Clinical trial NCT06988241: Efficacy of Positional Release Muscles for Neck Pain During Lactation
Official title: Efficacy of Positional Release Muscles for Neck Pain During Lactation
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Post Partum Neck Pain
Lead sponsor: Kafrelsheikh University
Sponsor class: OTHER
First posted: 2025-05-23
Enrollment: 50
Sex: FEMALE
Minimum age (years): 25
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Purpose of the study: To determine the efficacy of neck muscles positional release for Neck Pain during lactation.Methods:Fifty patient with postpartum neck pain will be recruited. Patients will be randomly assigned into two groups, group A and group B . Patients in both groups will receive posture correction advices during lactation and posture correction exercises but group A will receive additional positional release for upper trapezius. All patients will be evaluated for Pressure pain threshold (PPT) of upper trapezius by algometry, neck disability using Arabic version of neck disability index, pain intensity using 11-numerical rating scale.

Detailed description: Treatment procedure Both groups will receive posture education advices during lactation and Posture correction exercise program which will include Strengthening Exercise Program and Spinal Stretches. Strengthening Exercise Program included Neck Isometrics, Abdominal Strengthening and Pelvic Floor Exercises 10-12 repetitions twice a day .Spinal stretches were also included .In the intervention program mothers who underwent normal delivery were advised to start home based exercise program after 5 weeks and the caesarean mothers after 2 months of delivery Group (A): will receive Positional release of neck muscles in addition to Posture correction.Positional release technique For deactivation of Trigger Points (TrPs) and decrease spasm Manual approaches. \[PRT\] was developed by Lawrence H. PRT is a method in which muscles are placed in a position of greatest comfort, and this causes normalization of muscle hypertonicity and fascial tension. Also, it decreases joint hypomobility, increases circulation, followed by a reduction in swelling, decreased pain, and increase muscle strength. The practical section of the study will be undertaken in 4 weeks (3 sessions a week). Measurement will be taken before the start of treatment program then after the end of 4 weeks treatment program.

Eligibility criteria: Inclusion Criteria:

* lactating mothers.
* Age between 25-35 years old.
* six weeks to one year after childbirth.
* at least a moderate level of education.

Exclusion Criteria:

* Mothers were excluded if they had facet joint, neurological, or cardio vascular and respiratory conditions.
* History of breast cancer.

Primary outcomes:
measure: Intensity of neck pain
timeFrame: baseline and four weeks
measure: Pressure pain threshold (PPT)
timeFrame: baseline and four weeks
measure: functional status related to neck disability
timeFrame: baseline and four weeks
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
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