Low Back Pain Intensity and Core Muscle Strength After Different Delivery Modes

NCT05493891 | Completed

• 1 other identifier: Core muscle strength
• Study Type: observational
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Cesarean delivery (CD) may trigger an increase in low back pain (LBP) intensity and induce core muscle weakness. This study will assess the correlation between low back pain intensity and core muscle strength of transverse abdominis and Lumbar multifidus among women who underwent CD and compare it with those who experienced vaginal delivery.

Conditions

Low Back Pain and Core Muscle

Outcome Measures

Primary Outcomes (4)

• The intensity of LBP

  The intensity of low back pain is a standardized method to quantify the severity of low back pain

  Assessment will be done 6-12 weeks after Cesarean OR Vaginal deliveries

• The maximal voluntary isometric contraction of the transversus abdominis muscle

  The maximum voluntary isometric contraction (MVIC) is an objective standardized method with high reliability used to evaluate and quantify muscle strength

  Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries

• The maximal voluntary isometric contraction of the lumbar multifidus muscle

  The maximum voluntary isometric contraction (MVIC) is an objective standardized method with high reliability used to evaluate and quantify muscle strength

  Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries

• The correlation coefficient between low back pain intensity and core muscle strength

  The correlation coefficient between two variables of outcome is a valid statistical method to the association between them

  Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries

Study Arms (2)

Group A

18 participants have been exposed to cesarean delivery

Other: Visual analogue scale (VAS); Device: Pressure Biofeedback Unit (PBU)

Group B

18 participants have been exposed to vaginal delivery

Other: Visual analogue scale (VAS); Device: Pressure Biofeedback Unit (PBU)

Interventions

Visual analogue scale (VAS) OTHER

VAS is a reliable and valid method for assessing the intensity of low back pain (LBP)

Group A; Group B

Pressure Biofeedback Unit (PBU) DEVICE

PBU is a valid and reliable instrument for measuring the maximal voluntary isometric contraction of both lumbar multifidus and transversus abdominis muscles (core muscle strength)

Group A; Group B

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Because this study is specific to women's health physical therapy specialty
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

36 participants participated in our study, and were classified into 2 groups; (group A) represents 18 mothers undergoing cesarean birth, and (group B) represents 18 mothers undergoing normal vaginal birth.

You may qualify if:

• All women are either primiparous or multiparous.
• Their ages ranged from 18 to 35 years.
• All participants had a body mass index (BMI) of not more than 29.5, and a waist-to-hip ratio of not more than 1.
• Participants were assessed between the 6th week to the 12th week postnatal.
• All participants were able to continue all assessment procedures.
• They were medically stable.

You may not qualify if:

• Women who were below 18 years old or above 35 years old.
• Women who had a (BMI) above 29.5 or a waist-to-hip ratio above 1.
• Women who did not continue all assessment procedures.
• Women who had a past history of specific LBP as those who were diagnosed with spondylolisthesis, lumbar disc prolapse, or structural scoliosis.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

Faculty of physical therapy, South Valley University

Qina, Qena Governorate, 83523, Egypt

Location

Related Publications (9)

• Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Indications contributing to the increasing cesarean delivery rate. Obstet Gynecol. 2011 Jul;118(1):29-38. doi: 10.1097/AOG.0b013e31821e5f65.

  PMID: 21646928 BACKGROUND

• Abdel-Tawab N, Oraby D, Hassanein N, and El-Nakib S. Cesarean Section Deliveries in EGYPT: Trends, Practices, Perceptions and Cost, Cairo: Population Council. 2018.

  BACKGROUND

• Mhyre JM, Sultan P. General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided. Anesthesiology. 2019 Jun;130(6):864-866. doi: 10.1097/ALN.0000000000002708. No abstract available.

  PMID: 30985305 BACKGROUND

• Ring L, Landau R, Delgado C. The Current Role of General Anesthesia for Cesarean Delivery. Curr Anesthesiol Rep. 2021;11(1):18-27. doi: 10.1007/s40140-021-00437-6. Epub 2021 Feb 24.

  PMID: 33642943 BACKGROUND

• Traynor AJ, Aragon M, Ghosh D, Choi RS, Dingmann C, Vu Tran Z, Bucklin BA. Obstetric Anesthesia Workforce Survey: A 30-Year Update. Anesth Analg. 2016 Jun;122(6):1939-46. doi: 10.1213/ANE.0000000000001204.

  PMID: 27088993 BACKGROUND

• Malatova R, Rokytova J, Stumbauer J. The use of muscle dynamometer for correction of muscle imbalances in the area of deep stabilising spine system. Proc Inst Mech Eng H. 2013 Aug;227(8):896-903. doi: 10.1177/0954411913486078. Epub 2013 May 1.

  PMID: 23636767 BACKGROUND

• Faries MD, Greenwood M. Core training: stabilizing the confusion. Strength and conditioning journal. 2007 Apr 1;29(2):10.

  BACKGROUND

• Parikh S, Suchi J. Prevalence of low back pain and its impact on quality of life in post-partum women. International Journal of Scientific Research. 2016; 7:14342-8.

  BACKGROUND

• MacArthur C, Lewis M, Knox EG, Crawford JS. Epidural anaesthesia and long term backache after childbirth. BMJ. 1990 Jul 7;301(6742):9-12. doi: 10.1136/bmj.301.6742.9.

  PMID: 2143425 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Physical Therapy for Women's Health

Study Record Dates

• First Submitted: August 6, 2022
• First Posted: August 9, 2022
• Study Start: June 28, 2021
• Primary Completion: January 29, 2022
• Study Completion: August 5, 2023
• Last Updated: October 2, 2025

Record last verified: 2024-09

Locations

EG (1)