Combined Effects of Core Stability Exercises and Back Strengthening Exercises on Pregnancy-Induced Back Pain.

Low Back Pain Clinical Trial

Official title:

Combined Effects of Core Stability Exercises and Back Strengthening Exercises on Pregnancy-Induced Back Pain, Disability and Function.

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06351267
• Other study ID #: REC/RCR & AHS/23/0568
• Status: Not yet recruiting
• Phase: N/A
• Start date: April 5, 2024
• Est. completion date: October 15, 2024

Study information

• Verified date: April 2024
• Source: Riphah International University
• Contact: Ghulam Fatima, PhD*
• Phone: 03034073057
• Email: ghulam.fatima[@]riphah.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study will be a Randomized controlled trial to check the combined effects of Core Stability Exercises with and without Back strengthening exercises in females with pregnancy-induced back pain, disability, and function so that we can examine the effect of the above techniques on pain, disability and function in pregnant females Non-probability convenience sampling technique will be used, subject following eligibility criteria from Society Hospital Nabipura Lahore will be randomly allocated in two groups. Group A participants will be given core stability exercises with back strengthening exercises, Group B participants will be given core stability exercises for 4 weeks. Assessment will be done via, Numeric Pain Rating Scale, Oswestry disability index questionnaire and Back pain Functional Scale.

Description:

Pregnancy-inducedBack pain causes weakness of abdominal muscles and pelvic muscles which affects core stability and back strength of pregnant women. In this study, the effects of Core Stability Exercises with and without Back strengthening exercises in pregnancy-induced back pain population will be analyzed. This study will be a randomized controlled trial. Core stability exercises and Strengthening exercises program would be applied to pregnant females with pregnancy-induced back pain. Subjects meeting the predetermined inclusion criteria will be divided into two groups. Assessment will be done using the Numeric Pain Rating Scale (NPRS), Oswestry Disability Index Questionnaire, and Back Pain Functional Scale (BPFS). Subjects in one group will be treated with core stability exercises with back strengthening exercises, and the other will be treated with core stability exercises only. Each subject will receive a total of 20 treatment sessions, with 05 treatment sessions per week. Measurements will be recorded at the start and end of the treatment session. Recorded values will be analyzed for any change using SPSS.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 34
• Est. completion date: October 15, 2024
• Est. primary completion date: October 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

• Pregnant females
• Pregnant female in their second and third trimester.
• Multi gravida patient
• Low back pain intensity greater than 4 out of 10 on NPRS, indicating moderate to severe.

Exclusion Criteria:

• Placenta previa
• Bleeding or spotting
• Low back pain before pregnancy
• Pregnancy-induced hypertension
• Pudendal nerve entrapment syndrome.
• Not simultaneously partaking in pelvic floor physical therapy.
• No evoked tenderness upon palpation of levatorani sling at examination.

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Other:
• Core Stability Exercises
Core stability exercises will be used to strengthen the core muscles, which includes sets of exercises like pelvic tilts, wall squatting, bridging, bird dog and heel walking which targets core muscles.
• Back Strengthening exercises
Back strengthening exercises will be used to strengthen the back muscles which include sets of exercises that target back muscles like cat-cow exercise, child pose, heel sits, and kegels.

Locations

Country	Name	City	State
Pakistan	Society Hospital Nabipura	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (7)

Barbier M, Blanc J, Faust C, Baumstarck K, Ranque-Garnier S, Bretelle F. Standardized Stretching Postural postures to treat low-back pain in pregnancy: the GEMALODO randomized clinical trial. Am J Obstet Gynecol MFM. 2023 Oct;5(10):101087. doi: 10.1016/j.ajogmf.2023.101087. Epub 2023 Jul 11. — View Citation

Ghaderi F, Mohammadi K, Amir Sasan R, Niko Kheslat S, Oskouei AE. Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women. Urology. 2016 Jul;93:50-4. doi: 10.1016/j.urology.2016.03.034. Epub 2016 Apr 5. — View Citation

Katonis P, Kampouroglou A, Aggelopoulos A, Kakavelakis K, Lykoudis S, Makrigiannakis A, Alpantaki K. Pregnancy-related low back pain. Hippokratia. 2011 Jul;15(3):205-10. — View Citation

Kluge J, Hall D, Louw Q, Theron G, Grove D. Specific exercises to treat pregnancy-related low back pain in a South African population. Int J Gynaecol Obstet. 2011 Jun;113(3):187-91. doi: 10.1016/j.ijgo.2010.10.030. Epub 2011 Apr 1. — View Citation

Mamipour H, Farazmehr S, Negahban H, Nazary-Moghadam S, Dehghan-Manshadi F, Navi Nezhad M, Jafari S, Sharifzadeh M. Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial. J Manipulative Physiol Ther. 2023 Jan;46(1):27-36. doi: 10.1016/j.jmpt.2023.05.005. Epub 2023 Jul 7. — View Citation

Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995 Nov;1(1):2-10. doi: 10.1054/math.1995.0243. — View Citation

Weis CA, Nash J, Triano JJ, Barrett J. Ultrasound Assessment of Abdominal Muscle Thickness in Women With and Without Low Back Pain During Pregnancy. J Manipulative Physiol Ther. 2017 May;40(4):230-235. doi: 10.1016/j.jmpt.2017.02.002. Epub 2017 Apr 12. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain Rating Scale	The NPRS is a segmented numeric scale in which the respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. NPRS is anchored by terms describing pain severity extremes. changes from Baseline to 4 week	up to 4 weeks
Primary	Oswestry Disability Index Questionnaire	The Oswestry disability index questionnaire gives subjective percentage score of level of function(disability) in activities of daily living in those rehabilitating from low back pain with level of disability in 10 everyday activities. Each item consists of 6 options with score 0-5. With 0 indicating least disability and 5 greater then total score will be calculated as percentage. 0% indicating no disability and 100% highest level of disability.	up to 4 weeks
Primary	Back Pain Functional Scale (BPFS):	The BPFS is a subjective scale used to measure the patient physical function after low back pain. It consists of 12 items and total score of 60. The maximum score indicates maximum physical abilities of patient. 0 being no physical abilities and 60 being no difficulty in any activity	up to 4 weeks