Mobilization for Post Partum Low Back Pain

Study Overview
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Brief Summary
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The study was conducted to the following purposes To investigate the effect of lumbar mobilization on muscle activity in postpartum mechanical low back pain. To investigate the effect of lumbar mobilization on pain intensity in postpartum mechanical low back pain patients. To investigate the effect lumbar mobilization on functional disability in postpartum mechanical low back pain patients. To compare between the effects of lumbar mobilization, tactile stimulation (placebo treatment) and traditional treatment in postpartum mechanical low back pain patients.

Detailed Description
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all participants divided randomly into three groups, Group A (Study group) received PA lumbar mobilization plus traditional treatment which consisted of Ultrasonic and Infra-red. Group B (Placebo group) received placebo mobilization plus traditional treatment. Group C (Control group) received traditional treatment only

Official Title
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Efficacy of Lumbar Mobilization on Postpartum Low Back Pain in Egyptian Females: A Randomized Control Trial

Conditions
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Low Back Pain, Mechanical

Intervention / Treatment
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* Procedure: mobilization (manual therapy)
* Procedure: Placebo mobilization
* Device: Ultrasound and infrared devices


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Females with LBP lasting more than 3 months since their delivery their age range 25-35 years old with body mass index (BMI) less than 30kg/m2 Exclusion Criteria: medical conditions that don't allow the subject to lie prone comfortably as, cardiovascular disease, uncontrolled hypertension, abdominal hernia, severe respiratory diseases, as well as problems in the back e.g. previous low back surgery, spinal malignancy. In addition to known rheumatic joint disease, and upper or lower motor neuron lesion that affects lower limbs

Ages Eligible for Study
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Minimum Age: 25 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: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mobilization (manual therapy)<br>Mobilization (manual therapy) posterior- anterior at the L3 for 2 minutes in addition to the traditional treatment in the form of infra-red and ultrasound. The treatment duration for the three groups was 3 times/week for 4 weeks. | Procedure: mobilization (manual therapy)<br>* mobilization is one of the manual therapy or treatments with the application of a gentle oscillatory passive movement to the spinal region specifically at the level of L3 in this study at the posterio-anterior direction.<br>* Other names: PA mobilization;Device: Ultrasound and infrared devices<br>* ultrasound and infrared are the traditional treatment for low back pain , they are electrical modalities used in the field of physiotherapy to decrease the inflammation and the pain in musculoskeletal systems<br>* Other names: US & IR;|
| Placebo Comparator: placebo mobilization<br>placebo mobilization applied without force application. The treatment duration for the three groups was 3 times/week for 4 weeks | Procedure: Placebo mobilization<br>* placebo mobilization is a tactile stimulation at the same level L3 without application of any force.<br>* Other names: tactile stimulation;Device: Ultrasound and infrared devices<br>* ultrasound and infrared are the traditional treatment for low back pain , they are electrical modalities used in the field of physiotherapy to decrease the inflammation and the pain in musculoskeletal systems<br>* Other names: US & IR;|
| Other: Ultrasound and infrared therapy<br>ultrasound and infrared are a traditional treatment for low back painThe treatment duration for the three groups was 3 times/week for 4 weeks. | Device: Ultrasound and infrared devices<br>* ultrasound and infrared are the traditional treatment for low back pain , they are electrical modalities used in the field of physiotherapy to decrease the inflammation and the pain in musculoskeletal systems<br>* Other names: US & IR;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity | each case assessed two times pre- post intervention, intervention was lasted for 4 weeks | after 4 weeks from starting the intervention | 
| functional disability | each case assessed two times pre-post intervention, intervention lasted for 4 weeks | after 4 weeks from starting the intervention | 
| back muscle activity | each case assessed two time pre- post intervention, intervention lasted for 4 weeks | after 4 weeks from starting the intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mechanical LBP, Mobilization, Postpartum