Effects of Stabilization Exercises and Posture Training on Breast Feeding Females Suffering From Scapular Dyskinesia
Condition: Scapular Dyskinesis
MeSH terms: Dyskinesias
Study type: Interventional

Summary: 
      A randomized clinical trial study will be conducted through a non-probability convenience
      sampling technique. Study will be conducted at Jinnah Hospital, Lahore. Sample size will be
      collected through open epi tool. The total sample size of 52 is calculated. Two treatment
      groups will be taken for conducting the research. Group A with twenty-six (26) patients will
      be treated with stabilization exercises and Group B with twenty-six (26) patients whom will
      be treated with posture training. Difference between pre-treatment and post-treatment
      readings will be calculated using Paired sample t-test for parametric data. For nonparametric
      data Wilcoxon signed rank test will be used. This is a non-parametric test that compares
      paired groups. Generalized physiotherapy rehabilitation protocol will be implemented in Group
      A for scapular stabilization by demonstrating scapular retraction (Shoulder Blade Squeezes),
      External Rotation, Shoulder Diagonals, Horizontal Rows, Shoulder Extension, Angel Wings,
      Active: Push with a plus, Physio ball Scapular Exercises, Platform Walks. In Group B,
      postural training different nursing positions will be guided as crossover hold, laid-back
      position, on the pillow position, cradle, football hold, side-lying position. The
      intervention will be provided in twelve sessions over a 4-week intervention period (three
      sessions per week) each session of 30 to 50 minutes accompanied by an individual daily
      at-home exercise program. The participants were advised not to use other forms of treatment
      during the trial (pharmacologic or non-pharmacologic treatment). NPRS will be used to measure
      the pain intensity and functional limitation will be assessed using the UEFI, goniometer to
      check the range limitation. Total study duration will be ten months after the approval of
      synopsis. Data will be analysed by using SPSS 26.
    

Detailed description: 
      Scapular dyskinesis is a change or deviation in the normal resting or active position of the
      scapula during shoulder movement due to the repetitive use of the shoulder, most people's
      scapula moves abnormally. Scapular winging is a clinical observation in which any part of the
      scapular departs excessively from the thorax soon after movement begins causing hinderance in
      performing movements like Elevation/depression, Protraction/retraction, Internal/external
      rotation, Superior/inferior rotation, Anterior/posterior tilt. Scapular dyskinesia can be
      caused by one of three factors, Shoulder-related, Neck-related, Posture-related.

      The significance of this study is to lessen the musculoskeletal disorders causing scapular
      dyskinesia through provision of the stabilization, stretching exercises and posture training,
      improving function and range of motion in breast feeding females.
    

Intervention name(s): Stabilization Exercises; Posture Training
Intervention type(s): Other; Other
Intervention description(s): It consists of 26 patients who will receive stabilization exercises which will be divided in three components in lying posture, sitting, standing, rolling and kneeling positions to treat posterior, inferior muscles of scapula for 35-45 min for 3 days a week for 4 weeks.; It consists of 26 patients who will receive postural training and breast-feeding patterns for the mother and child for 35-45 min in 3 days a week for 4 weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Breast feeding; Pain; Range of motion; Scapular dyskinesis