Effects of Trunk Stabilization Versus Activation Exercises on Pain and Disability in Postpartum Lumbo-pelvic Pain

NCT05490810 | Completed

• 1 other identifier: REC/RCR&AHS/22/0517
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the Effects of trunk stabilization versus activation exercises on pain and disability in postpartum lumbo-pelvic pain.

Conditions

Pelvic Pain

Keywords

Lumbo-pelvic Pain; Postpartum; Stabilization Exercises; Trunk Activation Exercises

Outcome Measures

Primary Outcomes (1)

• Visual analogue scale

  Pain intensity was assessed using a visual analog scale (VAS), which is a 100-mm ungraded line with two anchors. Its left and right anchors represented the minimum and maximum intensities of pain, respectively. The participants were asked to report their current pain intensity on the VAS.

  2 weeks

Secondary Outcomes (1)

• Oswestry disability index

  2 weeks

Study Arms (2)

Trunk stabilization

EXPERIMENTAL

Trunk stabilization exercises were given three times a week for two weeks.

Other: Trunk stabilization

Activation exercises

EXPERIMENTAL

Activation exercises exercises performed twice for 5s, with 2 min rest between them for three times a week for two weeks.

Other: Activation exercises

Interventions

Trunk stabilization OTHER

Trunk stabilization exercises with * Static back: A roll of towel was pressed against the back and the position was held for 10 secs and then released * Static gluteus: The gluts were pressed inside and hold for 10 secs and then released. * Abdominal bracing: Brace your abdomen by contracting your entire abdomen. From here Perform different exercises such as raising your arms and then raising your legs. * Pelvic bridging: In crook lying, engage your gluts and trunk lift your hips towards the ceiling. Hold the position for 10 secs and then release. * SLR with-hold at 30 and 45 degrees: Ask the supine patient to raise the leg up-to 45 degrees and hold for 10 secs. Then raise the leg up-to 30 degrees then hold for 10 secs.

Trunk stabilization

Activation exercises OTHER

Activation exercises with * Upper rectus abdominis (URA) and lower rectus abdominis (LRA): body supine with hips and knees flexed 90°, with feet locked. Participants flexed the trunk (i.e. crunch execution) against resistance at the level of the shoulders.. * External oblique (EO) and internal oblique (IO): side-lying with the hip at the edge of the bench and feet locked by a second operator. Participants performed side-bend exercise against resistance at the level of the shoulder. * Lower erector spinae (LES) and upper erector spinae (UES): prone position with ASIS at the edge of the bench and feet locked by a second operator. Participants performed a back extension against resistance at the level of the shoulders.

Activation exercises

Eligibility Criteria

• Age: 20 Years - 40 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 20-40
• Female after postpartum
• Two or more positive posterior provocation test
• Active straight leg raises
• Pain onset during pregnancy

You may not qualify if:

• Orthopedic or rheumatologic disorders
• Intervertebral disc pathology
• Neoplasm or previuos surgery of spine
• History of fracture.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Jinnah hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• Chaudhry RY, Muneeb HN, Amjad A, Shafique S, Naseem A, Shahzadi N. Comparing the effects of trunk stabilisation and activation exercises on pain and disability in postpartum lumbo-pelvic pain: A randomised controlled trial. J Pak Med Assoc. 2024 Jan;74(1):126-128. doi: 10.47391/JPMA.8395.

  PMID: 38219179 DERIVED

MeSH Terms

Conditions

Pelvic Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Hafiza Neelam Muneeb, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 4, 2022
• First Posted: August 8, 2022
• Study Start: February 1, 2022
• Primary Completion: July 29, 2022
• Study Completion: July 30, 2022
• Last Updated: December 9, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)