Physical Therapy in Addition to Standard Care Following C-Section

Status Completed

Clinical Trial Summary

The purpose of this study is to determine whether a physical therapy program which includes scar management, core retraining, and lumbar and pelvic joint mobilization will significantly impact the postpartum recovery following Cesarean section during the immediate postpartum period and during the first 1.5 years following childbirth.

All patients who enroll in the study will receive standard treatment following a C-section delivery. Subjects will be randomized into one of two groups; one group will receive physical therapy in addition to standard post C-section treatment, and the other group will receive standard post C-section treatment with no additional physical therapy. Both groups will complete questionnaires regarding their pain and recovery from C-section delivery to determine if there is a difference in recovery between the group receiving physical therapy and the group not receiving physical therapy.

Clinical Trial Description

Cesarean section (C-section) represents the most commonly performed inpatient surgical procedure, with recent prevalence estimates of 1.3 million annually (approximately 22% of first births) in the United States. Currently, postoperative recovery support is typically characterized by verbal and written instructions regarding lifting and pelvic rest as well as slow return to activity and exercise.

There are multiple known complications during and after the postpartum period following Cesarean section deliveries. Some of the most common are back pain (up to 53% prevalence reported), bowel and bladder issues (20-30% prevalence reported), and scar tissue/adhesions. Multiple studies have indicated a higher incidence of low back and pelvic girdle pain in patients following Cesarean section compared to an unassisted vaginal delivery (estimates range from 2-5 times increase).

The purpose of this study is to determine whether a physical therapy program which includes scar management, core retraining, and lumbar and pelvic joint mobilization will significantly impact the postpartum recovery following Cesarean section during the immediate postpartum period and during the first 1.5 years following childbirth. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT02804139
Study type	Interventional
Source	University of Missouri-Columbia
Contact
Status	Completed
Phase	N/A
Start date	December 2015
Completion date	December 2018

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03916705` - Thoraco-Lumbar Fascia Mobility	N/A
Completed	`NCT04007302` - Modification of the Activity of the Prefrontal Cortex by Virtual Distraction in the Lumbago	N/A
Completed	`NCT03273114` - Cognitive Functional Therapy (CFT) Compared With Core Training Exercise and Manual Therapy (CORE-MT) in Patients With Chronic Low Back Pain	N/A
Recruiting	`NCT03600207` - The Effect of Diaphragm Muscle Training on Chronic Low Back Pain	N/A
Completed	`NCT04284982` - Periodized Resistance Training for Persistent Non-specific Low Back Pain	N/A
Recruiting	`NCT05600543` - Evaluation of the Effect of Lumbar Belt on Spinal Mobility in Subjects With and Without Low Back Pain	N/A
Withdrawn	`NCT05410366` - Safe Harbors in Emergency Medicine, Specific Aim 3
Completed	`NCT03673436` - Effect of Lumbar Spinal Fusion Predicted by Physiotherapists
Completed	`NCT02546466` - Effects of Functional Taping on Static Postural Control in Patients With Non-specific Chronic Low Back Pain	N/A
Completed	`NCT00983385` - Evaluation of Effectiveness and Tolerability of Tapentadol Hydrochloride in Subjects With Severe Chronic Low Back Pain Taking Either WHO Step I or Step II Analgesics or no Regular Analgesics	Phase 3
Recruiting	`NCT05156242` - Corticospinal and Motor Behavior Responses After Physical Therapy Intervention in Patients With Chronic Low Back Pain.	N/A
Recruiting	`NCT04673773` - MY RELIEF- Evidence Based Information to Support People Aged 55+ Years Living and Working With Persistent Low-back Pain.	N/A
Completed	`NCT06049251` - ELDOA Technique Versus Lumbar SNAGS With Motor Control Exercises	N/A
Completed	`NCT06049277` - Mulligan Technique Versus McKenzie Extension Exercise Chronic Unilateral Radicular Low Back Pain	N/A
Completed	`NCT04980469` - A Study to Explore the Effect of Vitex Negundo and Zingiber Officinale on Non-specific Chronic Low Back Pain Due to Sedentary Lifestyle	N/A
Completed	`NCT04055545` - High Intensity Interval Training VS Moderate Intensity Continuous Training in Chronic Low Back Pain Subjects	N/A
Recruiting	`NCT05944354` - Wearable Spine Health System for Military Readiness
Recruiting	`NCT05552248` - Assessment of the Safety and Performance of a Lumbar Belt
Completed	`NCT05801588` - Participating in T'ai Chi to Reduce Back Pain and Improve Quality of Life	N/A
Completed	`NCT05811143` - Examining the Effects of Dorsal Column Stimulation on Pain From Lumbar Spinal Stenosis Related to Epidural Lipomatosis.

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.