Biomechanical Risk Factors of Cervical Pain in Pregnant Women
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 116
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
The purpose of the study is to assess the biomechanical risk factors for neck pain in pregnant women.
详细描述
Neck pain during pregnancy has significant physical, psychological, and social impacts on women's lives. Moreover, the economic burden of neck pain is remarkable and includes treatment costs, reduced productivity, and job-related problems. Untreated neck pain during pregnancy can potentially lead to chronic musculoskeletal problems postpartum.
The significance of the study is based on the concept of "early prediction for early mitigation of the risk and prevention of the onset or progression".
Studies have investigated risk factors for neck pain. However, there is a notable gap in research regarding these factors in pregnant women, especially physical (biomechanical) risk factors, despite the significant biomechanical changes they undergo during pregnancy. This study aims to fill this gap by investigating the relationship between biomechanical risk factors and neck pain in pregnant women.
To our knowledge, this is the first study in which this relationship will be assessed to provide evidence about the biomechanical risk factors for neck pain in pregnant women.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
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
- •Pregnant women in their third trimester suffering from cervical pain.
- •They have experienced cervical pain starting during pregnancy.
- •They reported no neck pain or neck-related disorders during the previous year and were screened for the absence of cervical pathology during a physical examination.
排除标准
- •Objective signs of structural pathology on physical examination, including but not limited to shoulder bursitis, impingement, tendonitis, fracture, cervical nerve or disc impairment, radiculopathy, or loss of upper extremity sensory or motor function.
- •Acute injury of the neck or shoulders (<12 weeks before the study).
- •History of fibromyalgia or musculoskeletal pain present in more than 4 body regions concurrently.
- •Self-reported systemic illness, including cancer, rheumatic, cardiovascular, or neurological disease
- •Untreated psychiatric condition
- •Previous surgery involving the cervical spine or shoulders
- •Uncontrolled hypertension (resting systolic blood pressure >150 mm Hg, or diastolic blood pressure >90 mm Hg).
结局指标
主要结局
Pain intensity
时间窗: 2 months
The VAS will be used to assess cervical pain for each pregnant woman. It is a pain rating scale, whose scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale-"no pain" on the left end (0 cm) of the scale and "worst pain" on the right end of the scale (10 cm).
Measurement of trigger points
时间窗: 2 months
Pressure algometer will be used to assess the trigger points of the neck muscles of each pregnant woman in the study. It will be placed perpendicularly to the fibers of the upper trapezius muscle, bilaterally, exactly over the myofascial trigger points. These points were pressed until the pain is reported, and the value displayed on the equipment's display will be recorded in kg/cm2.
次要结局
- Measurement of craniovertebral angle (CVA)(2 months)
- Measurement of cervical flexion range of motion (ROM)(2 months)
- Measurement of cervical extension range of motion (ROM)(2 months)
- Measurement of cervical lateral flexion range of motion (ROM)(2 months)
- Measurement of cervical rotation range of motion (ROM)(2 months)
- Assessment of neck disability(2 months)
- Measuring breast size(2 months)
研究者
Doaa Ahmed Ibrahim Fadel
Principal investigator
Cairo University