Effect of Kinetic Control Training on Postnatal Low Back Pain

NCT07105683 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/005122
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

the effect of kinetic control training and hotpack and compare it with hotpack alone on postnatal low back pain

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (1)

• Pain Intensity Measured by Visual Analog Scale (VAS)

  Pain intensity will be assessed using the Visual Analog Scale (VAS), a validated tool for measuring subjective pain levels. Participants will indicate their pain level on a 10 cm horizontal line ranging from "no pain" (0) to "worst imaginable pain" (10). This measurement will help evaluate the effectiveness of kinetic control training in reducing postnatal low back pain compared to hot pack therapy alone

  Baseline and after 8weeks of intervention

Secondary Outcomes (1)

• Lumbar Range of Motion (Flexion and Extension) Using Modified Schober Test

  Baseline and after 8weeks of intervention

Study Arms (2)

Hot Pack Therapy Only (Control Group)

ACTIVE COMPARATOR

Participants in this arm receive hot pack therapy as a standard physiotherapeutic intervention. A moist hot pack is applied to the lumbar region for 20-30minutes per session, twice daily, over a period of 8weeks. This intervention is intended to provide superficial heat to reduce pain, promote muscle relaxation, and improve local circulation. No additional therapeutic exercises are administered to this group

Other: hot pack therapy

Hot Pack Therapy + Kinetic Control Training (Experimental Group)

EXPERIMENTAL

Participants in this arm receive both hot pack therapy and kinetic control training. The hot pack is applied to the lumbar region for 20-30minutes per session, twice daily, for 8weeks. In addition, participants undergo kinetic control training, which includes therapist-guided exercises targeting the deep stabilizing muscles of the lumbar-pelvic region. Exercises focus on improving muscle coordination, movement control, and spinal stability. Sessions are conducted three times per week for 8 weeks.

Other: hot pack therapy; Genetic: Kinetic control training

Interventions

hot pack therapy OTHER

Application of a commercial hot pack to the lumbar region for 20-30 minutes per session, twice daily, for 6 weeks.

Hot Pack Therapy + Kinetic Control Training (Experimental Group); Hot Pack Therapy Only (Control Group)

Kinetic control training GENETIC

is an evidence-based rehabilitation approach, focused on retraining movement patterns by addressing and improving motor control of the lumbar spine and pelvis, correcting faulty movement strategies, enhancing stability in functional tasks. The principles of KCT entail the identification of direction-specific motor control deficit, uncontrolled extension, followed by focused retraining of movement control through specific exercises designed to improve the coordination and activation of deep stabilizing muscle systems, including the transversus abdominis, multifidus, and pelvic floor muscles. This approach is especially relevant in postpartum women, where motor control deficits and poor load transfer capabilities are commonly observed . Based on the clinical presentation of patients with postnatal low back pain, demonstrated symptoms that were aggravated during lumbar extension movements or when maintaining prolonged upright postures. The

Hot Pack Therapy + Kinetic Control Training (Experimental Group)

Eligibility Criteria

• Age: 25 Years - 35 Years
• Gender Eligibility Details: \*\*Inclusion Criteria:\*\* * Female patients with postnatal low back pain (PLBP) that lasted for at least 6 months. * Pain intensity ≥ 5 on the Visual Analog Scale (VAS). * Limitation score ≤ 5 on the Modified Schober Test. * Age between 25 and 35 years. * Body mass index (BMI) between 20-25 kg/m². * Medically stable and able to provide informed consent. * Positive result in the extension uncontrolled movement test, indicating: * Loss of lumbopelvic control. * Overactivity of global extensors during functional tasks. \*\*Exclusion Criteria:\*\* * Any neurological or rheumatological disorders. * Previous spinal surgery. * Pregnancy or planning to become pregnant during the study period. * BMI outside the 20-25 kg/m² range. * Inability to participate in exercise or physical activity.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Female patients with postnatal low back pain (PLBP) that lasted for at least 6 months.
• Pain intensity ≥ 5 on the Visual Analog Scale (VAS).
• Limitation score ≤ 5 on the Modified Schober Test.
• Age between 25 and 35 years.
• Body mass index (BMI) between 20-25 kg/m².
• Medically stable and able to provide informed consent.
• Positive result in the extension uncontrolled movement test, indicating:
• Loss of lumbopelvic control.

You may not qualify if:

• Any neurological or rheumatological disorders.
• Previous spinal surgery.
• Pregnancy or planning to become pregnant during the study period.
• BMI outside the 20-25 kg/m² range.
• Inability to participate in exercise or physical activity.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

physical therapy cairo University

Cairo, Egypt

Location

Related Links

• Official study information page hosted by Cairo University.

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Mohammed Fawzy, Phd

  Om el masryen hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

dr mohamed awad and dr marwa mahran prof and doctor, phd /master

CONTACT

01224955140; awad18111972@yahoo.com

Marwa Mahran, Doctor

CONTACT

0127 6597490; m.mahran2000@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: July 4, 2025
• First Posted: August 6, 2025
• Study Start: August 10, 2025
• Primary Completion: August 25, 2025
• Study Completion: September 15, 2025
• Last Updated: August 6, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)