Effectiveness of Lumbopelvic Stabilization Exercises for Pregnancy-related Low Back Pain

Not Applicable

Withdrawn

• Conditions: Pregnancy-related Low Back Pain
• Interventions: Other: Lumbopelvic stabilization exercises

• Registration Number: NCT02606786
• Lead Sponsor: Texas Woman's University

Brief Summary

The purpose of this study is to examine the effectiveness of lumbopelvic stabilization exercises on women who have undergone Caesarian sections on: 1) disability using the Modified Oswestry Low Back Disability Index (OSW), 2) pain according to the Numeric Pain Rating Scale (NPRS), 3) percent change of muscle thickness of the deep abdominals using ultrasound imaging, and 4) perceived improvement using the Global Rating of Change (GROC).

Detailed Description

Pregnancy-related low back pain is a very complex problem. Decreased strength and endurance in the trunk and hip muscles have been shown in those with pregnancy-related low back pain. Lumbopelvic stabilization exercises have been shown to decrease pain and disability in those with low back pain. However, there have been very few studies with post-partum women, specifically those who have undergone Caesarian section births.

The purpose of this study is to examine the effectiveness of lumbopelvic stabilization exercises on women who have undergone Caesarian sections on: 1) disability using the Modified Oswestry Low Back Disability Index (OSW), 2) pain according to the Numeric Pain Rating Scale (NPRS), 3) percent change of muscle thickness of the deep abdominals using ultrasound imaging, and 4) perceived improvement using the Global Rating of Change (GROC).

Study Timeline

• Study Start: 2015-03
• Study First Submitted: 2015-03-18
• Study First Submitted QC: 2015-11-13
• Study First Posted: 2015-11-17
• Primary Completion: 2016-12
• Study Completion: 2016-12
• Status Verified: 2017-09
• Last Update Submitted: 2017-09-06
• Last Update Posted: 2017-09-07

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

• Unilateral low back pain near the sacro-iliac joint (SIJ) (distal and/or lateral to L5-S1 in the buttocks) and/or symphysis pubis
• Pain onset during pregnancy or within 3 weeks of delivery
• Most recent delivery within 6-24 weeks
• At least 2/6 positive SIJ provocation tests (thigh thrust, sacral compression, sacral distraction, sacral thrust, Gaenslen's test)
• Positive active straight leg raise (ASLR) test.

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Exclusion Criteria

• Neurological signs
• Systemic disease
• Currently pregnant

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
stabilization exercises	Lumbopelvic stabilization exercises	Lumbopelvic stabilization exercises have been shown to decrease pain and disability in those with low back pain. The objective of this exercise program is to recruit and train the primary stabilizing muscles of the spine in order for them to more appropriately support the spine.

Primary Outcome Measures

Name	Time	Method
Change in Modified Oswestry Low Back Pain Questionnaire	4 weeks, 12 weeks	Low back pain (LBP)-related disability

Secondary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale	4 weeks, 12 weeks	Pain intensity
Ultrasonographic measurements	4 weeks, 12 weeks	Thickness of abdominal muscles at rest and with contraction
Participant perceived level of improvement	4 weeks, 12 weeks	Subjective rating of change in response to treatment using the Global Rating of Change Scale (GROC)

Trial Locations

Locations (1)

Texas Woman's University; 🇺🇸 Dallas, Texas, United States