Effects of Trunk Stabilization Versus Activation Exercises on Pain and Disability in Postpartum Lumbo-pelvic Pain

NCT ID: NCT05490810

Last Updated: 2022-12-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-02-01
• Study Completion Date: 2022-07-30

Brief Summary

To compare the Effects of trunk stabilization versus activation exercises on pain and disability in postpartum lumbo-pelvic pain.

Detailed Description

Effects of stabilizing exercises on postpartum pelvic floor muscle function, lumbo-pelvic pain and disability. In results, stability exercises can help women with LPP enhance the function of their PFMs. Pregnancy and childbirth weakens PFMs and disrupts the load-transfer system in the lumbo-pelvic area. The use of PFMs in the right pattern can help these muscles operate better. Local stabilizing muscles are targeted during stabilization exercises, which increase pelvic motor control and stability.

As per researcher knowledge there was limited evidence present on the comparison of trunk stabilization and trunk activation exercises. Therefore, this study was conducted to find the effectiveness of trunk stabilization versus activation exercises on disability and pain in postpartum women with lumbo-pelvic pain.

Conditions

Pelvic Pain

Keywords

Lumbo-pelvic Pain; Postpartum; Stabilization Exercises; Trunk Activation Exercises

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Trunk stabilization

Trunk stabilization exercises were given three times a week for two weeks.

Group Type: EXPERIMENTAL

Trunk stabilization

Intervention Type: OTHER

Trunk stabilization exercises with

• Static back: A roll of towel was pressed against the back and the position was held for 10 secs and then released
• Static gluteus: The gluts were pressed inside and hold for 10 secs and then released.
• Abdominal bracing: Brace your abdomen by contracting your entire abdomen. From here Perform different exercises such as raising your arms and then raising your legs.
• Pelvic bridging: In crook lying, engage your gluts and trunk lift your hips towards the ceiling. Hold the position for 10 secs and then release.
• SLR with-hold at 30 and 45 degrees: Ask the supine patient to raise the leg up-to 45 degrees and hold for 10 secs. Then raise the leg up-to 30 degrees then hold for 10 secs.

Activation exercises

Activation exercises exercises performed twice for 5s, with 2 min rest between them for three times a week for two weeks.

Group Type: EXPERIMENTAL

Activation exercises

Intervention Type: OTHER

Activation exercises with

• Upper rectus abdominis (URA) and lower rectus abdominis (LRA): body supine with hips and knees flexed 90°, with feet locked. Participants flexed the trunk (i.e. crunch execution) against resistance at the level of the shoulders..
• External oblique (EO) and internal oblique (IO): side-lying with the hip at the edge of the bench and feet locked by a second operator. Participants performed side-bend exercise against resistance at the level of the shoulder.
• Lower erector spinae (LES) and upper erector spinae (UES): prone position with ASIS at the edge of the bench and feet locked by a second operator. Participants performed a back extension against resistance at the level of the shoulders.

Interventions

Trunk stabilization

Trunk stabilization exercises with

• Static back: A roll of towel was pressed against the back and the position was held for 10 secs and then released
• Static gluteus: The gluts were pressed inside and hold for 10 secs and then released.
• Abdominal bracing: Brace your abdomen by contracting your entire abdomen. From here Perform different exercises such as raising your arms and then raising your legs.
• Pelvic bridging: In crook lying, engage your gluts and trunk lift your hips towards the ceiling. Hold the position for 10 secs and then release.
• SLR with-hold at 30 and 45 degrees: Ask the supine patient to raise the leg up-to 45 degrees and hold for 10 secs. Then raise the leg up-to 30 degrees then hold for 10 secs.

Intervention Type: OTHER

Activation exercises

Activation exercises with

• Upper rectus abdominis (URA) and lower rectus abdominis (LRA): body supine with hips and knees flexed 90°, with feet locked. Participants flexed the trunk (i.e. crunch execution) against resistance at the level of the shoulders..
• External oblique (EO) and internal oblique (IO): side-lying with the hip at the edge of the bench and feet locked by a second operator. Participants performed side-bend exercise against resistance at the level of the shoulder.
• Lower erector spinae (LES) and upper erector spinae (UES): prone position with ASIS at the edge of the bench and feet locked by a second operator. Participants performed a back extension against resistance at the level of the shoulders.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age 20-40
• Female after postpartum
• Two or more positive posterior provocation test
• Active straight leg raises
• Pain onset during pregnancy

Exclusion Criteria

• Orthopedic or rheumatologic disorders
• Intervertebral disc pathology
• Neoplasm or previuos surgery of spine
• History of fracture.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Hafiza Neelam Muneeb, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Jinnah hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Chaudhry RY, Muneeb HN, Amjad A, Shafique S, Naseem A, Shahzadi N. Comparing the effects of trunk stabilisation and activation exercises on pain and disability in postpartum lumbo-pelvic pain: A randomised controlled trial. J Pak Med Assoc. 2024 Jan;74(1):126-128. doi: 10.47391/JPMA.8395.

Reference Type: DERIVED

PMID: 38219179 (View on PubMed)

Other Identifiers

REC/RCR&AHS/22/0517

Identifier Type: -

Identifier Source: org_study_id