Efficacy of Positional Release Muscles for Neck Pain During Lactation

Not Applicable

Not yet recruiting

• Conditions: Post Partum Neck Pain

• Registration Number: NCT06988241
• Lead Sponsor: Kafrelsheikh University

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.

Study Timeline

• Status Verified: 2025-05
• Study First Submitted: 2025-05-17
• Study First Submitted QC: 2025-05-17
• Last Update Submitted: 2025-05-17
• Study Start: 2025-05-22
• Study First Posted: 2025-05-23
• Last Update Posted: 2025-05-23
• Primary Completion: 2025-08-23
• Study Completion: 2025-08-23

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: Female
• Target Recruitment: 50

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Intensity of neck pain	baseline and four weeks	Neck pain intensity will be measured by 11- numerical rating scale
Pressure pain threshold (PPT)	baseline and four weeks	Pressure pain threshold (PPT) of upper trapezius will be measured by digital pressure algometer.
functional status related to neck disability	baseline and four weeks	Functional status related to neck disability will be measured by Arabic version of Neck Disability Index (NDI)