Comparison of Thrust Manipulation of Sacroiliac Joint and Pelvic Stabilization Exercises in Post Partum Low Back Pain

Not Applicable

Recruiting

• Conditions: Low Back Pain, Post Partum
• Interventions: Other: pelvic stabilization exercises; Other: SI joint thrust manipulation

• Registration Number: NCT06303401
• Lead Sponsor: Riphah International University

Brief Summary

compare the effectiveness of SI joint thrust manipulation and pelvic stabilization exercises on Modified OSWESTRY Low Back pain Index (ODI) and Numeric Pain Rating Scale (NPRS) in patients with post-partum lower back pain.

Detailed Description

Patients fulfilling the inclusion criteria will be divided into 2 groups i.e. Group A and Group B. Patients in Group A will receive thrust manipulation technique and Group B will receive pelvic stabilization exercises, heating pad will be given to both groups. Patients will be treated 3 times per week for 4 consecutive weeks. Patient will be evaluated at baseline, midline and at end of 4th week. Pain, functional status and disability will be evaluated after every 3 sessions.

Study Timeline

• Study Start: 2023-09-27
• Status Verified: 2024-03
• Study First Submitted: 2024-03-04
• Study First Submitted QC: 2024-03-04
• Last Update Submitted: 2024-03-04
• Study First Posted: 2024-03-12
• Last Update Posted: 2024-03-12
• Primary Completion: 2024-07-31
• Study Completion: 2024-08-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 44

Inclusion Criteria

• age 20-40 years
• Postpartum women (after 6 weeks)(3, 12)
• Postpartum LBP patient
• Patient pain increased by provocation test i.e. Faber test, High thrust test and Gaenslen test

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Exclusion Criteria

• C-section
• inflammatory or malignant type of pain
• Neurological deficit
• Severe trauma
• Pelvic fracture
• Osteoporosis, spinal stenosis, spondylolysis, spondoloesthesisi

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pelvic Stabilization Exercises	pelvic stabilization exercises	Heating pad for 10- 15 mints Pelvic stabilization exercises. Bridging (3 sets x 10 reps with 10 secs hold), Pelvic Tilt exercise (3 sets x 10 reps with 10 secs hold), Bird-Dog Exercise (3 sets x 10 reps with 10 secs hold), clamshell Exercise (3 sets x 10 reps with 10 secs hold).
SI joint thrust Manipulation	SI joint thrust manipulation	The patient was supine and the therapist stood contralateral to the side which was to be manipulated. The patient was passively moved into side bending toward the side to be manipulated. The therapist passively rotated the patient, and then delivered a quick thrust to the Anterior Superior Iliac Spine (ASIS) in a posterior and inferior direction

Primary Outcome Measures

Name	Time	Method
Modified Oswestry Disability Index (ODI)	4th week	The ODI is a disease specific disability measure is used to establish a level of disability stage on a patient activity status and monitor change over the time. The ODI is made up of 10 questions. Each question is scored from (o-5) minimum to maximum.
Numeric pain rating scale (NPRS)	4th week	The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale: the patient rates pain from 0 (no pain) to 10 (worst imaginable pain).

Trial Locations

Locations (1)

Lady Reading Hospital and Shahab Orthopedic & General Hospital; 🇵🇰 Peshawar, KPK, Pakistan