Effect of Extra Corporeal Shock Wave Therapy on Cervical Myofascial Pain Syndrome in Lactating Women | ||
| Benha International Journal of Physical Therapy | ||
| Articles in Press, Accepted Manuscript, Available Online from 03 November 2025 PDF (522.11 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bijpt.2025.413060.1110 | ||
| Authors | ||
| HEBA Ahmed ABD EL-MONSEF* 1; Abeer M El-Deeb2; Hany Ahmed Goda Abd Elmaged3; Elham S Hassan4 | ||
| 1BSC. Department of Physical Therapy for Woman's Health | ||
| 2Professor of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt | ||
| 3Consultant of Orthopedics Surgeon -Ahmed Maher teaching hospital | ||
| 4Lecturer of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt | ||
| Abstract | ||
| Background: Cervical Myofascial Pain Syndrome (MPS) represents a prevalent musculoskeletal condition characterized by muscle tenderness and the presence of myofascial trigger points (MTrPs), often affecting lactating women, impacting their ability to breastfeed and enjoy this intimate bonding experience with their infants. Purpose: This study aimed to investigate the efficacy of extracorporeal shock wave therapy (ESWT) on cervical MPS in lactating women. Methods: Thirty lactating women, aged25-35 years, complaining of cervical myofascial pain were divided into two equal groups: control group (A) treated by postural correction exercises and instructions for lactation three times weekly for 4 weeks, andstudy group (B) treated by ESWT for 5 minutes once a week for four weeks in addition to the same postural correction exercises and instructions for lactation as for group (A). Evaluation was done pre- and post treatment, including pain level assessment by Visual Analog Scale (VAS), pain pressure threshold (PPT) by pressure algometer, and cervical range of motion (ROM) by digital inclinometer. Results: Within groups, there was a significant decrease in VAS and a significant increase in PPT and all cervical ROM post-treatment compared with that of pre-treatment (p<0.05). Between groups, there was a significant difference in the mean values of VAS, PPT, and all cervical ROM except flexion and extension (p<0.05) in favor of the study group (B). Conclusion: ESWT demonstrated substantial benefits in alleviating pain, enhancing pain tolerance, and improving specific aspects of ROM in lactating women with cervical MPS. | ||
| Keywords | ||
| Cervical Myofascial Pain Syndrome; Lactating Women; Shock Wave Therapy | ||
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