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Assessment of Lumbar Spine Active Range of Motion in Women Who Were Experienced Cesarean or Vaginal Birth

Completed
Conditions
Cesarean and Vaginal Birth Complications
Interventions
Device: Bubble Inclinometer and Digital Pelvic Inclinometer
Registration Number
NCT05538325
Lead Sponsor
South Valley University
Brief Summary

Pregnancy may impact the musculoskeletal apparatus of females through pregnancy-associated biomechanical, vascular, and hormonal changes. Pregnant females may complain of lumbopelvic pain, especially during their last trimester. This lumbopelvic pain can be the result of an enlarged uterus and unstable lumbopelvic joints.

Detailed Description

Cesarean birth can affect the lumbopelvic biomechanics through its impact on the sacroiliac joints and the abdominal muscles. while vaginal birth can trigger lumbopelvic pain through its impact on the pelvic joints like the symphysis pubis and sacroiliacs.

When puerperium is finished, most of these pregnancy-related changes assume its prepregnant conditions.

Physiotherapists are responsible for providing PT care for women to improve their quality of life during the puerperium and even during the delayed postpartum interval.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
66
Inclusion Criteria
  1. All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia.
  2. Their ages ranged from 18 to 35 years.
  3. Participants were assessed between the 6th week to the 12th week postnatal.
  4. All participants were able to continue all assessment procedures.
  5. They might have a mild or moderate myofascial LBP
Exclusion Criteria
  1. Women who were below 18 years old or above 35 years.
  2. Women who did not continue all assessment procedures.
  3. Women who had a severe myofascial LBP or any specific low back conditions.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Group BBubble Inclinometer and Digital Pelvic Inclinometer15 females who experienced vaginal birth
Group CBubble Inclinometer and Digital Pelvic Inclinometer40 females who were the controls, did not experience any pregnancy
Group ABubble Inclinometer and Digital Pelvic Inclinometer40 females who experienced cesarean birth
Primary Outcome Measures
NameTimeMethod
Lumbar Spine Extension Active Range of MotionAssessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning backward in the sagittal plane

Lumbar Spine Flexion Active Range of MotionAssessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning forward in the sagittal plane

Lumbar Spine Right Side Bending Active Range of MotionAssessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning sideway to the right in the frontal plane

Lumbar Spine Left Side Bending Active Range of MotionAssessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represent the non-painful full range of motion from standing upright to leaning sideway to the left in the frontal plane

Lumbar Spine Right Axial Rotation Active Range of MotionAssessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the right side

Lumbar Spine Left Axial Rotation Active Range of MotionAssessment will be done 6-12 weeks after Cesarean or Vaginal birth

It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the left side

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Faculty of physical therapy, South Valley University

🇪🇬

Qinā, Qena, Egypt

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