Effects of Scapular Posterior Tilt Exercises and Cross-Body Stretching in Postpartum Women With Rounded Shoulders
2026年5月4日 更新者：Riphah International University
Comparative Effects of Scapular Posterior Tilt Exercises and Cross-Body Stretching on Breastfeeding Efficiency Latch Quality and Posture in Postpartum Women With Rounded Shoulders
This study aims to compare the effects of scapular posterior tilt exercises and cross-body stretching on breastfeeding efficiency, latch quality, and posture in postpartum women with rounded shoulders.
研究概览
详细说明
This randomized clinical study will include 30 postpartum women (2 weeks to 6 months postpartum) who will meet the inclusion criteria for rounded shoulders and will be actively breastfeeding.
The study will be conducted at Sheik Zaid Hospital and will include multiparous women.
Participants will be randomly allocated into two intervention groups: Group A, which will perform scapular posterior tilt exercises, and Group B, which will engage in cross-body stretching exercises.
Both groups will undergo their respective intervention protocols three times per week over a period of four weeks.
All participants will receive standardized ergonomic education focused on proper breastfeeding posture.
The tools that will be used for assessment include the Bristol Breastfeeding Assessment Tool (BBAT) for latch quality, the Breastfeeding Self-Efficacy Scale (BSES) for breastfeeding efficiency, and a posture analysis using the AI Posture Evaluation and Correction System (APECS).
Assessments will be conducted before and after the intervention.
Data will be entered and analyzed using SPSS version 16.
研究类型
介入性
注册 (估计的)
34
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Imran Amjad
- 电话号码：03324390125
- 邮箱：Imran.amjad@riphah.edu.pk
学习地点
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Punjab Province
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Lahore、Punjab Province、巴基斯坦、6400
- 招聘中
- Sheikh Zaid Hospital
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接触：
- hina G gul, PhD*
- 电话号码：03214979172
- 邮箱：hina.gul@riphah.edu.pk
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首席研究员：
- Ramisha Saeed, MSPT(WH)
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
是的
描述
Inclusion Criteria:
- Mutiparous females.
- previous cesarean section deliveries
- Postpartum women between 2 weeks and 6 months postpartum.
- Experiencing shoulder discomfort or poor posture
Exclusion Criteria:
- History of recent trauma or surgery such a Arthroscopy for Impingement Syndrome, Shoulder Replacement that affecting the shoulder complex.
- Mother with history of breast cancer and hepatitis
- History of shoulder surgery, trauma, or musculoskeletal disorders affecting the upper back/shoulder (Trapezius muscles train, Levator scapulae and rhomboid overuse)
- Severe postnatal complications (e.g., mastitis, postpartum depression, uncontrolled hypertension or diabetes.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Scapular Posterior Tilt exercises
To improve scapular posterior tilt, focus on exercises that strengthen the lower trapezius and serratus anterior, which are crucial for shoulder stability and function
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实验性的：Cross-Body Stretching
The cross-body stretch is an effective exercise for improving shoulder flexibility and relieving tension in the shoulder muscles
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3 sessions per week, Duration: 20-30 minutes per session.
for 6 weeks
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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BREASTFEEDING SELF EFFICACY SCALE:
大体时间：6th week
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The BSES-SF was a 14-item self-administered instrument derived from the original 33-item BSES that measured breastfeeding confidence.
All items were preceded by the phrase "I can always" and were rated on a 5-point Likert scale, ranging from 1 (not at all confident) to 5 (always confident).
Total scores ranged from 14 to 70, with higher scores reflecting more significant levels of breastfeeding self-efficacy.
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6th week
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Bristol Breastfeeding Assessment Tool:
大体时间：6th week
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Jenny Ingram developed this tool in 2022; Cronbach's alpha value was found to be 0.77.
The scale is a Likert-type scale comprising the 4 items of "positioning," "holding," "sucking" and "swallowing."
Each item is scored between 0- 2 points.
The lowest possible score on the scale is 0, the highest is 8. Lower scores indicate that the breastfeeding is not successful, the higher scores signify successful breastfeedin
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6th week
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APESC:
大体时间：6th week
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The APECS mobile app uses photo-based posture analysis and scores alignment across body segments using virtual markers.
It has excellent reliability, with inter-rater ICCs above 0.90 for most measures and strong intra-rater consistency.
Its validity is supported by its ability to detect postural differences between groups
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6th week
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：hina gul, PhD*、Riphah International University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Algabbani MF, Alazmi AA, Alqabbani S, Almurdi MM, Abdelkader SM, Alruwaili M, et al. Prevalence and Risk Factors for Neck and Upper Limb Musculoskeletal Disabilities Among Postpartum Women. Clinical and Experimental Obstetrics & Gynecology. 2025;52(2):25833.
- Faisal S, Nadeem A, Waqas S. Association between Infant Carrying Methods, Duration, and Trunk Position Among Nursing Mothers of Lahore. Journal Riphah College of Rehabilitation Sciences. 2024;12(04).
- Escribano S, Herrero-Oliver R, Oliver-Roig A, Richart-Martínez M. Psychometric properties of the maternal breastfeeding evaluation scale: a confirmatory factor analysis. BMC Pregnancy and Childbirth. 2024;24(1):486.
- Gu Q, Pan L, Yu L, Jiang Q. Effect of scapular posterior tilting exercise on scapular muscle activities in men and women with a rounded shoulder posture. Journal of Orthopaedic Surgery and Research. 2024;19(1):383.
- Stubbs PW, Mehta P, Trøstrup J, Tamminga SJ, Stynes SM, Koes BW, et al. Exercise interventions for treating work-related complaints of the arm, neck or shoulder in adults. The Cochrane database of systematic reviews. 2025;2025(4):CD014643.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2025年10月1日
初级完成 (估计的)
2026年6月1日
研究完成 (估计的)
2026年7月1日
研究注册日期
首次提交
2026年5月4日
首先提交符合 QC 标准的
2026年5月4日
首次发布 (实际的)
2026年5月8日
研究记录更新
最后更新发布 (实际的)
2026年5月8日
上次提交的符合 QC 标准的更新
2026年5月4日
最后验证
2026年5月1日
更多信息
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