Effect of Alexander Technique on Neck Pain and Quality of Life in Lactating Women
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Assessment of neck pain intensity
研究概览
简要总结
This study will be conducted to investigate the effect of the Alexander technique on neck pain and quality of life in lactating women.
详细描述
During breastfeeding, incorrect positioning and placement of hands to support the baby's weight can irritate the musculature of the hands. Repeating the same position frequently can lead to radiating pain in the elbows and hands. Additionally, adopting different postures to compensate for the pain while sitting, standing, or lying down can cause mechanical changes in the cervical, thoracic, and lumbar spine, altering the body's correct posture.
The Alexander Technique is a non-exercise approach focused on improving the modulation of postural muscle activity. It offers an individualized approach to developing skills that help people recognize, understand, and avoid poor habits that affect postural tone and neuromuscular coordination. Its lessons are associated with clinically relevant long-term reductions in neck pain and disability.
Some previous studies examined effect of Alexander technique on neck pain and on quality of life in different population, but in our knowledge this is the first study will be conducted to investigate effect of Alexander technique on neck pain and quality of life in lactating women, so this study will be conducted to provide an insight about the beneficial effect of the Alexander Technique on neck pain and quality of life in lactating women which will be of valuable benefits in the women's health field.
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 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Lactating females experiencing neck pain (six weeks to 1year postpartum).
- •Able to understand and follow the Alexander Technique instructions.
- •Their age will be ranged from 20-35 years old.
- •Their BMI will be less than 30 kg/m2 .
- •Their pain level is ≥ 4 on numeric pain rating scale.
- •They have mild disability on Neck Disability Index Questionnaire (NDI).
- •They have limited cervical range of motion (the normal flexion range of motion is 80° to 90°, extension 70°, lateral flexion 20° to 45°, and rotation up to 90°).
排除标准
- •Neck pain as consequence of disc protrusion or prolapse, whiplash, congenital deformity of the spine, spinal stenosis, neoplasm, inflammatory rheumatic disease, neurological disorder, and psychosis.
- •Women who had invasive treatment of the spine within the previous three weeks, or spinal surgery or presence of neck history of trauma.
- •Presence of contraindications to spinal movement, such as fracture or dislocation.
结局指标
主要结局
Assessment of neck pain intensity
时间窗: 5 weeks
The pain intensity will be assessed through numeric pain rating scale for all participating women in both groups before and after the treatment program. The woman will be asked to circle the number between 0 (represents no pain) and 10 (represents the worst pain) that best represents their pain intensity. She will be asked to indicate the intensity of her current, best, and worst pain levels over the past 24 hours on the scale, the mean of these three ratings is calculated to represent the patient's overall pain intensity.
Quality Of Life assessment
时间窗: 5 weeks
The Short Form Survey Instrument (SF-36) will be used to assess the health-related quality of life for all women in both groups before and after the treatment program. The SF-36 is a self-administered questionnaire containing 36 items, which takes about five minutes to complete. It measures health across eight multi-item dimensions, covering functional status, well-being, and overall health evaluation, each associated with 2-10 possible answers. The response to each question is extrapolated to a standardized set of answers, and the results are transferred to a scale of 0-100, where 0 represents the worst state of health and 100 represents the best state of health measured. It has good validity and reliability and can be used as a general questionnaire to assess quality of life.
次要结局
- Measurement of neck flexion range of motion (ROM)(5 weeks)
- Measurement of neck extension range of motion (ROM)(5 weeks)
- Measurement of neck lateral flexion range of motion (ROM)(5 weeks)
- Measurement of neck rotation range of motion (ROM)(5 weeks)
- Assessment of neck function(5 weeks)
研究者
Aml Elsaid Hamed
Principal Investigator
Cairo University