Completed

NCT Number: NCT05538325

Assessment of Lumbar Spine Active Range of Motion in Women Who Were Experienced Cesarean or Vaginal Birth

Pregnancy may impact the musculoskeletal apparatus of females through pregnancy-associated biomechanical, vascular, and hormonal changes. Pregnant females may complain of lumbopelvic pain, especially during their last trimester. This lumbopelvic pain can be the result of an enlarged uterus and unstable lumbopelvic joints.

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Key information

Conditions

Cesarean and Vaginal Birth Complications

Age range

18 year–35 year

Sex eligibility

Female

Study type

Observational

Primary location

Faculty of physical therapy, South Valley University

Qina, Qena Governorate, 83523, Egypt

About this study

Cesarean birth can affect the lumbopelvic biomechanics through its impact on the sacroiliac joints and the abdominal muscles. while vaginal birth can trigger lumbopelvic pain through its impact on the pelvic joints like the symphysis pubis and sacroiliacs.

When puerperium is finished, most of these pregnancy-related changes assume its prepregnant conditions.

Physiotherapists are responsible for providing PT care for women to improve their quality of life during the puerperium and even during the delayed postpartum interval.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia.
Their ages ranged from 18 to 35 years.
Participants were assessed between the 6th week to the 12th week postnatal.
All participants were able to continue all assessment procedures.
They might have a mild or moderate myofascial LBP

Exclusion criteria

Women who were below 18 years old or above 35 years.
Women who did not continue all assessment procedures.
Women who had a severe myofascial LBP or any specific low back conditions.

Treatment and study plan

Bubble Inclinometer and Digital Pelvic Inclinometer

Device

They are valid and reliable devices to measure the range of motion of the lumbar spine

Primary outcomes

Lumbar Spine Extension Active Range of Motion

Time frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning backward in the sagittal plane
Lumbar Spine Flexion Active Range of Motion

Time frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning forward in the sagittal plane
Lumbar Spine Right Side Bending Active Range of Motion

Time frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning sideway to the right in the frontal plane
Lumbar Spine Left Side Bending Active Range of Motion

Time frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning sideway to the left in the frontal plane
Lumbar Spine Right Axial Rotation Active Range of Motion

Time frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the right side
Lumbar Spine Left Axial Rotation Active Range of Motion

Time frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the left side

Sponsors and collaborators

Lead sponsor

South Valley University

Other

Registry information

Official study title

After the End of the Puerperium: Kinematic Assessment of Lumbar Spine Active Range of Motion in Women Who Experienced Cesarean or Vaginal Birth

Important dates

Study start: 2021
Primary completion: 2022
Study completion: 2023
First posted: Sep 13, 2022
Registry last updated: Oct 2, 2025

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.