NCT05206851

Brief Summary

This study will be a randomized controlled trial. This study will be conducted in Civil Hospital, Hassan Abdal. A sample size of 32 patients will be taken. Patients will be divided into two groups by lottery method. Group A will be treated with hot pack followed by Manual Lymphatic Drainage while Group B will be given home based plan of hot pack application only. Both groups will receive treatment for 4 weeks,2 sessions per week. The outcome measures Numeric pain rating scale(NPRS), QOL-GRAV and Oswestry Disability Index for back. Data will be analyzed by SPSS 21.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
38

participants targeted

Target at P25-P50 for not_applicable low-back-pain

Timeline
Completed

Started Apr 2022

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 21, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 25, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

April 1, 2022

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2022

Completed
Last Updated

April 11, 2022

Status Verified

April 1, 2022

Enrollment Period

6 months

First QC Date

January 21, 2022

Last Update Submit

April 2, 2022

Conditions

Keywords

low back painmanual lymphatic drainagepregnancy

Outcome Measures

Primary Outcomes (3)

  • Numeric Pain Rating Scale (NPRS)

    NPRS is a segmented version of Visual Analogue Scale (VAS). It consists of number from 0 to 10. Patient selects a number that best reflects his/her pain intensity where 0 is no pain and 10 is maximum pain. For construct validity, NPRS was highly correlated to Visual Analogue Scale (VAS) (0.86-0.95). The test-retest reliability of this scale is recorded to be 0.96. (Hawker et al. 2011)

    4th week

  • Quality of Life Questionnaire for Physiological Pregnancy (QOL-GRAV)

    The standardized QOL-GRAV questionnaire, focused on assessment of quality of life of pregnant women, was used to gather relevant data and to achieve the goals set. The results of the QOL-GRAV questionnaire are interpreted in such away that the lower the score, the higher the quality of life and the absence of problems associated with specific changes in pregnancy. The questionnaire assessed 4 domains: physical health, experience, social relationships and the environment .Based on the total score, the quality of life was assessed as excellent, very good, good, or not good.

    4th week

  • Oswestry Disability Index for back

    The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools.

    4th week

Study Arms (2)

Manual Lymphatic Drainage and Hot pack

EXPERIMENTAL
Other: Manual Lymphatic Drainage and Hot Pack

Hot Pack

ACTIVE COMPARATOR
Other: Hot Pack

Interventions

Application of hot pack for 20 minutes at low back in sitting, and then the participant will perform deep diaphragmatic breathing for 10 minutes, following these steps: 1. Sitting in comfortable position 2. One hand is placed over chest and other on abdomen. 3. Inhale deep through the nose. 4. Exhale through mouth, completely, counting back from 4 to 1. Application rotary or stationary circle over low back in side lying position, in pregnant females. A session of 20-30 minutes of Manual Lymphatic Drainage will be given biweekly. And at the end of Manual Lymphatic Drainage application, deep breathing for 10 minutes will be performed again.

Manual Lymphatic Drainage and Hot pack

Hot pack will be applied at low back, for 20 minutes as home based protocol.

Hot Pack

Eligibility Criteria

Age20 Years - 35 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Expectant female with lumbopelvic pain
  • Posterior pelvic pain
  • Active Straight Leg Raise, Faber, Gaenslen and P4 test positive
  • Pain \>3 on NPRS
  • Females in 24- 36 weeks of pregnancy

You may not qualify if:

  • Chronic back pain
  • Cellulitis or erysipelas of the treated area
  • Malignant disease of the treated area
  • Disc herniation
  • Lumbar/spinal surgical history
  • Vertebral fracture
  • Acute infection
  • Uncontrolled hypertension
  • High risk pregnancy
  • History of fall or trauma

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Civil Hospital

Hassan Abdal, Punjab Province, 44000, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Manual Lymphatic Drainage

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

MassageTherapy, Soft TissueMusculoskeletal ManipulationsComplementary TherapiesTherapeuticsDrainagePhysical Therapy ModalitiesRehabilitation

Study Officials

  • Hadia Nadeem, M.Phil PT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Hadia Nadeem, M.Phil PT

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 21, 2022

First Posted

January 25, 2022

Study Start

April 1, 2022

Primary Completion

October 1, 2022

Study Completion

November 1, 2022

Last Updated

April 11, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Locations