Effect of Pilates Exercises on Forward Head Posture in Breastfeeding Women

NCT ID: NCT06271850

Last Updated: 2025-04-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 74 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-20
• Study Completion Date: 2025-01-20

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.

Conditions

Breastfeeding

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Ergonomic breastfeeding training (control group)

They will receive ergonomics breastfeeding training only.

Group Type: ACTIVE_COMPARATOR

Ergonomics breastfeeding training

Intervention Type: OTHER

The ergonomics training includes the most ergonomically appropriate methods to breastfeed and ergonomic guidelines, including how to cuddle and breastfeed the baby correctly.

Pilates exercises and ergonomic breastfeeding training (study group)

They will receive Pilates exercises, in addition to ergonomics breastfeeding training.

Group Type: EXPERIMENTAL

Ergonomics breastfeeding training

Intervention Type: OTHER

The ergonomics training includes the most ergonomically appropriate methods to breastfeed and ergonomic guidelines, including how to cuddle and breastfeed the baby correctly.

Pilates exercises

Intervention Type: OTHER

Pilates exercises, 3 times per week, for 8 weeks, in the form of neck extensor stretching, neck extensor and rotation stretching, pectoral muscle stretching, strengthening of deep neck flexors and scapular retractor, and core strengthening exercises ( pelvic bridging, plank, cat and camel, curl up, single leg abdominal press and double leg abdominal press).

Interventions

Ergonomics breastfeeding training

The ergonomics training includes the most ergonomically appropriate methods to breastfeed and ergonomic guidelines, including how to cuddle and breastfeed the baby correctly.

Intervention Type: OTHER

Pilates exercises

Pilates exercises, 3 times per week, for 8 weeks, in the form of neck extensor stretching, neck extensor and rotation stretching, pectoral muscle stretching, strengthening of deep neck flexors and scapular retractor, and core strengthening exercises ( pelvic bridging, plank, cat and camel, curl up, single leg abdominal press and double leg abdominal press).

Intervention Type: OTHER

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/m2.
• 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.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Doaa Onsy Ewass

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Khadega S Abd El Aziz, PHD

Role: STUDY_CHAIR

Cairo University

Locations

Doaa Onsy Ewass

Port Said, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/004949

Identifier Type: -

Identifier Source: org_study_id