Clinical trial NCT05538325: Assessment of Lumbar Spine Active Range of Motion in Women Who Were Experienced Cesarean or Vaginal Birth
Official title: After the End of the Puerperium: Kinematic Assessment of Lumbar Spine Active Range of Motion in Women Who Experienced Cesarean or Vaginal Birth
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cesarean and Vaginal Birth Complications
Lead sponsor: South Valley University
Sponsor class: OTHER
First posted: 2022-09-13
Enrollment: 66
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: 66 women participated in this study. They were recruited from the Woman and Child Hospital of South Valley University, located in Qena governorate, Egypt.

Brief summary: Pregnancy may impact the musculoskeletal apparatus of females through pregnancy-associated biomechanical, vascular, and hormonal changes. Pregnant females may complain of lumbopelvic pain, especially during their last trimester. This lumbopelvic pain can be the result of an enlarged uterus and unstable lumbopelvic joints.

Detailed description: Cesarean birth can affect the lumbopelvic biomechanics through its impact on the sacroiliac joints and the abdominal muscles. while vaginal birth can trigger lumbopelvic pain through its impact on the pelvic joints like the symphysis pubis and sacroiliacs.

When puerperium is finished, most of these pregnancy-related changes assume its prepregnant conditions.

Physiotherapists are responsible for providing PT care for women to improve their quality of life during the puerperium and even during the delayed postpartum interval.

Eligibility criteria: Inclusion Criteria:

1. All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia.
2. Their ages ranged from 18 to 35 years.
3. Participants were assessed between the 6th week to the 12th week postnatal.
4. All participants were able to continue all assessment procedures.
5. They might have a mild or moderate myofascial LBP

Exclusion Criteria:

1. Women who were below 18 years old or above 35 years.
2. Women who did not continue all assessment procedures.
3. Women who had a severe myofascial LBP or any specific low back conditions.

Primary outcomes:
measure: Lumbar Spine Extension Active Range of Motion
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
measure: Lumbar Spine Flexion Active Range of Motion
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
measure: Lumbar Spine Right Side Bending Active Range of Motion
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
measure: Lumbar Spine Left Side Bending Active Range of Motion
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
measure: Lumbar Spine Right Axial Rotation Active Range of Motion
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
measure: Lumbar Spine Left Axial Rotation Active Range of Motion
timeFrame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
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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