Combined Effects of Core Stability Exercises and Back Strengthening Exercises on Pregnancy-Induced Back Pain.

NCT06351267 | Completed

• 1 other identifier: REC/RCR & AHS/23/0568
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The study will be a Randomized controlled trial to check the combined effects of Core Stability Exercises with and without Back strengthening exercises in females with pregnancy-induced back pain, disability, and function so that we can examine the effect of the above techniques on pain, disability and function in pregnant females Non-probability convenience sampling technique will be used, subject following eligibility criteria from Society Hospital Nabipura Lahore will be randomly allocated in two groups. Group A participants will be given core stability exercises with back strengthening exercises, Group B participants will be given core stability exercises for 4 weeks. Assessment will be done via, Numeric Pain Rating Scale, Oswestry disability index questionnaire and Back pain Functional Scale.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  The NPRS is a segmented numeric scale in which the respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. NPRS is anchored by terms describing pain severity extremes. changes from Baseline to 4 week

  up to 4 weeks

• Oswestry Disability Index Questionnaire

  The Oswestry disability index questionnaire gives subjective percentage score of level of function(disability) in activities of daily living in those rehabilitating from low back pain with level of disability in 10 everyday activities. Each item consists of 6 options with score 0-5. With 0 indicating least disability and 5 greater then total score will be calculated as percentage. 0% indicating no disability and 100% highest level of disability.

  up to 4 weeks

• Back Pain Functional Scale (BPFS):

  The BPFS is a subjective scale used to measure the patient physical function after low back pain. It consists of 12 items and total score of 60. The maximum score indicates maximum physical abilities of patient. 0 being no physical abilities and 60 being no difficulty in any activity

  up to 4 weeks

Study Arms (2)

Core Stability Exercises and Back Strengthening exercises group:

EXPERIMENTAL

we will ask the patient to perform a combined exercise program of core stability exercises program with a back strengthening exercises program. 5 sessions per week and post-intervention assessment after 4 weeks follow-up

Other: Core Stability Exercises; Other: Back Strengthening exercises

Core Stability Exercise group

ACTIVE COMPARATOR

In this group, patients will only perform the Core Stability Exercises program. 5 sessions per week and post-intervention assessment after 4 weeks follow-up

Other: Core Stability Exercises

Interventions

Core Stability Exercises OTHER

Core stability exercises will be used to strengthen the core muscles, which includes sets of exercises like pelvic tilts, wall squatting, bridging, bird dog and heel walking which targets core muscles.

Core Stability Exercise group; Core Stability Exercises and Back Strengthening exercises group:

Back Strengthening exercises OTHER

Back strengthening exercises will be used to strengthen the back muscles which include sets of exercises that target back muscles like cat-cow exercise, child pose, heel sits, and kegels.

Core Stability Exercises and Back Strengthening exercises group:

Eligibility Criteria

• Age: 18 Years - 45 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant females
• Pregnant female in their second and third trimester.
• Multi gravida patient
• Low back pain intensity greater than 4 out of 10 on NPRS, indicating moderate to severe.

You may not qualify if:

• Placenta previa
• Bleeding or spotting
• Low back pain before pregnancy
• Pregnancy-induced hypertension
• Pudendal nerve entrapment syndrome.
• Not simultaneously partaking in pelvic floor physical therapy.
• No evoked tenderness upon palpation of levatorani sling at examination.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Society Hospital Nabipura

Lahore, Punjab Province, 54700, Pakistan

Location

Related Publications (7)

• Kluge J, Hall D, Louw Q, Theron G, Grove D. Specific exercises to treat pregnancy-related low back pain in a South African population. Int J Gynaecol Obstet. 2011 Jun;113(3):187-91. doi: 10.1016/j.ijgo.2010.10.030. Epub 2011 Apr 1.

  PMID: 21458811 BACKGROUND

• Ghaderi F, Mohammadi K, Amir Sasan R, Niko Kheslat S, Oskouei AE. Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women. Urology. 2016 Jul;93:50-4. doi: 10.1016/j.urology.2016.03.034. Epub 2016 Apr 5.

  PMID: 27059833 BACKGROUND

• Weis CA, Nash J, Triano JJ, Barrett J. Ultrasound Assessment of Abdominal Muscle Thickness in Women With and Without Low Back Pain During Pregnancy. J Manipulative Physiol Ther. 2017 May;40(4):230-235. doi: 10.1016/j.jmpt.2017.02.002. Epub 2017 Apr 12.

  PMID: 28410762 BACKGROUND

• Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995 Nov;1(1):2-10. doi: 10.1054/math.1995.0243.

  PMID: 11327788 BACKGROUND

• Mamipour H, Farazmehr S, Negahban H, Nazary-Moghadam S, Dehghan-Manshadi F, Navi Nezhad M, Jafari S, Sharifzadeh M. Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial. J Manipulative Physiol Ther. 2023 Jan;46(1):27-36. doi: 10.1016/j.jmpt.2023.05.005. Epub 2023 Jul 7.

  PMID: 37422748 BACKGROUND

• Katonis P, Kampouroglou A, Aggelopoulos A, Kakavelakis K, Lykoudis S, Makrigiannakis A, Alpantaki K. Pregnancy-related low back pain. Hippokratia. 2011 Jul;15(3):205-10.

  PMID: 22435016 BACKGROUND

• Barbier M, Blanc J, Faust C, Baumstarck K, Ranque-Garnier S, Bretelle F. Standardized Stretching Postural postures to treat low-back pain in pregnancy: the GEMALODO randomized clinical trial. Am J Obstet Gynecol MFM. 2023 Oct;5(10):101087. doi: 10.1016/j.ajogmf.2023.101087. Epub 2023 Jul 11.

  PMID: 37437692 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Marwa Shafiq Dar, MS*

  Riphah International University, Lahore, Pakistan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 2, 2024
• First Posted: April 8, 2024
• Study Start: April 5, 2024
• Primary Completion: October 1, 2024
• Study Completion: October 15, 2024
• Last Updated: November 20, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)