Testing the Association Between Low Back Pain Intensity and Core Muscle Strength in Women Who Underwent Cesarean or Vaginal Deliveries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- The intensity of LBP
研究概览
简要总结
Cesarean delivery (CD) may trigger an increase in low back pain (LBP) intensity and induce core muscle weakness. This study will assess the correlation between low back pain intensity and core muscle strength of transverse abdominis and Lumbar multifidus among women who underwent CD and compare it with those who experienced vaginal delivery.
详细描述
Cesarean delivery (CD) is one of the most common surgical procedures in obstetrics, and it is also one of the oldest medical procedures. The rise in the rate of cesarean sections is one of the most striking hallmarks of modern obstetrics.
In Egypt, the prevalence of CD has increased dramatically over the last decade, with the most recent Egypt Demographic and Health Survey (EDHS) reporting a rate of 52 percent, implying that cesarean sections may be overused or utilized for improper reasons.
The two deep local core muscles are the transversus abdominis and the lumbar multifidus muscles. The definition of Core muscle strength is the active ability of these muscles to not only produce but also, maintain stresses to provide stability for the spine through management of the intra-abdominal pressure.
LBP prevalence in mothers undergoing cesarean delivery was higher compared to its counterpart in mothers undergoing vaginal delivery. The related mechanisms for LBP during the postpartum period following cesarean or vaginal deliveries may be overweight and obesity, postural adaptations, and stressful positions that mothers assume during either delivery or lactation.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •All women are either primiparous or multiparous.
- •Their ages ranged from 18 to 35 years.
- •All participants had a body mass index (BMI) of not more than 29.5, and a waist-to-hip ratio of not more than
- •Participants were assessed between the 6th week to the 12th week postnatal.
- •All participants were able to continue all assessment procedures.
- •They were medically stable.
排除标准
- •Women who were below 18 years old or above 35 years old.
- •Women who had a (BMI) above 29.5 or a waist-to-hip ratio above
- •Women who did not continue all assessment procedures.
- •Women who had a past history of specific LBP as those who were diagnosed with spondylolisthesis, lumbar disc prolapse, or structural scoliosis.
结局指标
主要结局
The intensity of LBP
时间窗: Assessment will be done 6-12 weeks after Cesarean OR Vaginal deliveries
The intensity of low back pain is a standardized method to quantify the severity of low back pain
The maximal voluntary isometric contraction of the transversus abdominis muscle
时间窗: Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries
The maximum voluntary isometric contraction (MVIC) is an objective standardized method with high reliability used to evaluate and quantify muscle strength
The maximal voluntary isometric contraction of the lumbar multifidus muscle
时间窗: Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries
The maximum voluntary isometric contraction (MVIC) is an objective standardized method with high reliability used to evaluate and quantify muscle strength
The correlation coefficient between low back pain intensity and core muscle strength
时间窗: Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries
The correlation coefficient between two variables of outcome is a valid statistical method to the association between them
次要结局
未报告次要终点
研究者
Mohamed Gamal Abouelyazeed Ali
Lecturer of Physical Therapy for Women's Health
South Valley University