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Completed

NCT Number: NCT05397899

Abdominal Hypopressive Technique on Postpartum Low Back Pain

Postpartum Low back pain (PP-LBP) is more common and can lead to limitations to women's daily activity. Pregnancy related low back pain has been reported to occur in 55% to 78% women worldwide.This study is planned to determine the effects of abdominal hypopressive technique on postpartum low back pain, mobility and disability.

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Key information

Conditions

Postpartum

Age range

20 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Holy Family Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

About this study

literature suggests the use of hypopressive abdominal techniques to be effective in increasing the thickness of the abdominal muscles and hence add to the stability of the spine and alleviation of low back pain in the postpartum period. This will be a randomized controlled trial, with two groups.

Participants in the experimental group will learn how to perform the "hypopressive maneuver", which consisted of exhaling to their expiratory reserve volume, then holding their breath (apnea), and expanding their rib cage, to draw their abdominal wall inward and cranially without inhalation. control group will perform general exercises. Both groups will be assessed at pre and post test (after 6weeks)

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Postpartum non-radiating low back Pain
  • LBP severity >3 on numeric pain rating scale (NPRS)
  • Spontaneous vaginal delivery

Exclusion criteria

  • Prenatal history of low back pain
  • Caesarean section
  • Hypertension
  • Puerperium period
  • Arterial complications
  • Neurological deficit
  • Disc Bulge
  • Lumbar Radiculopathy

Treatment and study plan

Abdominal hypopressive Exercises (AHE)

Other

Active and specific Therapeutic exercises will be used to treat postpartum low back pain in this study. AHE consisted of exhaling to their expiratory reserve volume, then holding their breath (apnea), and expanding their rib cage, to draw their abdominal wall inward and cranially without inhalation. Each exercise will have a specific frequency, intensity, and duration.

General exercises

Other

General exercises are therapeutic exercises for core muscles for the treatment of postpartum low back pain.

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    Time frame: Changes from Baseline to 6th week

    The pain score was assessed using the numeric pain rating scale (NPRS) is a scoring system, wherein the pain level was quantified on a scale of 0 (no pain) to 10 (worst possible pain). The NPRS is a valid and frequently employed method of musculoskeletal pain assessment.

  2. Pregnancy Mobility Index

    Time frame: Changes from Baseline to 6th week

    It is self-report mobility scale designed specifically for the pregnant women. The internal consistency (Cronbach's alpha) is 0.8 or higher indicating a good construct validity. The assumptions that the Pregnancy Mobility Index scores increase during pregnancy and decrease after delivery and that women with back or pelvic problems scored higher on the Pregnancy Mobility Index domains than women without back or pelvic pain were confirmed, indicating a good criterion validation.

    Its scores range from 0 to 100, in which 0 equals 'normal performance' and 100 indicates 'maximum disability

  3. Maternal Postpartum Quality of Life Index

    Time frame: Changes from Baseline to 6th week

    It is a sixteen-item scale, which is a valid and reliable instrument for postpartum QOL assessment. It includes items on the different aspects of postpartum QOL and can be used for the early diagnosis of impaired postpartum QOL. The QoL score ranges from 0 to 30, with higher scores indicating higher QoL.

Secondary outcomes

  1. Oswestry Low Back Pain Disability Index(ODI)

    Time frame: Changes from Baseline to 6th week

    The Oswestry Low Back Pain Disability Index is a validated, 10-point patient-reported outcome questionnaire. It is considered the 'gold standard for measuring disability and quality of life (QoL) impairment for adults with low back pain. The Cronbach-α for the ODI is 0.75. The ODI showed excellent test- retest reliability (intraclass correlation coefficient = 0.91)

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Abdominal Hypopressive Technique on Postpartum Low Back Pain

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
May 31, 2022
Registry last updated
Feb 21, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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