026
Eerst ingediend dat voldeed aan de QC-criteria
4 mei 2026
Eerst geplaatst (Werkelijk)
8 mei 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
8 mei 2026
Laatste update ingediend die voldeed aan QC-criteria
4 mei 2026
Laatst geverifieerd
1 mei 2026
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- REC/RCR & AHS/25/0509
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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