Static and Dynamic Core Stability Exercises in Potpartum Back Pain

Study Overview
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Brief Summary
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To compare the effects of static exercises with dynamic core stability on pain and disability in postpartum back pain.

Detailed Description
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The study comprised 28 participants. The individuals were subdivided into binary groups, group A performed static exercises and group B performed dynamic exercises including swiss ball, each containing 14 subjects. Baseline treatment (Hot pack, TENS and posture correction) to both groups was given along with core stability exercises. Core stability exercises were performed on both group for 4 weeks. The pretreatment and post treatment tests are measured using the scale VAS (visual analog scale) and Oswestry disability index questionnaire. Both groups have shown the improvement in postpartum lumber pain and an improved in daily life activities. But swiss ball exercises have more significant improvement on pain and disability in patients having postpartum lumber pain.

Official Title
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Comparison of Static and Dynamic Core Stability Exercises on Pain and Disability in Postpartum Back Pain

Conditions
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Back Pain

Intervention / Treatment
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* Other: Static exercises
* Other: Dynamic exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age groups of 18 to 35 Pain more than 4/10 on VAS Without referred pain to lower limbs Women with normal delivery Exclusion Criteria: Nulliparous women Osteoporosis and OA Systemic arterial hypertension Hypersensitivity to electrical modalities Any fracture (spine, rib) or injury Any abdominal surgery Any other general ailment Vertebral or disc pathologies

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 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: Static exercises<br>static exercises i.e traditional exercises along with base line treatment of TENS and hot pack | Other: Static exercises<br>* Participants will be treated with static core muscle exercises that are traditional group of exercises : supine bridge plank oblique crunch side lying with Abduction This program includes static exercises performed thrice a week for 4 weeks.This exercise comprises 5 minutes warm up and slight stretching.Rest time of 2-3 minutes with proper stretching in between sets of activity. Subjects will be requested to undertake cool down exercises, which include aerobic workouts followed by stretching exercises, at the end of each day's exercise programme. Before beginning the next session's training, the subjects will be asked if they had any discomfort.<br>|
| Experimental: Dynamic exercises<br>dynamic (Swiss ball) exercises along with base line treatment of TENS and hot pack | Other: Dynamic exercises<br>* Participants will be treated with dynamic core muscle exercises that were swiss ball exercises bridging straight leg raise in prone lying straight leg raise with hand raise in prone lying pelvic tilts This program includes static exercises performed thrice a week for 4 weeks.This exercise comprises 5 minutes warm up and slight stretching.Rest time of 2-3 minutes with proper stretching in between sets of activity. Subjects will be requested to undertake cool down exercises, which include aerobic workouts followed by stretching exercises, at the end of each day's exercise programme. Before beginning the next session's training, the subjects will be asked if they had any discomfort.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oswestry disability index | Oswestry disability index (ODI) is used to measure disability. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. | 4th week | 
| visual analog scale | Visual analog scale (VAS) is usd to measure pain intensity. The findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain. | 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain and disability in postpartum