Effect of Blood Flow Restriction Technique on Postpartum Pelvic Girdle Pain

This study is a randomized controlled trial. To fulfill its purpose, we have two groups; control group (A) and experimental group (B) are two matched postpartum pelvic girdle pain groups. While group (A) will receive a core stability exercise program, group (B) will receive core stability exercise program with blood flow restriction technique.

The primary outcome measure will be pelvic girdle pain intensity, while the secondary outcomes will include pelvic girdle-related disability, health-related quality of life, Kinesiophobia , global improvement and ASLR-RE angle.

Treatment duration will be eight weeks.

Inclusion criteria

• Patients will be eligible for the study if they met all the following criteria:

• Are between 3 and 12 months postpartum.
• Are aged between 20 and 35 years.
• Have a body mass index (BMI) < 30 kg/m².
• Reported experiencing pelvic girdle pain-defined as pain localized between the posterior iliac crest and the gluteal fold, particularly in the vicinity of the sacroiliac joints-that either began during pregnancy or persisted after delivery .
• Presented with a positive Active Straight Leg Raise (ASLR) test.
• Showed positive findings in at least two of the following six pelvic pain provocation tests:

• Posterior Pelvic Pain Provocation (P4/Thigh Thrust) Test
• Patrick's (FABER) Test
• Long Dorsal Sacral Ligament Test
• Pelvic Compression Test
• Pelvic Distraction (Separation) Test
• Sacral Thrust Test

Exclusion criteria

• -Patients will be excluded if they have any of the following:

• If they were Pregnant
• Known causes of pelvic girdle pain, such as fractures and rheumatism
• Undergone lumbar or pelvic surgery in the past
• Current neurological symptoms and signs in lower extremities such as lumbar radiculopathy and myelopathy
• Cancer
• Cardiovascular disease
• Experience with structured and supervised core or trunk exercise training programs