Effects of Antenatal Exercises in Primagravida

Study Overview
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Brief Summary
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The goal of this Randomized control trial is to determine the effects of antenatal exercises on low back pain in Primagravida. The main questions it aims to answer are whether supervised antenatal exercises have an effect on low back pain and depression in primagravida.

Detailed Description
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Females usually tend to avoid physical activity during pregnancy. Concept of antenatal exercises and its effects on low back pain or antenatal depression is yet not common amongst pregnant females in Pakistan. Low back pain and antenatal depression are common in pregnancy. These can have an impact on both their own health and the health of their unborn child. Understanding the benefits of antenatal exercises will encourage pregnant females to engage in regular physical activity. The results of this study will help physical therapists to implement effective exercise interventions for this population.

Official Title
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Effects Of Supervised Antenatal Exercises On Low Back Pain And Depression In Primigravida

Conditions
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Pregnancy Related

Intervention / Treatment
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* Other: Supervised antenatal exercises
* Other: Antenatal Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primagravida Single pregnancy Diagnosed for risk of Prenatal depression on EDPS >10 Pregnancy related Low back pain score of 3 to 8 on NPRS for at least 2 weeks. Females in 2nd Trimester of pregnancy Exclusion Criteria: Any present or previous pelvic floor dysfunctions diagnosed by health professionals. Any physical disability causing inability to perform physical exercises. Any contraindications to physical activity according to ACOG Pelvic girdle pain (Anterior: Pubic symphysis, Posterior: SI joint Pain, Gluteal Pain, Piriformis syndrome). Rheumatoid disorders. Low back pain with radiation Not engaged in regular exercise.

Ages Eligible for Study
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Minimum Age: 18 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Supervised Antenatal Exercises<br>Supervised antenatal exercises twice a week an antenatal education | Other: Supervised antenatal exercises<br>* Supervised antenatal exercises along with education twice a week. Protocol consists of warm up (10 min), Aerobic training (20 mins, 60-75% of max. HR), Strength training (25 minutes), followed by a cool down of 15 minutes. The Interventions to be provided for a period of 12 weeks.<br>|
| Active Comparator: Antenatal Education<br>Antenatal education only | Other: Antenatal Education<br>* Antenatal education at 12th week of pregnancy. Which consists of education on Posture in pregnancy, Role of pelvic floor muscles, Labor and breathing and relaxation techniques.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Low back pain | Changes from baseline low back pain will be assessed on Numeric pain rating scale. The scale ranges from 0 for no pain to 10 for worse pain. | 12th Week | 
| The Roland Morris Low Back Pain and Disability Questionnaire | Changes from baseline low back pain related disability will be assessed using Roland Morris low back pain and disability questionnaire. It is a self-report questionnaire consisting of 24 questions that are scored on a dichotomous scale (yes/no). The total score ranges from 0 to 24, with higher scores indicating greater disability. | 12th Week | 
| Beck depression inventory | Changes from baseline antenatal depression will be assessed using Beck depression inventory. A total score of 0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression. Higher total scores indicate more severe depressive symptoms | 12th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Multidimensional Fatigue Inventory | Changes from baseline fatigue will be assessed using Multidimensional Fatigue Inventory. The MFI is a 20-item scale designed to evaluate five dimensions of fatigue: general fatigue, physical fatigue, reduced motivation, reduced activity, and mental fatigue. Items are scored on a scale of 1 to 5. For the total score, a higher score represent greater fatigue. | 12th week | 
| Fear of Childbirth Questionnaire | Changes from baseline The Fear of Childbirth Questionnaire (FCQ) this is 20 item questionnaires for women who are pregnant. Items are scored on a scale of 1 to 5. A higher score indicates greater fear | 12th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pregnancy Related, antenatal depression, low back pain