Comparison of Thrust Manipulation of Sacroiliac Joint and Pelvic Stabilization Exercises in Post Partum Low Back Pain

NCT ID: NCT06303401

Last Updated: 2024-03-12

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-27
• Study Completion Date: 2024-08-30

Brief Summary

compare the effectiveness of SI joint thrust manipulation and pelvic stabilization exercises on Modified OSWESTRY Low Back pain Index (ODI) and Numeric Pain Rating Scale (NPRS) in patients with post-partum lower back pain.

Detailed Description

Patients fulfilling the inclusion criteria will be divided into 2 groups i.e. Group A and Group B. Patients in Group A will receive thrust manipulation technique and Group B will receive pelvic stabilization exercises, heating pad will be given to both groups. Patients will be treated 3 times per week for 4 consecutive weeks. Patient will be evaluated at baseline, midline and at end of 4th week. Pain, functional status and disability will be evaluated after every 3 sessions.

Conditions

Low Back Pain, Post Partum

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

SI joint thrust Manipulation

The patient was supine and the therapist stood contralateral to the side which was to be manipulated. The patient was passively moved into side bending toward the side to be manipulated. The therapist passively rotated the patient, and then delivered a quick thrust to the Anterior Superior Iliac Spine (ASIS) in a posterior and inferior direction

Group Type: EXPERIMENTAL

SI joint thrust manipulation

Intervention Type: OTHER

experimental group given the thrust manipulation along with heating pad. 3 sessions per week will be given for 4 weeks. The pain measure by using NPRS, functional status and disability through ODI will be evaluated.

after every 3 sessions.

Pelvic Stabilization Exercises

Heating pad for 10- 15 mints Pelvic stabilization exercises. Bridging (3 sets x 10 reps with 10 secs hold), Pelvic Tilt exercise (3 sets x 10 reps with 10 secs hold), Bird-Dog Exercise (3 sets x 10 reps with 10 secs hold), clamshell Exercise (3 sets x 10 reps with 10 secs hold).

Group Type: ACTIVE_COMPARATOR

pelvic stabilization exercises

Intervention Type: OTHER

Heating pad for 10- 15 mints Pelvic stabilization exercises include Bridging (3 sets x 10 reps with 10 secs hold) Pelvic Tilt exercise(3 sets x 10 reps with 10 secs hold) Bird-Dog Exercise (3 sets x 10 reps with 10 secs hold) clamshell Exercise (3 sets x 10 reps with 10 secs hold) .3 sessions per week will be given for 4 weeks. The pain using NPRS , functional status and disability will be evaluated by using ODI after every 3 sessions.

Interventions

SI joint thrust manipulation

experimental group given the thrust manipulation along with heating pad. 3 sessions per week will be given for 4 weeks. The pain measure by using NPRS, functional status and disability through ODI will be evaluated.

after every 3 sessions.

Intervention Type: OTHER

pelvic stabilization exercises

Heating pad for 10- 15 mints Pelvic stabilization exercises include Bridging (3 sets x 10 reps with 10 secs hold) Pelvic Tilt exercise(3 sets x 10 reps with 10 secs hold) Bird-Dog Exercise (3 sets x 10 reps with 10 secs hold) clamshell Exercise (3 sets x 10 reps with 10 secs hold) .3 sessions per week will be given for 4 weeks. The pain using NPRS , functional status and disability will be evaluated by using ODI after every 3 sessions.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• age 20-40 years
• Postpartum women (after 6 weeks)(3, 12)
• Postpartum LBP patient
• Patient pain increased by provocation test i.e. Faber test, High thrust test and Gaenslen test

Exclusion Criteria

• C-section
• inflammatory or malignant type of pain
• Neurological deficit
• Severe trauma
• Pelvic fracture
• Osteoporosis, spinal stenosis, spondylolysis, spondoloesthesisi

• 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

Asmar Fatima, MS OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Lady Reading Hospital and Shahab Orthopedic & General Hospital

Peshawar, KPK, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Imran Amjad, Phd

Role: CONTACT

imran.amjad@riphah.edu.pk

03324390125

Facility Contacts

Asmar Fatima, MS OMPT

Role: primary

asmar.fatima@riphah.edu.pk

03336195644

Other Identifiers

REC/MS-PT/01787 Gullalay

Identifier Type: -

Identifier Source: org_study_id