Clinical trial NCT05916807: Effects of Stabilization Exercises and Posture Training on Breast Feeding Females Suffering From Scapular Dyskinesia
Official title: Comparative Effects Of Stabilization Exercises And Posture Training On Pain Function And Range Of Motion In Breast Feeding Females Suffering From Scapular Dyskinesia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Scapular Dyskinesis
Keywords: Breast feeding
Pain
Range of motion
Scapular dyskinesis
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-06-23
Enrollment: 52
Sex: FEMALE
Minimum age (years): 25
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: Inclusion Criteria:

* Positive Scapular Dyskinesis Test
* Age 25-40 Years
* Breast feeding females from last 6 months
* Primigravida females

Exclusion Criteria:

* Cesarean section females
* Neck or shoulder pain due to any other comorbidity e.g. Previous history of trauma or fracture
* Any spinal deformity like scoliosis or kyphosis
* Disc prolapse facet joint stenosis

Primary outcomes:
measure: Numeric Pain Rating scale
timeFrame: 4th week
measure: UPPER EXTREMITY FUNCTIONAL INDEX
timeFrame: 4th week
measure: RANGE OF MOTION
timeFrame: 4th Week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Jinnah Hospital, Lahore
state: Punjab
Study officials:
affiliation: Riphah International University
name: Adeela Arif, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.
citation: de Carvalho SC, Castro ADAE, Rodrigues JC, Cerqueira WS, Santos DDCB, Rosemberg LA. Snapping scapula syndrome: pictorial essay. Radiol Bras. 2019 Jul-Aug;52(4):262-267. doi: 10.1590/0100-3984.2017.0226.
citation: Ezeukwu OA, Ojukwu CP, Okemuo AJ, Anih CF, Ikele IT, Chukwu SC. Biomechanical analysis of the three recommended breastfeeding positions. Work. 2020;66(1):183-191. doi: 10.3233/WOR-203162.