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Effects of Antenatal Exercises in Primagravida

Not Applicable
Completed
Conditions
Pregnancy Related
Interventions
Other: Supervised antenatal exercises
Other: Antenatal Education
Registration Number
NCT05946408
Lead Sponsor
Riphah International University
Brief Summary

The goal of this Randomized control trial is to determine the effects of antenatal exercises on low back pain in Primagravida. The main questions it aims to answer are whether supervised antenatal exercises have an effect on low back pain and depression in primagravida.

Detailed Description

Females usually tend to avoid physical activity during pregnancy. Concept of antenatal exercises and its effects on low back pain or antenatal depression is yet not common amongst pregnant females in Pakistan. Low back pain and antenatal depression are common in pregnancy. These can have an impact on both their own health and the health of their unborn child. Understanding the benefits of antenatal exercises will encourage pregnant females to engage in regular physical activity. The results of this study will help physical therapists to implement effective exercise interventions for this population.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
72
Inclusion Criteria
  • Primagravida
  • Single pregnancy
  • Diagnosed for risk of Prenatal depression on EDPS >10
  • Pregnancy related Low back pain score of 3 to 8 on NPRS for at least 2 weeks.
  • Females in 2nd Trimester of pregnancy
Exclusion Criteria
  • Any present or previous pelvic floor dysfunctions diagnosed by health professionals.
  • Any physical disability causing inability to perform physical exercises.
  • Any contraindications to physical activity according to ACOG
  • Pelvic girdle pain (Anterior: Pubic symphysis, Posterior: SI joint Pain, Gluteal Pain, Piriformis syndrome).
  • Rheumatoid disorders.
  • Low back pain with radiation
  • Not engaged in regular exercise.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Supervised Antenatal ExercisesSupervised antenatal exercisesSupervised antenatal exercises twice a week an antenatal education
Antenatal EducationAntenatal EducationAntenatal education only
Primary Outcome Measures
NameTimeMethod
Low back pain12th Week

Changes from baseline low back pain will be assessed on Numeric pain rating scale. The scale ranges from 0 for no pain to 10 for worse pain.

The Roland Morris Low Back Pain and Disability Questionnaire12th Week

Changes from baseline low back pain related disability will be assessed using Roland Morris low back pain and disability questionnaire. It is a self-report questionnaire consisting of 24 questions that are scored on a dichotomous scale (yes/no). The total score ranges from 0 to 24, with higher scores indicating greater disability.

Beck depression inventory12th week

Changes from baseline antenatal depression will be assessed using Beck depression inventory. A total score of 0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression. Higher total scores indicate more severe depressive symptoms

Secondary Outcome Measures
NameTimeMethod
Multidimensional Fatigue Inventory12th week

Changes from baseline fatigue will be assessed using Multidimensional Fatigue Inventory. The MFI is a 20-item scale designed to evaluate five dimensions of fatigue:

general fatigue, physical fatigue, reduced motivation, reduced activity, and mental fatigue. Items are scored on a scale of 1 to 5. For the total score, a higher score represent greater fatigue.

Fear of Childbirth Questionnaire12th week

Changes from baseline The Fear of Childbirth Questionnaire (FCQ) this is 20 item questionnaires for women who are pregnant. Items are scored on a scale of 1 to 5. A higher score indicates greater fear

Trial Locations

Locations (1)

Khyber Teaching Hospital

🇵🇰

Peshawar, KPK, Pakistan

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