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NCT Number: NCT07105683

Effect of Kinetic Control Training on Postnatal Low Back Pain

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

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Key information

Conditions

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

Age range

25 year–35 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

physical therapy cairo University

Cairo, Egypt

About this study

Background: Postnatal low back pain (PLBP) is a common condition affecting women after childbirth due to musculoskeletal and biomechanical changes during pregnancy. Effective rehabilitation strategies are essential for pain relief and functional recovery.

Objective: This study aims to evaluate the effect of kinetic control training in postnatal women with low back pain.

Methods: A total of 66 postnatal women with low back pain were randomly selected from WENGAT Hospital and EL SHATBY Hospital in Alexandria. Participants were divided into two equal groups:

Group A: 33 women treated with hot pack for 20 minutes twice daily for 6 weeks. Group B: 33 women treated with a combination of kinetic control training and hot pack 3 sessions/week for 6 weeks.

Pain intensity will be assessed using the Visual Analog Scale (VAS) and Pressure Algometer. Range of motion (ROM) will be evaluated using the Modified Schober Test.

Who can participate

Healthy volunteers accepted: Yes

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

**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.

Treatment and study plan

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.

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

Primary outcomes

  1. Pain Intensity Measured by Visual Analog Scale (VAS)

    Time frame: Baseline and after 8weeks of intervention

    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

Secondary outcomes

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

    Time frame: Baseline and after 8weeks of intervention

    This measure assesses the flexibility and mobility of the lumbar spine using the Modified Schober Test. A non-invasive tape measure method is used to evaluate the difference in spinal segment length during full flexion and extension compared to the neutral standing posture. The outcome reflects the degree of lumbar mobility, which may be affected by postnatal low back pain and improved through targeted interventions like kinetic control training.

Study contacts

Contact information is provided by the study sponsor or research team.

Marwa Mahran, Doctor

CONTACT

[email protected]

0127 6597490

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

CONTACT

[email protected]

01224955140 ext. 01276597490

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Acronym: KCT-PLBP

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Aug 6, 2025
Registry last updated
Aug 6, 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.

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