Core Stabilization Versus Routine Routine Exercises in Pelvic Girdle Pain.

NCT04687787 | Completed

• 1 other identifier: Rec/00837 Zahra Ejaz
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 2

Brief Summary

Pregnancy Induced Pelvic Girdle Pain (PGP) is common complaint in pregnant women all over the world and it has a major impact on health and functioning as it decreases quality of life. The onset of PGP is usually seen at 17-19 week of gestation, with a peak of incidence at 24- 36 weeks. The purpose of this study is to compare the effects of stabilization exercises on pregnancy induced pelvic girdle pain and its effects on the activity levels as compare to the physiotherapy exercises that are routinely prescribed

Conditions

Pelvic Girdle Pain

Keywords

Core Stability Exercises; Pelvic Girdle Pain; Pregnancy; Physical therapy management

Outcome Measures

Primary Outcomes (4)

• Numeric pain rating scale (NPRS)

  Numeric pain rating scale (NPRS) is an 11 point (0-10) Scale used to measure pain. Patient verbally select value between (0-10) on the basis of intensity of pain. (0) means No pain and (10) means maximum pain experienced at baseline.

  Baseline

• Numeric pain rating scale (NPRS)

  Numeric pain rating scale (NPRS) is an 11 point (0-10) Scale used to measure pain. Patient verbally select value between (0-10) on the basis of intensity of pain. (0) means No pain and (10) means maximum pain experienced at baseline.

  Post 4 week

• Pelvic Girdle Pain Questionnaire (PGPQ)

  The Pelvic Girdle Questionnaire (PG Q) is a condition-specific measure for women with pelvic girdle pain (PGP). The questionnaire has 25 items under two sub-scales (20 items for activates and 5 items for symptoms), with percentage scores that range from 0 (no disability) to 100 (great disability).

  Baseline

• Pelvic Girdle Pain Questionnaire (PGPQ)

  The Pelvic Girdle Questionnaire (PG Q) is a condition-specific measure for women with pelvic girdle pain (PGP). The questionnaire has 25 items under two sub-scales (20 items for activates and 5 items for symptoms), with percentage scores that range from 0 (no disability) to 100 (great disability).

  Post 4 weeks

Study Arms (2)

Group I

EXPERIMENTAL

This group will receive Core Stability Exercises with Application of TENS

Other: Core Stabilization exercises

Group II

ACTIVE COMPARATOR

This group will receive Routinely prescribed Exercises with application of TENS

Other: Routinely prescribed exercises

Interventions

Core Stabilization exercises OTHER

. Each session will be given for 40 mins (20 mins for TENS and 20 Mins for exercise) Core Stability Exercises include Kegel Exercises, Modified V-sit, opposite Arm Leg Raise, Seated Side bends poses, Dumbell Side bends and Pelvic Tilt. Participants will perform 1 set of exercise having 10 repetitions with hold of 5 seconds. Session would be performed thrice a week.

Group I

Routinely prescribed exercises OTHER

Each session will be given for 40 mins ( 20 mins for TENS and 20 Mins for exercise Routinely prescribed exercises composed of Hamstring stretches, hip flexor stretches, hip extensor stretches, calf stretches, and back extensor stretches. Participants will perform 1 set of exercise having 10 repetitions with hold of 5 seconds. Session would be performed thrice a week.

Group II

Eligibility Criteria

• Age: 20 Years - 40 Years
• Gender Eligibility Details: Only pregnant females will be recruited in the study
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Women having Pelvic Girdle Pain in 2nd trimester or 1st month of third trimester.
• Age between 20-40 years.
• Positive FABER test (leg of patient is placed in figure of 4 and apply small amplitude oscillation are applied at end range of motion after stabilizing opposite side of Pelvis.
• Positive test elicits pain and limited ROM)
• Positive P4 test (leg of patient is flexed at 90 degrees in supine position. Sacrum is stabilized by one hand and axial pressure is applied along the femur by other hand.
• Positive test elicits pain in SI joint).

You may not qualify if:

• History of Pelvic Fractures and Surgery
• History of metabolic diseases.
• Radiculopathy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Alam Family Hospital

Rawalpindi, Punjab Province, 44000, Pakistan

Location

Izzat Ali Shah Hospital

Rawalpindi, Punjab Province, 44000, Pakistan

Location

Related Publications (5)

• Almousa S, Lamprianidou E, Kitsoulis G. The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiother Res Int. 2018 Jan;23(1). doi: 10.1002/pri.1699. Epub 2017 Nov 8.

  PMID: 29115735 BACKGROUND

• Walters C, West S, A Nippita T. Pelvic girdle pain in pregnancy. Aust J Gen Pract. 2018 Jul;47(7):439-443. doi: 10.31128/AJGP-01-18-4467.

  PMID: 30114872 BACKGROUND

• Timothy J. Piper EJ, Mike Haiduke, Mike Waller, and Cathy McMillan. Core Training Exercise Selection During Pregnancy. Strength and Condtioning Journal. 2012;34(1).

  BACKGROUND

• Saleh MSM, Botla AMM, Elbehary NAM. Effect of core stability exercises on postpartum lumbopelvic pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2019;32(2):205-213. doi: 10.3233/BMR-181259.

  PMID: 30282349 BACKGROUND

• Akhtar MW, Karimi H, Gilani SA. Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic non-specific low back pain: A randomized controlled clinical trial. Pak J Med Sci. 2017 Jul-Aug;33(4):1002-1006. doi: 10.12669/pjms.334.12664.

  PMID: 29067082 BACKGROUND

MeSH Terms

Conditions

Pelvic Girdle Pain

Condition Hierarchy (Ancestors)

Musculoskeletal Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pelvic Pain

Study Officials

• Huma Riaz

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will be kept blind of the treatment provided.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: There will be two groups which will receive physical therapy interventions. one will be experimental and other will be control group.

Study Record Dates

• First Submitted: December 25, 2020
• First Posted: December 29, 2020
• Study Start: January 1, 2021
• Primary Completion: May 15, 2021
• Study Completion: May 30, 2021
• Last Updated: June 16, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)