Effect of Laser Acupuncture on Neck and Shoulder Pain in Lactating Women
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
The purpose of this study is to investigate the effect of laser acupuncture on neck and shoulder pain in lactating women.
详细描述
Breastfeeding was the most common daily living activity that caused neck and shoulder pain to become worse in lactating women, the mother's position is a head-down position to maintain eye contact with the infant, so there are possibilities of breastfeeding-related neck pain .
It was revealed that neck and shoulder pain greatly influenced the health of postpartum women; it led to a reduction in the level of quality of life of postpartum women.
Acupuncture is a choice for therapeutic intervention of patients with neck and shoulder pain and can be incorporated into rehabilitation.
laser acupuncture (LA) uses a low-intensity, non-thermal laser irradiation to stimulate the acupoints. LA may improve pain, disability, and functional levels in musculoskeletal disorders like shoulder and neck pain
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Lactating women Suffering from cervical and shoulder pain.
- •Their body mass index will be less than 30 kg/m².
- •Primipara and multipara "2:3 times" women.
- •six weeks to one year after childbirth.
排除标准
- •Neurological disorders.
- •Musculoskeletal disorders as cervical discopathy or shoulder impingement syndrome.
- •History of cervical or shoulder surgery.
- •Infection or malignancy.
- •Take any medical treatment or physiotherapy interventions in the past one month.
- •Fibromyalgia or myopathy
结局指标
主要结局
Pain intensity
时间窗: 4 weeks
The Visual analogue scale will be used to measure the pain intensity before and after the treatment program. The VAS is a 10-point scale comprising a number from 0 through 10; 0 indicates "no pain", and 10 indicates the "worst imaginable pain
cervical side bending
时间窗: 4 weeks
The patient will be in sitting position the head will be in 0 degree rotation or flexion or extension, stabilize shoulder girdle and chest by strap. The central fulcrum of goniometer will be over the spinous process of C7 vertebra, the proximal arm is align with spinous process of the thoracic verebrae ,the distal arm will align with dorsal of the head, the patient will be asked to side bend her cervical to end range. Normal range of motion of cervical side bending is 20-45 degrees.
cervical rotation
时间窗: 4 weeks
The patient will be in sitting position the head will be in neutral position, stabilize shoulder girdle and chest by strap, Center fulcrum of the goniometer over the center of the cranial aspect of the head, Align proximal arm parallel to an imaginary line between the two acromial processes, Align distal arm with the tip of the nose. If a tongue depressor is used, align the arm of the goniometer parallel to the longitudinal axis of the tongue depressor, The patient will be asked to rotate her cervical until end of range. Normal range of motion of cervical rotation is 70-90 degrees.
Pressure pain threshold
时间窗: 4 weeks
The pressure algometer will be used to assess pressure pain threshold before and after treatment. The examiner will determine the main 6 points of assessment on each side of cervical and shoulder girdle areas: * 2 cm lateral to the cervical vertebrae 2 (C2) spinous processes. * At the middle point of the upper trapezius muscle (between C7 and the acromion). * At levator scapulae (2 cm superior to the superior angle of the scapulae). * At mid-line of deltoid muscle. Three consecutive measurements will be made, with an interval of 30 s between them, and the average value will be recorded.
cervical flexion range of motion
时间窗: 4 weeks
The patient will be in sitting position the head will be in 0-degree rotation or lateral flexion, stabilize shoulder girdle and chest by strap, The central fulcrum of goniometer will be in the external auditory meatus, the proximal arm is perpendicular, the distal arm with the base of the nares, The patient will be asked to flex her cervical until end of range. Normal cervical flexion range of motion is 80 degrees
Shoulder abduction range of motion
时间窗: 4 weeks
The patient will be in supine lying position., Center fulcrum of the goniometer close to the anterior aspect of the acromial process, Align proximal arm so that it is parallel to the midline of the anterior aspect of the sternum, Align distal arm with the anterior midline of the humerus, The patient will be asked to abduct her shoulder until end of range. Normal range of motion of shoulder flexion is 150 degrees.
cervical extension range of motion
时间窗: 4 weeks
The patient will be in sitting position the head will be in 0-degree rotation or lateral flexion, stabilize shoulder girdle and chest by strap, The central fulcrum of goniometer will be in the external auditory meatus, the proximal arm is perpendicular, the distal arm with the base of the nares, The patient will be asked toextend her cervical until end of range. Normal cervical extension range of motion is 50-70 degrees
Shoulder internal rotation range of motion
时间窗: 4 weeks
The patient will be in supine lying position, Center fulcrum of the goniometer over the olecranon process, Align proximal arm so that it is either perpendicular to or parallel with the floor, Align distal arm with the ulna, using the olecranon process and ulnar styloid for reference. The patient will be asked to internal rotate her shoulder until end of range. Normal range of motion of shoulder internal rotation is 70-90 degrees.
Shoulder external rotation range of motion
时间窗: 4 weeks
The patient will be in supine lying position, Center fulcrum of the goniometer over the olecranon process, Align proximal arm so that it is either perpendicular to or parallel with the floor, Align distal arm with the ulna, using the olecranon process and ulnar styloid for reference. The patient will be asked to internal rotate her shoulder until end of range. Normal range of motion of shoulder internal rotation is 90 degrees.
Shoulder flexion range of motion
时间窗: 4 weeks
The patient will be in supine lying position the knee will be 90-degree position, stabilize scapula and thorax girdle, Center fulcrum of the goniometer over the lateral aspect of the greater tubercle, Align proximal arm parallel to the midaxillary line of the thorax, Align distal arm with the lateral midline of the humerus. The patient will be asked to flex her shoulder until end of range. Normal range of motion of shoulder flexion is 150-180 degrees.
Shoulder extension range of motion
时间窗: 4 weeks
The patient will be in prone position, Center fulcrum of the goniometer over the lateral aspect of the greater tubercle, Align proximal arm parallel to the midaxillary line of the thorax, Align distal arm with the lateral midline of the humerus. The patient will be asked to extend her shoulder until end of range. Normal range of motion of shoulder flexion is 45-60 degrees.
次要结局
- Breastfeeding Self Efficacy assessment(4 weeks)
- Functional disability(4 weeks)
- Shoulder and pain disability index (SAPDI)(4 weeks)
研究者
Yara Mokhtar Abd El-Latif
Principal investigator
Cairo University