Shock Wave and Core Exercises for Postpartum Sacroiliac Pain

Study Overview
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Brief Summary
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Despite the high popularity and novelty of shock wave therapy (SWT), it is surprising that just one study has examined the effect of SWT on patients with SIJD and their functional ability following treatment by using subjective assessment tools like numeric rating scale (NRS) and limited by its small sample size and lack of long-term follow-up. Therefore, the present study is expected to contribute to the body of knowledge by exploring the effect of adding SWT to core stability exercises in the management of postpartum sacroiliac joint pain.

Official Title
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Effect of Adding Shock Wave Therapy to Core Stability Exercises in Treatment of Postpartum Sacroiliac Joint Pain: A Single-blinded, Randomized Controlled Trial.

Conditions
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Postpartum Sacroiliac Joint Pain

Intervention / Treatment
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* Other: Shock wave therapy and core stability exercises
* Other: core stability exercises only


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: post-partum women diagnosed with SIJP with limitation of its movement referred from the orthopedist. Age is between 25-35 years old. Their body mass index will be ranged from 25-35 kg/m2. Exclusion Criteria: Patients who have one of the following criteria will be excluded from the study: Previous spinal surgery. Medical diagnosis other than SIJ dysfunction. Patients who had any other spine disorders. Patients who had leg length discrepancies. Patients with congenital postural deformities. Patients with spinal cord injury or acute or unstable neurological signs. Patients with cauda equina symptoms related to the spine including changes in bowel or bladder control and perineal sensation. Patients with lumber intervertebral disc, spondylosis, lumbar canal stenosis and spondylolysthesis.

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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group<br> | Other: Shock wave therapy and core stability exercises<br>* 20 post-partum women with SIJP will be treated by ESWT once weekly combined with core stability exercises 3 times per week for 6 weeks.<br>|
| Active Comparator: Control group<br> | Other: core stability exercises only<br>* 20 post-partum women with SIJP will be treated by core stability exercises 3 times per week for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sacroiliac joint pain intensity | Sacroiliac joint pain intensity will be measured by visual analogue scale | change from base line at 6 weeks. | 
| pain pressure threshold | pain pressure threshold will be measured by pressure algometer | change from base line at 6 weeks. | 
| functional disability | functional disability will be measured by Oswestry disability index | change from base line at 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of life | quality of life will be measured by the standard quality of life assessment tool which is known as the short-form SF 36 tool | change from base line at 6 weeks. |