Effect of Retro-walking on Postpartum Low Back Pain

NCT06600074 | Completed

• 1 other identifier: P.T.REC/012/004491
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to determine the effect of retro walking on post partum low back pain.

Conditions

Postpartum Disorder; Low Back Pain

Outcome Measures

Primary Outcomes (3)

• Visual analog scale (VAS)

  It will be used to measure the severity of post cesarean low back pain before and after the treatment program for all participants in both groups. The VAS is ten cm horizontal line on which the patients' pain intensity is represented by a point between the extremes of no pain at all (no pain=0) and worst pain imaginable (worst pain=10). Each participating woman will be asked to put a mark on the line at the point indicating her pain level / intensity.

  6 weeks

• Lumbar flexion range of motion (ROM)

  It will be assessed by the Modified Schober test before and after the treatment program for all participants in both groups. The therapist will mark the lumbar spine at the posterior superior iliac spines, with another mark 15 cm above it. A tape measure will be used to record the distance between the marks in a standing position, then again after the patient bends forward into full lumbar flexion. The difference indicates the lumbar flexion ROM. This test will be repeated three times, and the average value will be taken as the lumbar flexion ROM.

  6 weeks

• Lumbar extension range of motion (ROM)

  It will be assessed by the Modified Schober test before and after the treatment program for all participants in both groups. The therapist will mark the lumbar spine at the posterior superior iliac spines, then place another mark 15 cm above. A tape measure will record the distance between the marks while the patient is standing. The patient will then bend backward into full lumbar extension, and the new distance between the marks will be measured. The difference represents the lumbar extension ROM. This process will be repeated three times, with the average value taken as the lumbar extension ROM.

  6 weeks

Secondary Outcomes (1)

• Oswestry disability questionnaire

  6 weeks

Study Arms (2)

Back care advice + Postural correction exercises

ACTIVE COMPARATOR

It will include 18 postpartum women who will receive back care advice and postural correction exercises.

Behavioral: Back care advice; Other: Postural correction exercises

Back care advice + Postural correction exercises + Retro-walking

EXPERIMENTAL

It will include 18 postpartum women who will receive the same back care advice and postural correction exercises, in addition to retro-walking.

Behavioral: Back care advice; Other: Postural correction exercises; Other: Retro-walking

Interventions

Back care advice BEHAVIORAL

All patients in both groups will be advised to use proper lifting techniques, avoid prolonged sitting or standing, maintain a healthy weight, quit smoking, practice good posture, take breaks, spread housekeeping duties over the whole week, and sleep in supportive positions.

Back care advice + Postural correction exercises; Back care advice + Postural correction exercises + Retro-walking

Postural correction exercises OTHER

All patients in both groups will be instructed to perform postural correction exercise. They will be performed from different positions (crock lying, supine lying, supine, sitting and standing position). They will lie in crock lying position for example and the physical therapist will instruct them to do chin in , open out ribs through costal breathing, contract abdominal muscles, contract glutei, hold for 6 seconds and relax and repeat 10 times.

Back care advice + Postural correction exercises; Back care advice + Postural correction exercises + Retro-walking

Retro-walking OTHER

Patients in the experimental group only will practice walking backward on a treadmill, starting with a 5-minute warm-up at a self-selected speed, then gradually increasing speed from 1.2 to 1.6 m/s based on comfort and progress.

Back care advice + Postural correction exercises + Retro-walking

Eligibility Criteria

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

You may qualify if:

• Multi parous women suffering from postpartum low back pain after cesarean delivery (from 6 weeks to 6 months after delivery).
• Their ages will range from 25-35 years old.
• Their body mass index will be less than 30 Kg/m2.
• They should have mild to moderate low back pain as scored on VAS (represented by cut points on the scale recommending mild pain (5- 44mm), moderate pain (45- 74mm))

You may not qualify if:

• Recent surgeries, trauma or fractures of the lower limb or in the back region.
• Morbid cardiovascular disease.
• Liver or kidney dysfunction.
• Any neurological disorders including balance issues or motor and sensory loss.
• Any musculoskeletal disorders such as disc prolapsed, lumbar canal stenosis and spondylysthesis or severe knee osteoarthritis.
• Taking intra-articular injection for knee for the last 6 months.
• Those having visual dysfunction or refractory errors not corrected with glasses or contact lenses.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Giza, Egypt

Location

MeSH Terms

Conditions

Puerperal Disorders; Low Back Pain

Condition Hierarchy (Ancestors)

Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Afaf Mohamed Mahmoud Botla, PhD

  Cairo University

  STUDY CHAIR

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: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 12, 2024
• First Posted: September 19, 2024
• Study Start: September 16, 2024
• Primary Completion: November 22, 2024
• Study Completion: December 1, 2024
• Last Updated: December 20, 2024

Record last verified: 2024-12

Locations

EG (1)