Skip to main content
OpenTrials
Completed

NCT Number: NCT07501390

Effectiveness Of Early Bed Mobility Exercises And Ambulation In Post Operative Cesarean Section Pain Reduction

This study aims to evaluate the effectiveness of early bed mobility exercises and ambulation in reducing post-operative pain among women who undergo elective cesarean section. A randomized controlled trial will be conducted with 56 participants divided into intervention and control groups. The intervention group will receive physiotherapy exercises such as pelvic rolling, breathing exercises, and ambulation, while the control group will receive routine nursing care. Pain intensity will be assessed using the Visual Analog Scale (VAS) and Numerical Pain Rating Scale (NPRS). The study is expected to show that early mobilization reduces pain, improves recovery, and enhances overall well-being.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Cesarean Section Early Ambulation Exercise Therapy Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Signs and Symptoms

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Lady Reading Hospital

Peshawar, KPK, 25000, Pakistan

About this study

This study is a single-blind randomized controlled trial designed to investigate the effectiveness of early bed mobility exercises and ambulation in reducing post-operative pain among women undergoing elective cesarean section. The study will be conducted at the Department of Gynecology and Obstetrics, Lady Reading Hospital (MTI), Peshawar, over a period of six months.

A total of 56 participants aged 18-40 years who meet the inclusion criteria will be recruited and randomly assigned into two groups using consecutive blocked randomization. The intervention group will receive a structured physiotherapy program including pelvic rolling, leg sliding, deep breathing, chest expansion exercises, ankle pumping, and ambulation starting 5 hours post-surgery. The control group will receive routine nursing care.

Pain intensity will be assessed using the Visual Analog Scale (VAS) and Numerical Pain Rating Scale (NPRS) before and after the intervention. Data will be analyzed using Statistical Package for the Social Sciences (SPSS) version 25, applying paired and independent t-tests to compare within and between group differences.

The study aims to demonstrate that early mobilization significantly reduces post-operative pain, decreases the need for analgesics, shortens hospital stay, and improves functional recovery and overall well-being in post-cesarean women.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Women undergoing elective cesarean section
  • Age between 18-40 years
  • Medically stable patients
  • Patients admitted and staying in hospital for at least 24 hours post-surgery
  • Willing to participate and provide informed consent

Exclusion criteria

  • History of previous abdominal surgeries (e.g., hernia, cholecystectomy)
  • Presence of comorbidities such as diabetes, rheumatoid arthritis, or long-term steroid use
  • Patients with severe postpartum complications (e.g., hemorrhage, deep vein thrombosis, pulmonary embolism)
  • Patients experiencing severe nausea, dizziness, or vomiting
  • Patients unable to follow instructions
  • Patients unwilling to participate

Treatment and study plan

Early Bed Mobility Exercises and Ambulation

Procedure

A structured physiotherapy program initiated 5 hours after cesarean section, including mobility and breathing exercises along with early ambulation, administered multiple times daily until discharge to improve recovery and reduce post-operative pain.

Routine Nursing Care

Other

Standard postoperative care provided according to hospital protocol without any additional structured physiotherapy or mobilization program.

Primary outcomes

  1. Change in Postoperative Pain Intensity

    Time frame: Baseline (within 5 hours post-surgery) and at discharge (3-5 days post-surgery)

    Pain intensity will be measured using the Visual Analog Scale (VAS), a continuous scale ranging from 0 (no pain) to 10 (worst imaginable pain), where higher scores indicate worse pain intensity.

  2. Time to First Ambulation

    Time frame: Within 24-48 hours post-surgery

    Time to first ambulation will be defined as the time (in hours) from the end of surgery to the participant's ability to walk independently without assistance. Shorter time indicates better recovery.

Secondary outcomes

  1. Change in Functional Recovery Status

    Time frame: Baseline (post-surgery) and at discharge (3-5 days)

    Functional recovery will be assessed using the Barthel Index of Activities of Daily Living (ADL), which measures independence in activities such as sitting, standing, and walking. The scale ranges from 0 (total dependence) to 100 (complete independence), with higher scores indicating better functional recovery.

Sponsors and collaborators

Lead sponsor

Lady Reading Hospital, Pakistan

Other Gov

Registry information

Official study title

Effectiveness Of Early Bed Mobility Exercises And Ambulation In Post Operative Cesarean Section Pain Reduction: A Randomized Controlled Trial

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Mar 30, 2026
Registry last updated
Apr 7, 2026

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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.