Effect of Shockwave Therapy on Cervical Myofascial Syndrome in Lactating Women

Study Overview
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Brief Summary
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the aim of the study is to determine the effect of shockwave therapy on cervical myofascial pain syndrome in lactating women

Detailed Description
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Neck and shoulder pain was 73,1%,one fourth of which occurred after birth.the most common area was the superior part of the trapezius.the symptoms of patients are pain, stiffness and limited range of motion (ROM).

Official Title
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Effect of Shockwave Therapy on Cervical Myofascial Pain Syndrome in Lactating Women

Conditions
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Cervical Myofascial Pain Syndrome

Intervention / Treatment
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* Device: Shockwave


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Multipara two months after labor. number of parity not more than 3. age range 25_35.BMI less than 35 Kg/m2 Exclusion Criteria: Diabetic women Women with malignancy Neck pain from other conditions such as(spinal instability, spinal fracture, spinal cord compression,inflammatory disease, spinal infection, congenital postural deformity

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two groups,one group will be treated by shockwave therapy and postural correction exercise and other group will be treated by postural correction exercise
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Postural correction exercise<br>All women in both groups (A&B) will receive postural correction exercises which includes: A.mckenzie exercises: The exercise routine consists of seven types of movements,at static maximum strength, with 15_20 repetitions, holding each repetition for seven seconds.the subjects complete one 20-minutes set per day,three times a week for four weeks B.strengthening exercise targeted the periscapular muscles (Y to W,l to W), scapular retraction.strengthening exercises will be progressively performed for 3sets, with 10 to15 repetitions C.pectoralis flexibility on a foam roller.Hold for 5seconds and repeated 10 time s | Device: Shockwave<br>* Shockwave therapy session once a week for month 1000shock per session<br>* Other names: Postural correction exercise;|
| Experimental: Shockwave therapy<br>All women in group (B) will receive shockwave therapy once a week for the duration of the trial (4 weeks) The dosage used will be as the following: Energy flux Density (EFD)=0,25 ml/mm2 Number of shocks=1000 shocks(kamel et al.,2020). Time:2-5minutes per session. | Device: Shockwave<br>* Shockwave therapy session once a week for month 1000shock per session<br>* Other names: Postural correction exercise;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale | Pain level will be assessed for both groups (A&B) before and after treatment program by using (VAS). scores are based on self-reported measures of symptoms that are recorded with a single hand written mark placed at one point along the length of a10 cm line.0 cm means no pain.10cm means maximum pain. | 4 weeks | 
| Pressure Algometer | Pain threshold for each woman in both groups (A&B) will be measured before and after the treatment program by using Pressure Algometer . The pressure pain threshold measurements for trapezius will be performed at mid-way between the seventh cervical vertebrae and acromial angle in limited area in the second and third quadrants (Barbero et al.' 2013). | 4 weeks |