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Completed

NCT Number: NCT03030846

Investigation the Effects of Stabilization Exercises on Pain, Disability and Activity of Pelvic Floor Muscles in Patients With Postpartum Lumbopelvic Pain

The purpose of this study was to evaluate the effects of stabilization exercises on pain, disability and pelvic floor muscles function in patients with lumbopelvic pain.

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Key information

Conditions

Postpartum Lumbopelvic Pain

Age range

18 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Zahra Teymuri

Sistan and Bluchestan, Iran

About this study

Pregnancy is a specific experience that leads to several physical changes in women's body and influence most aspects of their lives. Pregnancy and delivery can cause serious complications such as urinary incontinence, pelvic organ prolapse, fecal incontinence, and low back pain (LBP) that have negative effects on women's sexual, physical, social and psychological health.

Based on Wu et al. systematic review, prevalence of pregnancy related low back pain (PLBP) during pregnancy and postpartum is 45% and 25% respectively.

LBP is one of the most current causes of disability and sick leave after delivery.Abnormal load transfer in the lumbopelvic region has been considered as one possible explanation to lumbopelvic pain.The local stabilizing muscles, i.e. the transversely oriented abdominal, diaphragm, the lumbar MF and the PFM Play an important role in load transfer in the lumbopelvic region.so, we considered that an exercise program that addresses muscular dysfunction, such as lumbar stabilization exercise can improve motor pattern of local stabilizing muscles and can use in management of postpartum lumbopelvic pain.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • age more than 18 years old
  • pain located between costal margin to gluteal fold with or without radiation to lower limbs
  • onset of pain during pregnancy or after delivery
  • history of delivery at least 3 months ago.

Exclusion criteria

  • known chronic rheumatologic or Orthopedic disorders
  • systemic locomotor disease
  • history of fracture, neoplasm,intervertebral disk pathology or radiculopathy, spondylolysis or spondylolysthesis
  • contraindication of exercises, heart disease, diabetes, thrombophlebitis, uncontrolled epilepsy
  • ongoing pregnancy
  • treatment with specific stabilisation exercise during previous 3 months.

Treatment and study plan

Stabilization exercise

Other

18 sessions during 6 consecutive weeks, three times per week, 30 or 40 minutes per session including: Twenty minutes for receiving hot pack and TENS and 10 or 20 minutes for training the exercises in 7 level : 1.Train the specific contraction of the deep abdominal muscles, multifidus and pelvic floor muscles(PFM). 2.Train the specific contraction of deep abdominal muscles with coactivation of multifidus and PFM in supine, prone, sitting, standing and quadruped position. 3. Segmental control exercises in close kinematic chain. 4. Segmental control exercises in open kinematic chain with limb loading, emphasis on abdominal muscles. 5. Segmental control exercises in open kinematic chain with limb loading, emphasis on back extensor muscles. 6. Progress exercises to functional task. 7. Coactivation of abdominal and multifidus muscles with limb loading in aerobic tasks.

Control Group

Other

8 sessions during 6 consecutive weeks, three times per week, per session including: Twenty minutes for receiving hot pack and TENS

Primary outcomes

  1. pain

    Time frame: 6 weeks

    Visual Analog Scale(VAS) questionnaire

  2. Disability

    Time frame: 6 weeks

    Oswestry Disability Index(ODI) questionnaire

  3. Pelvic Floor Muscle activity

    Time frame: 6 weeks

    Transabdominal approach of Ultrasound imaging

  4. Abdominal muscles(Transverse Abdominis,Internal Oblique,External Oblique) thickness

    Time frame: 6 weeks

    Ultrasound imaging

  5. Multifidus muscle thickness and crass section area(S1 level)

    Time frame: 6 weeks

    Ultrasound imaging

Other outcomes

  1. age

    Time frame: 6 weeks

    with questionnaire

  2. weight

    Time frame: 6 weeks

    with questionnaire

  3. height

    Time frame: 6 weeks

    with questionnaire

  4. Body Mass Index(BMI)

    Time frame: 6 weeks

    with questionnaire

Sponsors and collaborators

Lead sponsor

Zahedan University of Medical Sciences

Other

Registry information

Official study title

Zahra Teymuri, Zahedan University of Medical Sciences

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jan 25, 2017
Registry last updated
Jan 25, 2017

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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