Efficacy of Positional Release Muscles for Neck Pain During Lactation

NCT ID: NCT06988241

Last Updated: 2025-12-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-23
• Study Completion Date: 2025-11-25

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.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.

Conditions

Neck Pain

Study Design

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

Study Groups

Positional Release

Positional Release For upper trapezius + Posture correction advices during lactation + posture correction exercises

Group Type: EXPERIMENTAL

positional release

Intervention Type: OTHER

All participants in group (A) will receive the same program of group B added to positional release . In order to make the positional release , the therapist will pick up the trigger points by palpation in the upper trapezius muscle by pincer palpation method and distinguished with dots on the skin. Participants will be made supine lying and relaxed by maintaining the cervical spine in a neutral position. Lateral flexion of subject's head toward the side of a tender point, the therapist grasps the subject's forearm and abducts shoulder to approximately 90° and adds slight flexion or extension to fine-tune.The most comfortable position achieved will be held for 90 seconds and after that passive return of the body part to an anatomically neutral position will be maintained for 5 minutes. All participants will be treated three times per week for 4 consecutive weeks and will be instructed to maintain their normal activities while avoiding any undue stress to the neck.

Posture correction

Intervention Type: OTHER

Posture correction advices during lactation + posture correction exercises

Posture correction

Posture correction advices during lactation + posture correction exercises

Group Type: OTHER

Posture correction

Intervention Type: OTHER

Posture correction advices during lactation + posture correction exercises

Interventions

positional release

All participants in group (A) will receive the same program of group B added to positional release . In order to make the positional release , the therapist will pick up the trigger points by palpation in the upper trapezius muscle by pincer palpation method and distinguished with dots on the skin. Participants will be made supine lying and relaxed by maintaining the cervical spine in a neutral position. Lateral flexion of subject's head toward the side of a tender point, the therapist grasps the subject's forearm and abducts shoulder to approximately 90° and adds slight flexion or extension to fine-tune.The most comfortable position achieved will be held for 90 seconds and after that passive return of the body part to an anatomically neutral position will be maintained for 5 minutes. All participants will be treated three times per week for 4 consecutive weeks and will be instructed to maintain their normal activities while avoiding any undue stress to the neck.

Intervention Type: OTHER

Posture correction

Posture correction advices during lactation + posture correction exercises

Intervention Type: OTHER

Other Intervention Names

strain counter strain

Eligibility Criteria

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.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Kafrelsheikh University

OTHER

Sponsor Role: lead

Responsible Party

Norhan Hassan Elsayed

Physical Therapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of physical therapy kafr Elsheikh university

KafrElSheikh, kafrElsheikh, Egypt

Countries

Egypt

Other Identifiers

KFSIRB200-439

Identifier Type: -

Identifier Source: org_study_id