Effect of Ergonomic Care along with Postural Exercises on Pain and Disability in Breastfeeding Mothers


Authors : Smati Sambyal; Sandeep Kumar; Sakshi

Volume/Issue : Volume 8 - 2023, Issue 7 - July

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://tinyurl.com/mrnya6um

DOI : https://doi.org/10.5281/zenodo.8176568

Abstract : BACKGROUND: The World Health Organisation (WHO) states that breastfeeding is a normal and appropriate technique of giving infants the nutrients they need for healthy growth. It is advised that breastfeeding begin during the first hour of life and continue for the infant's first six months of life. Because breastfeeding demands recurrent use of the upper extremities, women are frequently seen staring at their babies during feeding sessions with continuous neck flexion postures, which in most cases results in neck and back pain in the mothers. In developing countries like India mothers may find it difficult to breastfeed well due to their lack of understanding about the proper posture technique. Thus, this study was planned to treat the postural pain and disabilities in breastfeeding mothers who underwent caesarean section and normal deliverythrough home-based exercise program and ergonomic care.METHODS: 30Breastfeeding mothers aged between 18 to 35 yearsdiagnosed with postural pain and disabilities when they underwent feeding session were included in this study. Subjects were divided into two groups based on Simple Random Sampling and the data was collected. The subjects were assessed for neck and back pain with Visual Analogue Scale (VAS). For neck and back disabilities, the subjects were assessed with Neck Disability Index(NDI)and Oswestry Low Back Disability Questionnaire(OLBPQ) respectively. Home based Intervention and ergonomic care was given fortotal 2 monthsand the subjects were re-assessed for pain and disability by filling questionnaire.RESULTS: The findings of the present study indicated a significant effectofboth home-based exercise program along with ergonomic care and ergonomic care alone intreating pain and disabilities among breastfeeding mothers. However, statistically it is proved that improvement is more in breastfeeding mothers who are treated with both home-based exercise program and ergonomic care.CONCLUSION: This study concluded that physiotherapy interventions should be implemented early in postpartum period, as it will be helpful in resolving the musculoskeletal issues, thus improving the physical function.

Keywords : Back Pain,Breastfeeding mothers,Neck Disability Index, Neck Pain, Oswestry Low Back Disability questionnaire, Visual Analogue Scale.

BACKGROUND: The World Health Organisation (WHO) states that breastfeeding is a normal and appropriate technique of giving infants the nutrients they need for healthy growth. It is advised that breastfeeding begin during the first hour of life and continue for the infant's first six months of life. Because breastfeeding demands recurrent use of the upper extremities, women are frequently seen staring at their babies during feeding sessions with continuous neck flexion postures, which in most cases results in neck and back pain in the mothers. In developing countries like India mothers may find it difficult to breastfeed well due to their lack of understanding about the proper posture technique. Thus, this study was planned to treat the postural pain and disabilities in breastfeeding mothers who underwent caesarean section and normal deliverythrough home-based exercise program and ergonomic care.METHODS: 30Breastfeeding mothers aged between 18 to 35 yearsdiagnosed with postural pain and disabilities when they underwent feeding session were included in this study. Subjects were divided into two groups based on Simple Random Sampling and the data was collected. The subjects were assessed for neck and back pain with Visual Analogue Scale (VAS). For neck and back disabilities, the subjects were assessed with Neck Disability Index(NDI)and Oswestry Low Back Disability Questionnaire(OLBPQ) respectively. Home based Intervention and ergonomic care was given fortotal 2 monthsand the subjects were re-assessed for pain and disability by filling questionnaire.RESULTS: The findings of the present study indicated a significant effectofboth home-based exercise program along with ergonomic care and ergonomic care alone intreating pain and disabilities among breastfeeding mothers. However, statistically it is proved that improvement is more in breastfeeding mothers who are treated with both home-based exercise program and ergonomic care.CONCLUSION: This study concluded that physiotherapy interventions should be implemented early in postpartum period, as it will be helpful in resolving the musculoskeletal issues, thus improving the physical function.

Keywords : Back Pain,Breastfeeding mothers,Neck Disability Index, Neck Pain, Oswestry Low Back Disability questionnaire, Visual Analogue Scale.

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