Authors :
Jasmeen Kaur; Dr. Varinder Kaur
Volume/Issue :
Volume 11 - 2026, Issue 5 - May
Google Scholar :
https://tinyurl.com/yzkara6z
Scribd :
https://tinyurl.com/4vav74k9
DOI :
https://doi.org/10.38124/ijisrt/26May705
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Upper back pain and postural deviations are common musculoskeletal problems among postpartum women, primarily
resulting from prolonged incorrect posture, breastfeeding ergonomics, and repetitive childcare activities. These
dysfunctions may negatively affect daily activities and quality of life.
Objective:
To determine the effectiveness of Global Postural Re-education on Upper back pain and postural alignment among
postpartum women.
Methods:
A total of 56 postpartum women aged 20-40 years with upper back pain were recruited. Participants were randomly
divided into two groups; Group A received GPR, and Group B received Conventional management, including ergonomic
and postural education, with 28 participants each. Outcome measures included NPRS, NDI, and CVA. Both groups
received treatment sessions 3 times per week for a duration of 4 weeks.
Results:
Both groups showed significant improvement in NPRS, NDI, and CVA post-intervention (p < 0.001). However, Group
A showed significant improvement between group analysis.
Conclusion:
Global Postural Re-education was effective in reducing upper back pain and improving postural alignment among
postpartum women. GPR may be considered an effective physiotherapy intervention for musculoskeletal dysfunction.
Keywords :
Postpartum Women, Global Postural Re-Education, Upper Back Pain, Postural Alignment, Craniovertebral Angle, Physiotherapy.
References :
- Fujii H, Miyamoto M, Miyake Y, Kiyomoto K, Hayasaki R. The relationship between postpartum neck-upper extremity pain and activities of daily living in Japanese women.
- Sultana M, Nawaz M, Mubashra S, Fatima S, ul Huda N. Trigger Points in Shoulder in Correlation with Postpartum Pain. Journal of Health, Wellness, and Community Research. 2025 Jul 5: e423-.
- Dumas GA, Leger A, Plamondon A, Charpentier KM, Pinti A, McGrath M. Fatigability of back extensor muscles and low back pain during pregnancy. Clinical Biomechanics. 2010 Jan 1;25(1):1-5.
- Ratajczak M, Górnowicz R. The influence of breastfeeding factors on the prevalence of back and neck pain: data from an online survey. BMC Musculoskeletal Disorders. 2024 Aug 29;25(1):675.
- Situt GA, Philip S, Patil P. Prevalence of Scapular Dyskinesis in Breastfeeding Postnatal Women in Satara District—An Observational Study. Journal of Evolution of Medical and Dental Sciences. 2021 Aug 2;10(31):2401-6.
- Krishnakumar A, Dabholkar TA, Dabholkar A. Assessment of scapular stability in postpartum females: a longitudinal study. InErgonomics in Caring for People: Proceedings of the International Conference on Humanizing Work and Work Environment 2015 2017 Oct 6 (pp. 91-96). Singapore: Springer Singapore.
- Mokhtaryan-Gilani T, Kariman N, Nia HS, Doulabi MA, Nasiri M. The Maternal Postpartum Quality of Life Instrument (MPQOL-I): development and psychometric evaluation in an exploratory sequential mixed-method study. BMC pregnancy and childbirth. 2022 Jul 19;22(1):576.
- Martins NA, et al. GPR for postural correction in women with thoracic kyphosis: a randomized trial. Clin Biomech. 2022;95:105618.
- Afshariani R, Kiani M, Zamanian Z. The influence of ergonomic breastfeeding training on some health parameters in infants and mothers: a randomized controlled trial. Archives of Public Health. 2019 Nov 11;77(1):47.
- Algabbani MF, Alazmi AA, Alqabbani S, Almurdi MM, Abdelkader SM, Alruwaili M, Alhammad SA, AlHumaid LA, Alrushud A, Almuwais A, Shaheen AA. Prevalence and Risk Factors for Neck and Upper Limb Musculoskeletal Disabilities Among Postpartum Women. Clinical and Experimental Obstetrics & Gynecology. 2025 Feb 5;52(2):25833.
- Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The relationship between forward head posture and neck pain: a systematic review and meta-analysis. Current reviews in musculoskeletal medicine. 2019 Dec;12(4):562-77.
- Yang S, Boudier-Révéret M, Yi YG, et al. Effect of interventions for chronic neck pain with forward head posture on pain and quality of life. Healthcare (Basel). 2023;11(5):678.
- Sheikhhoseini R, Shahrbanian S, Sayyadi P, O’Sullivan K. Effectiveness of therapeutic exercise on forward head posture: a systematic review and meta-analysis. Journal of manipulative and physiological therapeutics. 2018 Jul 1;41(6):530-9.
- Sarig Bahat, H., Levy, A., & Yona, T. (2023). The association between forward head posture and non-specific neck pain: A cross-sectional study. Physiotherapy theory and practice, 39(8), 1736–1745.
- Chen Y, Yang C, Nie K, Huang J, Qu Y, Wang T. Effects of scapular treatment on chronic neck pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskeletal Disorders. 2024 Apr 1;25(1):252.
Background:
Upper back pain and postural deviations are common musculoskeletal problems among postpartum women, primarily
resulting from prolonged incorrect posture, breastfeeding ergonomics, and repetitive childcare activities. These
dysfunctions may negatively affect daily activities and quality of life.
Objective:
To determine the effectiveness of Global Postural Re-education on Upper back pain and postural alignment among
postpartum women.
Methods:
A total of 56 postpartum women aged 20-40 years with upper back pain were recruited. Participants were randomly
divided into two groups; Group A received GPR, and Group B received Conventional management, including ergonomic
and postural education, with 28 participants each. Outcome measures included NPRS, NDI, and CVA. Both groups
received treatment sessions 3 times per week for a duration of 4 weeks.
Results:
Both groups showed significant improvement in NPRS, NDI, and CVA post-intervention (p < 0.001). However, Group
A showed significant improvement between group analysis.
Conclusion:
Global Postural Re-education was effective in reducing upper back pain and improving postural alignment among
postpartum women. GPR may be considered an effective physiotherapy intervention for musculoskeletal dysfunction.
Keywords :
Postpartum Women, Global Postural Re-Education, Upper Back Pain, Postural Alignment, Craniovertebral Angle, Physiotherapy.