Effect of Pilates Exercises on Forward Head Posture in Breastfeeding Women: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Breastfeeding
- Sponsor
- Cairo University
- Enrollment
- 74
- Locations
- 1
- Primary Endpoint
- Measurement of craniovertebral angle (CVA)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Musculoskeletal postural issues stemming from infant care positions can exert a significant impact on the cervical, thoracic, and lumbar spine. These positions can induce mechanical alterations in the spine's natural curvature, potentially resulting in long-term deformities in postnatal women such as forward head posture (FHP), ultimately contributing to physical disability over the long term.so, The purpose of this study is to determine the effect of Pilates exercises on FHP in breastfeeding women.
Detailed Description
seventy-four breastfeeding women having forward head posture (FHP) will participate in this study. They will be selected randomly from the outpatient clinic of orthopedic of Suez Canal Authority Hospital in Portsaid, Egypt. Group (A) (Control group): will consist of 37 breastfeeding women. They will receive ergonomic breastfeeding training for 8 weeks. Group (B) (Study group): will consist of 37 breastfeeding women. They will receive the same ergonomic breastfeeding training plus Pilates exercises 3 times per week for 8 weeks.
Investigators
Doaa Onsy Ewass
Principal investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •All women are breastfeeding and will have FHP.
- •They are between six to twelve months post-delivery.
- •They should have a single, healthy, and full-term baby without complications.
- •Their body mass index (BMI) will not exceed 30 Kg/m
- •Their parity will range from 2 to 3 children.
- •They are housewife.
Exclusion Criteria
- •Cancer of the breast or the surrounding area, any previous breast or chest surgery, breast infection, retracted, cracked, inflamed or inverted nipples.
- •Any cardiorespiratory disease, anemia, or diabetes mellitus.
- •Recent fracture or surgery of the cervical spine or shoulder.
- •History of physical and mental diseases.
Outcomes
Primary Outcomes
Measurement of craniovertebral angle (CVA)
Time Frame: up to 8 weeks
It will be measured before and after treatment program by using posture screen analysis mobile application. This method has many advantages, as it is relatively fast, the image and values obtained are easily preserved, and it is more precise and reliable than visual evaluation alone The CVA is the best indicator of FHP. To determine this angle, two references are defined: One line that runs from the swallow of the ear to seventh cervical vertebra (C7) and another horizontal line parallel to the ground that passes only through the spinous apophysis of C7. An angle of less than 50°-53° may indicate FHP. Thereby, the smaller the CVA, the greater the disability
Assessment of neck pain intensity
Time Frame: up to 8 weeks
It will be evaluated before and after treatment program by using VAS, which is a linear scale that measures the magnitude of pain severity. It encompasses a horizontal line scaled as a spectrum from mild pain beginning from the left to increasing severity to the right end of the horizontal line. The line is 10 cm in length, with each side of the line ending in extremes either no pain or intense pain. In terms of utilization, each participant will mark her pain on the line of the spectrum of the scale
Measurement of cervical range of motion
Time Frame: up to 8 weeks
It will be measured before and after treatment program by goniometer. The movements that will measured by the goniometer include flexion and extension, right and left lateral flexion, and right and left rotation. The goniometer will be placed on the participant's head. During all the measurements, the participant will be seated, with her back straight, and looking ahead; her feet will be supported on the floor. The participant will remain in the same sitting position from the moment the recording procedure will start. The measurement will be performed from "the neutral" position to the final range of motion in a given plane. The participant will perform a practice trial. During each trial, the movement will be executed to reflect the participant's maximum capabilities. When the maximum movement will be performed in one direction, the final position will be identified and recorded
Secondary Outcomes
- Assessment of neck muscle fatigue(up to 8 weeks)
- Assessment of Health-Related Quality of Life(up to 8 weeks)
- Evaluation of disability due to neck pain(up to 8 weeks)
- Assessment of breastfeeding self-efficacy(up to 8 weeks)
- Measurement of weight and height of baby(up to 8 weeks)