Assessment of Lumbar Spine Active Range of Motion in Women Who Were Experienced Cesarean or Vaginal Birth

NCT05538325 | Completed DMC

• 1 other identifier: Lumbar Spine ROM
• Study Type: observational
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Pregnancy may impact the musculoskeletal apparatus of females through pregnancy-associated biomechanical, vascular, and hormonal changes. Pregnant females may complain of lumbopelvic pain, especially during their last trimester. This lumbopelvic pain can be the result of an enlarged uterus and unstable lumbopelvic joints.

Conditions

Cesarean and Vaginal Birth Complications

Outcome Measures

Primary Outcomes (6)

• Lumbar Spine Extension Active Range of Motion

  It represent the non-painful full range of motion from standing upright to leaning backward in the sagittal plane

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

• Lumbar Spine Flexion Active Range of Motion

  It represent the non-painful full range of motion from standing upright to leaning forward in the sagittal plane

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

• Lumbar Spine Right Side Bending Active Range of Motion

  It represent the non-painful full range of motion from standing upright to leaning sideway to the right in the frontal plane

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

• Lumbar Spine Left Side Bending Active Range of Motion

  It represent the non-painful full range of motion from standing upright to leaning sideway to the left in the frontal plane

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

• Lumbar Spine Right Axial Rotation Active Range of Motion

  It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the right side

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

• Lumbar Spine Left Axial Rotation Active Range of Motion

  It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the left side

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

Study Arms (3)

Group A

25 females who experienced cesarean birth

Device: Bubble Inclinometer and Digital Pelvic Inclinometer

Group B

16 females who experienced vaginal birth

Device: Bubble Inclinometer and Digital Pelvic Inclinometer

Group C

25 females who were the controls, did not experience any pregnancy

Device: Bubble Inclinometer and Digital Pelvic Inclinometer

Interventions

Bubble Inclinometer and Digital Pelvic Inclinometer DEVICE

They are valid and reliable devices to measure the range of motion of the lumbar spine

Group A; Group B; Group C

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: It is a study for investigation of cesarean or vaginal birth complications on the lumbar spine movements after the end of puerperium
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

66 women participated in this study. They were recruited from the Woman and Child Hospital of South Valley University, located in Qena governorate, Egypt.

You may qualify if:

• All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia.
• Their ages ranged from 18 to 35 years.
• Participants were assessed between the 6th week to the 12th week postnatal.
• All participants were able to continue all assessment procedures.
• They might have a mild or moderate myofascial LBP

You may not qualify if:

• Women who were below 18 years old or above 35 years.
• Women who did not continue all assessment procedures.
• Women who had a severe myofascial LBP or any specific low back conditions.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

Faculty of physical therapy, South Valley University

Qina, Qena Governorate, 83523, Egypt

Location

Related Publications (8)

• Thabah M, Ravindran V. Musculoskeletal problems in pregnancy. Rheumatol Int. 2015 Apr;35(4):581-7. doi: 10.1007/s00296-014-3135-7. Epub 2014 Sep 25.

  PMID: 25253297 BACKGROUND

• Kesikburun S, Guzelkucuk U, Fidan U, Demir Y, Ergun A, Tan AK. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Ther Adv Musculoskelet Dis. 2018 Nov 19;10(12):229-234. doi: 10.1177/1759720X18812449. eCollection 2018 Dec.

  PMID: 30515249 BACKGROUND

• Ritchie JR. Orthopedic considerations during pregnancy. Clin Obstet Gynecol. 2003 Jun;46(2):456-66. doi: 10.1097/00003081-200306000-00024. No abstract available.

  PMID: 12808395 BACKGROUND

• Franklin ME, Conner-Kerr T. An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthop Sports Phys Ther. 1998 Sep;28(3):133-8. doi: 10.2519/jospt.1998.28.3.133.

  PMID: 9742469 BACKGROUND

• Sung S, Mahdy H. Cesarean section. InStatPearls [Internet] 2021 Apr 25. StatPearls Publishing.

  BACKGROUND

• Sanya AO, Olajitan A. Comparison of abdominal muscle strength in post-parous and nil parous subjects. Afr J Med Med Sci. 1999 Mar-Jun;28(1-2):49-53.

  PMID: 12953987 BACKGROUND

• Fan C, Guidolin D, Ragazzo S, Fede C, Pirri C, Gaudreault N, Porzionato A, Macchi V, De Caro R, Stecco C. Effects of Cesarean Section and Vaginal Delivery on Abdominal Muscles and Fasciae. Medicina (Kaunas). 2020 May 27;56(6):260. doi: 10.3390/medicina56060260.

  PMID: 32471194 BACKGROUND

• Ghodke PS, Shete D, Anap D. Prevalence of sacroiliac joint dysfunction in postpartum women-a cross sectional study. Physiother Rehabil. 2017;2(3):149.

  BACKGROUND

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: September 8, 2022
• First Posted: September 13, 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)