Effects of Core Stability Exercise With Pregnancy Support Belt in Pubic Symphysis Dysfunction.

NCT06168643 | Unknown

• 1 other identifier: Ayesha Sarwar
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Symphysis pubic dysfunction is a well-known clinical problem encountered by many females during pregnancy, yet it has not received much attention in the research literature. As pubic symphysis dysfunction at times presents with severe pain while performing day to day activities and also affects significantly on quality of life in antenatal period, but its effective management remains difficult to determine as no standardized treatment protocols are available. This study may add to the growing body of knowledge in the management of SPD, that if the core stability exercise alone or with the pregnancy support belts yield comparable outcomes and if one technique is superior to the other, which should be the alternative choice of therapy.

Conditions

Symphysis Pubis Dysfunction

Keywords

Pain; pregnancy; Exercise; Symphysis pubis dysfunction

Outcome Measures

Primary Outcomes (3)

• Roland-Morris Questionnaire (modified)

  Roland-Morris Disability Questionnaire (RMDQ) is designed to assess self-rated physical disability caused by low back pain. This scale is used on subjects of age more than 12 years. Each question is worth one point so score can range from 0 (no disability) to 24 (severe disability).

  6th week

• Numerical pain rating scale

  The Numerical pain rating scale is the most commonly used pain scale in the health care. This scale is used on subjects of age more than 9. By using this scale ask the participant to rate their pain orally by giving the numbers from 0-10

  6th week

• Pain Specific Functional Scale

  The PSFS is a self-reported valid, reliable, and responsive outcome measure for patients with musculoskeletal problems. Patients are asked to identify up to five important activities they are unable to perform and rate (on an 11-point scale) the current level of difficulty associated with each activity."0" represents "unable to perform" and "10" represents "able to perform at prior level

  6th Week

Study Arms (2)

Core stability

EXPERIMENTAL

Other: Core stability

Core stability with pregnancy support belt

EXPERIMENTAL

Other: Core stability with pregnancy support belt

Interventions

Core stability OTHER

Physical therapy interventions will include core stability exercises which will be demonstrated and will be checked if they are being performed correctly. The exercises guided shall be performed 3 times daily and logbook will be provided to keep the record of exercise program.

Core stability

Core stability with pregnancy support belt OTHER

Participants will receive same information and exercises as those in Group A. they will also receive pregnancy support belt. The logbook will be provided to keep the record of hours the belt has been worn along with exercise record.

Core stability with pregnancy support belt

Eligibility Criteria

• Age: 25 Years - 35 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 25-35 years females Have pain in the region of pubic symphysis, with or without radiation to the groin.
• Have pain during stair climbing, turning over in bed, standing on one leg. Have tenderness on palpation of symphysis pubis. Have positive active straight leg raise (ASLR) test result

You may not qualify if:

• Medical conditions preventing use of pregnancy support belts. Pregnant females having SPD but with absolute contraindications to exercise. Posterior (lumber spine or sacroiliac joint) pain that was considered worse than the symphysis pubis pain

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International university, Lahore

Lahore, Punjab Province, Pakistan

RECRUITING

Related Publications (3)

• Jain S, Eedarapalli P, Jamjute P, Sawdy R. Symphysis pubis dysfunction: a practical approach to management. The Obstetrician & Gynaecologist. 2006;8(3):153-8.

  BACKGROUND

• Depledge J, McNair PJ, Keal-Smith C, Williams M. Management of symphysis pubis dysfunction during pregnancy using exercise and pelvic support belts. Phys Ther. 2005 Dec;85(12):1290-300.

  PMID: 16305268 BACKGROUND

• MacLennan AH, MacLennan SC. Symptom-giving pelvic girdle relaxation of pregnancy, postnatal pelvic joint syndrome and developmental dysplasia of the hip. The Norwegian Association for Women with Pelvic Girdle Relaxation (Landforeningen for Kvinner Med Bekkenlosningsplager). Acta Obstet Gynecol Scand. 1997 Sep;76(8):760-4. doi: 10.3109/00016349709024343.

  PMID: 9348254 BACKGROUND

MeSH Terms

Conditions

Pelvic Girdle Pain; Pain; Motor Activity

Interventions

Core Stability

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Postural Balance; Proprioception; Vestibulocochlear Physiological Phenomena; Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Sensation; Nervous System Physiological Phenomena

Central Study Contacts

Imran Amjad, Post Doc

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer

Study Record Dates

• First Submitted: December 5, 2023
• First Posted: December 13, 2023
• Study Start: April 5, 2023
• Primary Completion: January 1, 2024
• Study Completion: January 15, 2024
• Last Updated: December 13, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)