Low Back Pain Clinical Trial
Official title:
A Pilot Randomized Controlled Trial for Complementary and Alternative Medicine Treatment of Pregnancy-Related Low Back Pain.
This study compares three treatments for low back pain that started during pregnancy. The study hypothesizes that exercise, spinal manipulation, and a mind-body technique called neuroemotional technique (NET) equally affect pain intensity and disability associated with pregnancy-related low back pain. The study also hypothesizes that pain intensity and disability levels do not influence maternal heart rate variability (a measure of stress) and intrauterine attachment (a measure of relationship quality). Ten women will additionally provide blood and salivary oxytocin samples during pregnancy and periodically for three months after birth. These women and their babies will also be videotaped playing for 5 minutes at 2 weeks, 6 weeks, and 3 months postpartum.
Pregnancy-related low back pain is experienced by over half of all pregnant women. In the
United States it is thought of as a normal constituent of pregnancy. However, in Europe low
back pain associated with pregnancy is treated. In the United States pregnancy-related low
back pain is thought to resolve with birth. However about 1/3 of women who experience
pregnancy-related low back pain continue to experience back pain for one year postpartum.
Those women whose low back pain persists into the postpartum period are more at risk of
experiencing comorbidities such as postpartum depression.
In the extrauterine life maternal pain limits a mother's ability to securely attach with her
child. Furthermore, interpretation of pain intensity is influenced by the type of attachment
the individual has with her parents. Little is known how maternal pain may influence
intrauterine attachment. Similarly, heart rate variability is influenced by pain and by
spinal manipulation in non-pregnant populations. However, normal non-pregnant patterns of
heart rate variability are altered during the second and third trimesters of pregnancy, and
little is known about why this happens or what this means.
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