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NCT Number: NCT07576426

Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.

To evaluate the combined effects of motor control retraining and scapular stabilization exercises on pain reduction, muscle strength improvement, and functional enhancement in breastfeeding females diagnosed with scapular dyskinesia, and to determine the effectiveness of this combined approach in addressing their musculoskeletal impairments.

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Key information

Conditions

Scapular Dyskinesis Behavior Breast Feeding Central Nervous System Diseases Dyskinesias Feeding Behavior Movement Disorders Nervous System Diseases Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

20 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Gangaram Hospital

Lahore, Punjab Province, 6400, Pakistan

Location status: Recruiting

Location contact

Dr.Hina gul, PhD*

CONTACT

[email protected]

03214979172

About this study

This will be a randomized controlled trial involving 60 breastfeeding females aged 20-40 years diagnosed with scapular dyskinesia. Participants will be randomly assigned to one of two groups: the intervention group receiving a combined program of motor control retraining and scapular stabilization exercises, and the control group receiving standard physical therapy care. The intervention will be administered three times per week for eight weeks. Outcome measures will include the Numeric Pain Rate Scale (NPRS) for pain, Manual Muscle testing for muscle strength, and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire for functional assessment. The data will be analyzing by the version of SPSS 25.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Currently breastfeeding (minimum 3 months postpartum)
  • Diagnosed with scapular dyskinesia (clinical tests such as the scapular dyskinesis test)
  • Complaints of shoulder or upper back pain during or after breastfeeding

Exclusion criteria

  • History of shoulder surgery or recent trauma to the shoulder or spine
  • Neurological disorders affecting upper limb function (cervical radiculopathy).
  • Musculoskeletal conditions unrelated to scapular dyskinesia (rotator cuff tear, frozen shoulder)
  • Participation in any shoulder rehabilitation program in the past 3 months.
  • Contraindications to exercise (severe cardiopulmonary conditions or acute infections).

Treatment and study plan

motor control retraining

Other

the motor control retraining protocol will be performed three times per week, with each session lasting approximately 30 to 45 minutes.

The intensity remains low. Th type of activity consists of targeted motor control exercises focusing on the scapula and shoulder girdle. Over a period of eight weeks, participants will complete about 24 sessions in total

Scapular stabilization exercises

Other

Frequency refers to performing the exercises 3 times per week, Intensity involves using low to moderate resistance (resistance bands or light weights), adjusted as the patient's strength improves, Time consists of 2 to 3 sets of 10-15 repetitions for each exercise, Type includes specific movements targeting the scapular stabilizers, such as wall slides, scapular retractions, serratus punches, prone Y and T exercises, and dynamic hugs.

Primary outcomes

  1. Numeric Pain Rating Scale

    Time frame: 8th week

    The Numeric Pain Rating Scale (NPRS) is a simple and effective tool used to assess the intensity of pain experienced by an individual. Scoring is typically done on a scale from 0 to 10, where 0 indicates no pain, 1-3 represents mild pain, 4-6 indicates moderate pain, and 7 10 denotes severe to the worst possible pain. This scale provides a quick, reliable, and sensitive measure of pain, making it valuable for both clinical assessment and research purposes.

  2. Manual Muscle Testing

    Time frame: 8th week

    Manual Muscle Testing (MMT) is a widely used clinical assessment tool to evaluate the strength of individual muscles or muscle groups based on the examiner's application of resistance.Scoring in MMT is typically based on a six-point scale from 0 to 5, where each grade reflects a different level of muscle function

  3. Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire

    Time frame: 8th week

    The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire is a standardized self-report tool used to measure physical function and symptoms in individuals with upper extremity musculoskeletal disorders. It assesses the impact of arm, shoulder, or hand problems on the ability to perform certain daily activities, as well as the severity of symptoms such as pain, weakness, and stiffness. The DASH is widely used in both clinical practice and research due to its high reliability, validity, and sensitivity to changes in upper limb function

Study contacts

Contact information is provided by the study sponsor or research team.

imran amjad

CONTACT

[email protected]

03324390125

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Combine Effects of Motor Control Retraining and Scapular Stabilization Exercises on Pain, Strength and Function in Breast Feeding Females With Scapular Dyskinesia.

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
May 8, 2026
Registry last updated
May 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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