Clinical trial NCT05405127: Breathing and Core Stability Exercise Effects on Lumbopelvic Pain
Official title: Effects of Breathing Exercises With and Without Core Stability Exercises on Pain Pressure Threshold and Disability in Postpartum Females With Lumbopelvic Pain
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Breathing Sound
Low Back Pain
Post-operative Pain
Pelvic Pain
Keywords: breathing exercises
low back pain
post-partum pain
lumbopelvic pain
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-06-06
Enrollment: 44
Sex: FEMALE
Minimum age (years): 25
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Lumbopelvic pain refers to self-reported pain in areas of lower region, anterior and posterior pelvic tilt or combination of these. Physical therapy interventions used are breathing exercises with and without core stability exercises. Tool used were Pain Pressure Algometer and Oswestry Disability Index.

Detailed description: Lumbopelvic pain is self-reported pain. It is common complaint for women after labour, and it is found that 25% of newly delivered women experienced low back and pelvic pain. Different interventions have been used to reduce the lumbopelvic pain in general including exercises, drugs, therapies and massage. An increasingly common approach used within physical therapy management are breathing exercises and core stabilization exercises. This study will used to compare the effects of breathing exercises with and without core stability exercise. Pre-assessment will be done using oswestry disability index as subjective measurement and pain pressure algometer as objective measure.

Eligibility criteria: Inclusion Criteria:

* Women had parity (2-4) times
* Body mass index that did not exceed 30 Kg/m
* Lumbopelvic pain at least three months until one year postpartum

Exclusion Criteria:

* They were pregnant
* Had systemic inflammatory diseases
* Prolapsed disc
* Neuromuscular disorder

Primary outcomes:
measure: Oswestry disability index
timeFrame: 6th week
Secondary outcomes:
measure: Pain Pressure Algometer
timeFrame: 6th week
measure: ROM Back region (flexion)
timeFrame: 6th week
measure: ROM Back region (extension)
timeFrame: 6th week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Services Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Hafiza Mehjabeen, MSWHPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bergstrom C, Persson M, Nergard KA, Mogren I. Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum. BMC Musculoskelet Disord. 2017 Sep 16;18(1):399. doi: 10.1186/s12891-017-1760-5.
citation: Stuber KJ, Wynd S, Weis CA. Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review of the literature. Chiropr Man Therap. 2012 Mar 28;20:8. doi: 10.1186/2045-709X-20-8.
citation: Gutke A, Lundberg M, Ostgaard HC, Oberg B. Impact of postpartum lumbopelvic pain on disability, pain intensity, health-related quality of life, activity level, kinesiophobia, and depressive symptoms. Eur Spine J. 2011 Mar;20(3):440-8. doi: 10.1007/s00586-010-1487-6. Epub 2010 Jul 1.
citation: Robinson HS, Vollestad NK, Veierod MB. Clinical course of pelvic girdle pain postpartum - impact of clinical findings in late pregnancy. Man Ther. 2014 Jun;19(3):190-6. doi: 10.1016/j.math.2014.01.004. Epub 2014 Jan 22.
citation: Malmqvist S, Kjaermann I, Andersen K, Okland I, Bronnick K, Larsen JP. Prevalence of low back and pelvic pain during pregnancy in a Norwegian population. J Manipulative Physiol Ther. 2012 May;35(4):272-8. doi: 10.1016/j.jmpt.2012.04.004.
citation: O'Sullivan PB, Beales DJ. Diagnosis and classification of pelvic girdle pain disorders--Part 1: a mechanism based approach within a biopsychosocial framework. Man Ther. 2007 May;12(2):86-97. doi: 10.1016/j.math.2007.02.001.
citation: Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract. 2010 Jan-Feb;10(1):60-71. doi: 10.1111/j.1533-2500.2009.00327.x. Epub 2010 Oct 26.