After the End of the Puerperium: Kinematic Assessment of Lumbar Spine Active Range of Motion in Women Who Experienced Cesarean or Vaginal Birth
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Lumbar Spine Extension Active Range of Motion
研究概览
简要总结
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.
详细描述
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.
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
- 是
入选标准
- •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.
- •Their ages ranged from 18 to 35 years.
- •Participants were assessed between the 6th week to the 12th week postnatal.
- •All participants were able to continue all assessment procedures.
- •They might have a mild or moderate myofascial LBP
排除标准
- •Women who were below 18 years old or above 35 years.
- •Women who did not continue all assessment procedures.
- •Women who had a severe myofascial LBP or any specific low back conditions.
结局指标
主要结局
Lumbar Spine Extension Active Range of Motion
时间窗: Assessment 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 Motion
时间窗: Assessment 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 Motion
时间窗: Assessment 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 Motion
时间窗: Assessment 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 Motion
时间窗: Assessment 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 Motion
时间窗: Assessment 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
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