Clinical trial NCT05493891: Low Back Pain Intensity and Core Muscle Strength After Different Delivery Modes
Official title: Testing the Association Between Low Back Pain Intensity and Core Muscle Strength in Women Who Underwent Cesarean or Vaginal Deliveries
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Low Back Pain and Core Muscle
Lead sponsor: South Valley University
Sponsor class: OTHER
First posted: 2022-08-09
Enrollment: 36
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: 36 participants participated in our study, and were classified into 2 groups; (group A) represents 18 mothers undergoing cesarean birth, and (group B) represents 18 mothers undergoing normal vaginal birth.

Brief summary: Cesarean delivery (CD) may trigger an increase in low back pain (LBP) intensity and induce core muscle weakness. This study will assess the correlation between low back pain intensity and core muscle strength of transverse abdominis and Lumbar multifidus among women who underwent CD and compare it with those who experienced vaginal delivery.

Detailed description: Cesarean delivery (CD) is one of the most common surgical procedures in obstetrics, and it is also one of the oldest medical procedures. The rise in the rate of cesarean sections is one of the most striking hallmarks of modern obstetrics.

In Egypt, the prevalence of CD has increased dramatically over the last decade, with the most recent Egypt Demographic and Health Survey (EDHS) reporting a rate of 52 percent, implying that cesarean sections may be overused or utilized for improper reasons.

The two deep local core muscles are the transversus abdominis and the lumbar multifidus muscles. The definition of Core muscle strength is the active ability of these muscles to not only produce but also, maintain stresses to provide stability for the spine through management of the intra-abdominal pressure.

LBP prevalence in mothers undergoing cesarean delivery was higher compared to its counterpart in mothers undergoing vaginal delivery. The related mechanisms for LBP during the postpartum period following cesarean or vaginal deliveries may be overweight and obesity, postural adaptations, and stressful positions that mothers assume during either delivery or lactation.

Eligibility criteria: Inclusion Criteria:

1. All women are either primiparous or multiparous.
2. Their ages ranged from 18 to 35 years.
3. All participants had a body mass index (BMI) of not more than 29.5, and a waist-to-hip ratio of not more than 1.
4. Participants were assessed between the 6th week to the 12th week postnatal.
5. All participants were able to continue all assessment procedures.
6. They were medically stable.

Exclusion Criteria:

1. Women who were below 18 years old or above 35 years old.
2. Women who had a (BMI) above 29.5 or a waist-to-hip ratio above 1.
3. Women who did not continue all assessment procedures.
4. Women who had a past history of specific LBP as those who were diagnosed with spondylolisthesis, lumbar disc prolapse, or structural scoliosis.

Primary outcomes:
measure: The intensity of LBP
timeFrame: Assessment will be done 6-12 weeks after Cesarean OR Vaginal deliveries
measure: The maximal voluntary isometric contraction of the transversus abdominis muscle
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries
measure: The maximal voluntary isometric contraction of the lumbar multifidus muscle
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries
measure: The correlation coefficient between low back pain intensity and core muscle strength
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal Deliveries
Secondary outcomes:
Other outcomes:
Locations:
city: Qinā
country: Egypt
facility: Faculty of physical therapy, South Valley University
state: Qena
Study officials:
References:
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