Low Back Pain Intensity and Core Muscle Strength After Different Delivery Modes
NCT ID: NCT05493891
Last Updated: 2025-10-02
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
36 participants
OBSERVATIONAL
2021-06-28
2023-08-05
Brief Summary
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Detailed Description
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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.
Conditions
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Study Design
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OTHER
CROSS_SECTIONAL
Study Groups
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Group A
18 participants have been exposed to cesarean delivery
Visual analogue scale (VAS)
VAS is a reliable and valid method for assessing the intensity of low back pain (LBP)
Pressure Biofeedback Unit (PBU)
PBU is a valid and reliable instrument for measuring the maximal voluntary isometric contraction of both lumbar multifidus and transversus abdominis muscles (core muscle strength)
Group B
18 participants have been exposed to vaginal delivery
Visual analogue scale (VAS)
VAS is a reliable and valid method for assessing the intensity of low back pain (LBP)
Pressure Biofeedback Unit (PBU)
PBU is a valid and reliable instrument for measuring the maximal voluntary isometric contraction of both lumbar multifidus and transversus abdominis muscles (core muscle strength)
Interventions
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Visual analogue scale (VAS)
VAS is a reliable and valid method for assessing the intensity of low back pain (LBP)
Pressure Biofeedback Unit (PBU)
PBU is a valid and reliable instrument for measuring the maximal voluntary isometric contraction of both lumbar multifidus and transversus abdominis muscles (core muscle strength)
Eligibility Criteria
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Inclusion Criteria
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
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.
18 Years
35 Years
FEMALE
No
Sponsors
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South Valley University
OTHER
Responsible Party
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Mohamed Gamal Abouelyazeed Ali
Lecturer of Physical Therapy for Women's Health
Locations
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Faculty of physical therapy, South Valley University
Qina, Qena Governorate, Egypt
Countries
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References
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Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Indications contributing to the increasing cesarean delivery rate. Obstet Gynecol. 2011 Jul;118(1):29-38. doi: 10.1097/AOG.0b013e31821e5f65.
Abdel-Tawab N, Oraby D, Hassanein N, and El-Nakib S. Cesarean Section Deliveries in EGYPT: Trends, Practices, Perceptions and Cost, Cairo: Population Council. 2018.
Mhyre JM, Sultan P. General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided. Anesthesiology. 2019 Jun;130(6):864-866. doi: 10.1097/ALN.0000000000002708. No abstract available.
Ring L, Landau R, Delgado C. The Current Role of General Anesthesia for Cesarean Delivery. Curr Anesthesiol Rep. 2021;11(1):18-27. doi: 10.1007/s40140-021-00437-6. Epub 2021 Feb 24.
Traynor AJ, Aragon M, Ghosh D, Choi RS, Dingmann C, Vu Tran Z, Bucklin BA. Obstetric Anesthesia Workforce Survey: A 30-Year Update. Anesth Analg. 2016 Jun;122(6):1939-46. doi: 10.1213/ANE.0000000000001204.
Malatova R, Rokytova J, Stumbauer J. The use of muscle dynamometer for correction of muscle imbalances in the area of deep stabilising spine system. Proc Inst Mech Eng H. 2013 Aug;227(8):896-903. doi: 10.1177/0954411913486078. Epub 2013 May 1.
Faries MD, Greenwood M. Core training: stabilizing the confusion. Strength and conditioning journal. 2007 Apr 1;29(2):10.
Parikh S, Suchi J. Prevalence of low back pain and its impact on quality of life in post-partum women. International Journal of Scientific Research. 2016; 7:14342-8.
MacArthur C, Lewis M, Knox EG, Crawford JS. Epidural anaesthesia and long term backache after childbirth. BMJ. 1990 Jul 7;301(6742):9-12. doi: 10.1136/bmj.301.6742.9.
Other Identifiers
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Core muscle strength
Identifier Type: -
Identifier Source: org_study_id
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