Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| motor control retraining & scapular stabilization exercises | Experimental | 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. |
|
| motor control retraining | Active Comparator | Motor control retraining is a specialized therapeutic approach designed to restore proper movement patterns by enhancing the coordination, timing, and sequencing of muscle activation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| motor control retraining | Other | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale | 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. | 8th week |
| Manual Muscle Testing | 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 | 8th week |
| Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire | 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 | 8th week |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
breast feeding females with scapular dyskinesia.
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| imran amjad | Contact | 03324390125 | imran.amjad@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| hina gul, PhD* | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gangaram Hospital | Recruiting | Lahore | Punjab Province | 6400 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33609357 | Background | Lafrance S, Ouellet P, Alaoui R, Roy JS, Lewis J, Christiansen DH, Dubois B, Langevin P, Desmeules F. Motor Control Exercises Compared to Strengthening Exercises for Upper- and Lower-Extremity Musculoskeletal Disorders: A Systematic Review With Meta-Analyses of Randomized Controlled Trials. Phys Ther. 2021 Jul 1;101(7):pzab072. doi: 10.1093/ptj/pzab072. | |
| Background | 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 fÃsica, deporte y recreación. 2024(52):304-10. | ||
| 39233964 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D020820 | Dyskinesias |
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D009069 | Movement Disorders |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| scapular stabilization exercises | Other | 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. |
|
| Background |
| Shaik A, Khan S, Shaik A, Shaik KK. Advancements in Postpartum Rehabilitation: A Systematic Review. Cureus. 2024 Aug 5;16(8):e66165. doi: 10.7759/cureus.66165. eCollection 2024 Aug. |
| 32825984 | Background | Peteraitis T, Smedes F. Scapula motor control training with Proprioceptive Neuromuscular Facilitation in chronic subacromial impingement syndrome: A case report. J Bodyw Mov Ther. 2020 Jul;24(3):165-171. doi: 10.1016/j.jbmt.2020.03.005. Epub 2020 Mar 15. |
| 39210354 | Background | Ratajczak M, Gornowicz R. The influence of breastfeeding factors on the prevalence of back and neck pain: data from an online survey. BMC Musculoskelet Disord. 2024 Aug 29;25(1):675. doi: 10.1186/s12891-024-07785-4. |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005247 | Feeding Behavior |
| D001519 | Behavior |