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CompletedNCT06988241Updated Dec 12, 2025

Efficacy of Positional Release Muscles for Neck Pain During Lactation

An interventional study of positional release and Posture correction in Neck Pain, sponsored by Kafrelsheikh University. Completed at 1 site in Egypt. Open to female participants aged 25 Years to 35 Years. Per ClinicalTrials.gov, last updated 2025-12-12.

Sponsored by Kafrelsheikh University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
25 Years to 35 Years
Sex
Female
01

Study 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.

Read the 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.

02

Conditions studied

  • Neck Pain

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03

In context

Neck Pain

1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.

This study's enrollment of 50 is close to the median of 52 across 1,004 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Kafrelsheikh University is the lead sponsor of 285 studies on the registry; 110 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
25 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

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

Exclusion Criteria:

  • Mothers were excluded if they had facet joint, neurological, or cardio vascular and respiratory conditions.
  • History of breast cancer.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Positional Release

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

    Other: positional release · Other: Posture correction

  • Other
    Posture correction

    Posture correction advices during lactation + posture correction exercises

    Other: Posture correction

Interventions

  • Otherpositional 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.

    Also known as: strain counter strain

  • OtherPosture correction

    Posture correction advices during lactation + posture correction exercises

06

What researchers measure

Primary outcomes

  1. Intensity of neck pain

    Neck pain intensity will be measured by 11- numerical rating scale.Primary outcome updated to pain intensity to better reflect the study objective.

    Time frame: baseline and four weeks

Secondary outcomes

  1. Pressure pain threshold (PPT)

    Pressure pain threshold (PPT) of upper trapezius will be measured by digital pressure algometer.

    Time frame: baseline and four weeks

  2. functional status related to neck disability

    Functional status related to neck disability will be measured by Arabic version of Neck

    Time frame: baseline and four weeks

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Study locations

1 site
  • Faculty of physical therapy kafr Elsheikh university
    KafrElSheikh, kafrElsheikh 33516, Egypt
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 12, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06988241
Lead sponsor
Kafrelsheikh University
Responsible party
Norhan Hassan Elsayed (Physical Therapist, Kafrelsheikh University) — Principal investigator
First posted
May 23, 2025
Start date
May 23, 2025
Primary completion
Nov 25, 2025
Completion
Nov 25, 2025
Last update
Dec 12, 2025

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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