Neck Pain
Conditions
Keywords
scapular stabilization exercise, Breast feeding women
Brief summary
The purpose of this study is to determine whether scapular stabilization exercises can help breastfeeding women with non-specific neck pain by reducing their neck pain, cervical range of motion, and neck disability index.
Detailed description
The best infant feeding practice is breastfeeding, which has both immediate and long-term advantages for mothers, babies, the environment, the economy, and society as a whole. Mothers who are nursing frequently experience neck pain. Because the scapula and neck are closely related, scapular stabilization is becoming more and more popular for patients with neck pain.
Interventions
Cools exercise using the Thera-Band, including sidelying external rotation, side-lying forward flexion, prone horizontal abduction with external rotation, and prone extension exercises to promote lower trapezius and middle trapezius activity with minimal activation of the upper trapezius part.
Muscle Energy Technique for the 1.sternocleidomastoid 2. levator scapulae 3. upper trapezius 4. pectoralis major Through mild isometric contractions, it uses the intrinsic energy of a muscle to lengthen it and induce relaxation through autogenic inhibition.
The patients sit with their backs supported with pillows. Don't lean over the infant. Keep the arms supported and feet on the ground.
Sponsors
Study design
Intervention model description
The control group got the standard physical therapy program, muscle energy technique for the sternocleidomastoid, elevator scapulae, upper trapezius, and pectoralis major, and advice, while the experimental group got the same conventional physical therapy program in addition to scapular stabilization exercises.
Eligibility
Inclusion criteria
1. exclusive breastfeeding mothers with immediate to 6-month-old infants. 2. The bilateral cradle position is employed by patients when nursing. 3. Patients had mechanical neck pain. 4. Patients with a body mass index below 30 kg/m² 5. Patients have moderate pain intensity, ranging from 3 to 7 on the visual analogue scale 6. The patients' scores on the Neck Disability Index ranged from 10 to 40 out of 50.
Exclusion criteria
1. Patients had preterm babies or low-birth-weight babies. 2. pregnant patients 3. Patients had postpartum complications. 4. Patients had inflammation, infection, severe degeneration, congenital deformity, and trauma. 5. Patients had sensory abnormalities or a positive motor reflex. 6. Patients had cancer, metabolic, or systemic diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| functional neck disability | at beginning of the study and after four weeks of treatment | The Arabic version of the Neck Disability Index Questionnaire (NDI) is used to assess the functional neck disability. It consists of 10 items; each item scores from 0 to 5, where a score of 0 indicates no limitation and a score of 5 indicates maximum limitation. |
| neck pain intensity | at beginning of the study and after four weeks of treatment | The Visual Analog Scale VAS was used to assess neck pain intensity for both groups at the beginning of the study and after four weeks of treatment. It is a 10 cm line. 0 means no paint and 10 means maximum pain and the patient chooses a point on the line which reflects the pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cervical range of motion | at beginning of the study and after four weeks of treatment | The cervical range of motion (flexion, extension, lateral flexion (Rt & Lt), and rotation (Rt & Lt)) is measured with a universal goniometer. |
| pressure pain threshold | at beginning of the study and after four weeks of treatment | The local pressure pain threshold over the upper trapezius was measured using a pressure algometer. It is a portable digital algometer that responds linearly to force applications between 0 and 1300 kPa, or roughly 0 and 14 kg. With a 1-cm² circular rubber tip, the device measures the maximum force applied before the subject verbally indicates that the pain threshold has been reached. |
Countries
Egypt