Effects of Trunk Stabilization Versus Activation Exercises on Pain and Disability in Postpartum Lumbo-pelvic Pain

Study Overview
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Brief Summary
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To compare the Effects of trunk stabilization versus activation exercises on pain and disability in postpartum lumbo-pelvic pain.

Detailed Description
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Effects of stabilizing exercises on postpartum pelvic floor muscle function, lumbo-pelvic pain and disability. In results, stability exercises can help women with LPP enhance the function of their PFMs. Pregnancy and childbirth weakens PFMs and disrupts the load-transfer system in the lumbo-pelvic area. The use of PFMs in the right pattern can help these muscles operate better. Local stabilizing muscles are targeted during stabilization exercises, which increase pelvic motor control and stability. As per researcher knowledge there was limited evidence present on the comparison of trunk stabilization and trunk activation exercises. Therefore, this study was conducted to find the effectiveness of trunk stabilization versus activation exercises on disability and pain in postpartum women with lumbo-pelvic pain.

Official Title
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Effects of Trunk Stabilization Versus Activation Exercises on Pain and Disability in Postpartum Lumbo-pelvic Pain

Conditions
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Pelvic Pain

Intervention / Treatment
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* Other: Trunk stabilization
* Other: Activation exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 20-40 Female after postpartum Two or more positive posterior provocation test Active straight leg raises Pain onset during pregnancy Exclusion Criteria: Orthopedic or rheumatologic disorders Intervertebral disc pathology Neoplasm or previuos surgery of spine History of fracture.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Trunk stabilization<br>Trunk stabilization exercises were given three times a week for two weeks. | Other: Trunk stabilization<br>* Trunk stabilization exercises with Static back: A roll of towel was pressed against the back and the position was held for 10 secs and then released Static gluteus: The gluts were pressed inside and hold for 10 secs and then released. Abdominal bracing: Brace your abdomen by contracting your entire abdomen. From here Perform different exercises such as raising your arms and then raising your legs. Pelvic bridging: In crook lying, engage your gluts and trunk lift your hips towards the ceiling. Hold the position for 10 secs and then release. SLR with-hold at 30 and 45 degrees: Ask the supine patient to raise the leg up-to 45 degrees and hold for 10 secs. Then raise the leg up-to 30 degrees then hold for 10 secs.<br>|
| Experimental: Activation exercises<br>Activation exercises exercises performed twice for 5s, with 2 min rest between them for three times a week for two weeks. | Other: Activation exercises<br>* Activation exercises with Upper rectus abdominis (URA) and lower rectus abdominis (LRA): body supine with hips and knees flexed 90°, with feet locked. Participants flexed the trunk (i.e. crunch execution) against resistance at the level of the shoulders.. External oblique (EO) and internal oblique (IO): side-lying with the hip at the edge of the bench and feet locked by a second operator. Participants performed side-bend exercise against resistance at the level of the shoulder. Lower erector spinae (LES) and upper erector spinae (UES): prone position with ASIS at the edge of the bench and feet locked by a second operator. Participants performed a back extension against resistance at the level of the shoulders.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale | Pain intensity was assessed using a visual analog scale (VAS), which is a 100-mm ungraded line with two anchors. Its left and right anchors represented the minimum and maximum intensities of pain, respectively. The participants were asked to report their current pain intensity on the VAS. | 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oswestry disability index | The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools. | 2 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Lumbo-pelvic Pain, Postpartum, Stabilization Exercises, Trunk Activation Exercises