The Effect Of Body Mechanics Training For Breastfeeding Mothers On Shoulder And Back Pain And Breastfeeding Ergonomic: A Randomized Controlled Trial

Project no. 32987 · Status: Kapanmış (Yayın bekleniyor) · 2025

Summary

<p class="ql-align-justify"><strong>Aim:</strong>&nbsp;The&nbsp;aim&nbsp;of&nbsp;this&nbsp;project&nbsp;is&nbsp;to&nbsp;examine&nbsp;the&nbsp;effects&nbsp;of&nbsp;body&nbsp;mechanics&nbsp;training&nbsp;for&nbsp;breastfeeding&nbsp;mothers&nbsp;on&nbsp;shoulder&nbsp;and&nbsp;back&nbsp;pain&nbsp;and&nbsp;breastfeeding&nbsp;ergonomics.</p><p class="ql-align-justify"><strong>Method:</strong>&nbsp;This&nbsp;study&nbsp;was&nbsp;a&nbsp;two-group,&nbsp;single-blind,&nbsp;randomized&nbsp;controlled&nbsp;trial.&nbsp;130&nbsp;participants&nbsp;participated.&nbsp;Dependent&nbsp;variables&nbsp;were&nbsp;mothers'&nbsp;shoulder&nbsp;and&nbsp;back&nbsp;pain&nbsp;and&nbsp;mean&nbsp;breastfeeding&nbsp;ergonomics&nbsp;scale&nbsp;scores.&nbsp;The&nbsp;main&nbsp;independent&nbsp;variable&nbsp;of&nbsp;the&nbsp;study&nbsp;was&nbsp;the&nbsp;body&nbsp;mechanics&nbsp;education&nbsp;intervention.&nbsp;Data&nbsp;were&nbsp;collected&nbsp;via&nbsp;face-to-face&nbsp;surveys.</p><p class="ql-align-justify"><strong>Results:</strong>&nbsp;In&nbsp;the&nbsp;intervention&nbsp;group,&nbsp;Breastfeeding&nbsp;Ergonomics&nbsp;Scale&nbsp;scores&nbsp;decreased&nbsp;from&nbsp;29.63±4.13&nbsp;in&nbsp;the&nbsp;first&nbsp;measurement&nbsp;to&nbsp;17.26±4.24&nbsp;in&nbsp;the&nbsp;third&nbsp;measurement;&nbsp;no&nbsp;significant&nbsp;change&nbsp;was&nbsp;observed&nbsp;in&nbsp;the&nbsp;control&nbsp;group&nbsp;(p&amp;lt;0.001).&nbsp;Pain&nbsp;intensity,&nbsp;assessed&nbsp;by&nbsp;VAS,&nbsp;decreased&nbsp;from&nbsp;6.95&nbsp;to&nbsp;2.20&nbsp;in&nbsp;the&nbsp;intervention&nbsp;group,&nbsp;while&nbsp;no&nbsp;significant&nbsp;decrease&nbsp;was&nbsp;detected&nbsp;in&nbsp;the&nbsp;control&nbsp;group&nbsp;(p&amp;lt;0.001).&nbsp;Neck&nbsp;Disability&nbsp;Index&nbsp;scores&nbsp;decreased&nbsp;from&nbsp;24.10±6.54&nbsp;to&nbsp;5.20±3.99&nbsp;in&nbsp;the&nbsp;intervention&nbsp;group;&nbsp;Back&nbsp;Pain&nbsp;Function&nbsp;Scale&nbsp;scores&nbsp;increased&nbsp;from&nbsp;29.87±6.95&nbsp;to&nbsp;50.33±6.52&nbsp;(p&amp;lt;0.001).&nbsp;MANOVA&nbsp;results&nbsp;from&nbsp;the&nbsp;third-month&nbsp;follow-up&nbsp;showed&nbsp;that&nbsp;the&nbsp;intervention&nbsp;had&nbsp;a&nbsp;simultaneous&nbsp;and&nbsp;very&nbsp;large&nbsp;effect&nbsp;on&nbsp;breastfeeding&nbsp;ergonomics,&nbsp;pain,&nbsp;and&nbsp;functional&nbsp;status&nbsp;(Pillai's&nbsp;Trace=0.752,&nbsp;p&amp;lt;0.001).&nbsp;The&nbsp;rate&nbsp;of&nbsp;exclusive&nbsp;breastfeeding&nbsp;increased&nbsp;significantly&nbsp;in&nbsp;the&nbsp;intervention&nbsp;group&nbsp;at&nbsp;the&nbsp;first&nbsp;month&nbsp;(p=0.012).&nbsp;When&nbsp;breastfeeding&nbsp;positions&nbsp;were&nbsp;evaluated,&nbsp;it&nbsp;was&nbsp;found&nbsp;that&nbsp;the&nbsp;reclining&nbsp;breastfeeding&nbsp;position&nbsp;significantly&nbsp;reduced&nbsp;pain&nbsp;levels&nbsp;at&nbsp;the&nbsp;first&nbsp;postpartum&nbsp;month&nbsp;(p=0.011).</p><p class="ql-align-justify"><strong>Conclusion:</strong>&nbsp;This&nbsp;study&nbsp;demonstrated&nbsp;that&nbsp;ergonomic&nbsp;breastfeeding&nbsp;training&nbsp;and&nbsp;exercise&nbsp;interventions&nbsp;improved&nbsp;breastfeeding&nbsp;ergonomics,&nbsp;reduced&nbsp;musculoskeletal&nbsp;pain,&nbsp;and&nbsp;significantly&nbsp;decreased&nbsp;pain-related&nbsp;functional&nbsp;limitations&nbsp;in&nbsp;breastfeeding&nbsp;mothers&nbsp;in&nbsp;the&nbsp;postpartum&nbsp;period.&nbsp;The&nbsp;continued&nbsp;effectiveness&nbsp;of&nbsp;the&nbsp;intervention&nbsp;at&nbsp;the&nbsp;third-month&nbsp;follow-up&nbsp;indicates&nbsp;that&nbsp;the&nbsp;gains&nbsp;in&nbsp;ergonomic&nbsp;awareness&nbsp;and&nbsp;correct&nbsp;body&nbsp;use&nbsp;are&nbsp;permanent.&nbsp;Furthermore,&nbsp;the&nbsp;increased&nbsp;rate&nbsp;of&nbsp;exclusive&nbsp;breastfeeding&nbsp;in&nbsp;the&nbsp;intervention&nbsp;group&nbsp;suggests&nbsp;that&nbsp;the&nbsp;ergonomic&nbsp;approach&nbsp;indirectly&nbsp;contributes&nbsp;to&nbsp;the&nbsp;continuation&nbsp;of&nbsp;breastfeeding.&nbsp;The&nbsp;results&nbsp;indicate&nbsp;that&nbsp;ergonomic&nbsp;breastfeeding&nbsp;training&nbsp;and&nbsp;exercise&nbsp;programs&nbsp;are&nbsp;an&nbsp;effective,&nbsp;feasible,&nbsp;and&nbsp;clinically&nbsp;significant&nbsp;intervention&nbsp;in&nbsp;postpartum&nbsp;care.&nbsp;&nbsp;&nbsp;</p>

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