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

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.

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.

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).