Effect of Osteopathic Manipulations of Post Cesarean Section Adhesions on Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Visual analogue scale
研究概览
简要总结
Chronic low back pain post cesarean section adhesions represents a restricting dysfunction, mainly influences abdominal fascia that leads to major welfare and economic restrictions. Osteopathic manipulation is a drug-free non-invasive is the therapeutic application of manually guided forces to improve physiologic function and support homeostasis. The purpose of the current study is to determine the effect of osteopathic manipulations of post cesarean section adhesions on low back pain
详细描述
Chronic low back pain is a common musculoskeletal disorder affects adults with 84% prevalence. It influences lower back, and lasts at least 12 weeks. Where increased annual cesarean section rates up to 19.1% associated with scar, pelvic, abdominal and low back pain disorders. From the fascial point of view, abdominal muscles are in continuity with the thoracolumbar fascia and the pelvic floor. It has been demonstrated that they work with great synergy and guaranteed by fascial continuity .
Osteopathic manipulative technique consists of a range of direct, indirect, combined, fluid and reflex-based manual techniques that are applied specifically to a joint or non-specifically to a body area. Direct techniques apply thrust, impulse, muscle contraction, fascial loading or passive range of motion .The purpose of the current study is to determine the effect of osteopathic manipulations of post cesarean section adhesions on low back pain. Up on that 30 post cesarean women suffering from low back pain at least for 6 months from the Outpatient Clinic of Mitghamer Hospital, El-Daqahlia. Their age range 20-35 years old, BMI range≤ 25 kg /m2. They will be allocated into control group will receive analgesics. Study group will receive four weeks of analgesics, plus osteopathic manipulations once per week.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
The whole participants, care provider, investigator and the outcome assessor will not be aware of each participant allocation within the current study groups; Based on a third person will be assigned for randomization.
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •They suffered from low back pain and undergoes cesarean section at least 6 months before entry into study.
- •Their body mass index (BMI) will be ≤ 25 kg /m
- •Their age will range from 20 to 35 years.
- •They would not use any other analgesic drugs during the study period.
排除标准
- •Pregnancy or suspected pregnancy.
- •Recent abdominal surgery
- •Patients with severe spinal pathology (cauda equine syndrome, spinal canal stenosis, fracture of spine, discitis, infectious disease of spine).
- •Abdominal and pelvic infection, open wound, burn and skin irritation.
研究组 & 干预措施
Control Group
Fifteen Females will receive only analgesic drugs for four weeks.
干预措施: Control Group (Other)
Study Group
Fifteen females will receive osteopathic manipulations once weekly along four weeks, plus analgesic drugs for four weeks.
干预措施: Control Group (Other)
Study Group
Fifteen females will receive osteopathic manipulations once weekly along four weeks, plus analgesic drugs for four weeks.
干预措施: Osteopathic Manipulations (Other)
结局指标
主要结局
Visual analogue scale
时间窗: Pre-treatment, and Post-treatment of the the study treatment program afetr 4-weeks).
a self-reported pain measurement a widely utilized scale in rehabilitation. It has been shown to be valid and reliable, and its ratio scale properties make VAS the optional tool for describing pain intensity
次要结局
- Oswestry Low Back Disability Questionnaire(Pre-treatment, and Post-treatment of the the study treatment program after 4-weeks).)
- Modified Schober Test(Pre-treatment, and Post-treatment of the the study treatment program after4-weeks).)
研究者
Radwa Helmy Mohamed Faiyad
Physical Therapy Specialist
Cairo University