Breathing and Core Stability Exercise Effects on Lumbopelvic Pain
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Traditional physical therapy breathing exercises |
Other: traditional physical therapy
breathing exercises 10 repetitions, 1set, 3 days/week and targeted abdominal muscles. Total 6 sessions were given each consisting of 30 minutes.
|
Experimental: Core stability exercise core stability exercise along with breathing exercises and pain pressure algometer is used |
Other: core stability exercises
core stability along with breathing exercise 10 repetitions, 1set, 3 days/week and targeted core muscles. Total 6 sessions were given consisting of 30 minutes.
|
Outcome Measures
Primary Outcome Measures
- Oswestry disability index [6th week]
Changes from base line Oswestry disability index was developed first by Fairbank et al. It was designed to measure the back pain and disability over time. It consists of 10, five parts sections. At the end, score is calculated by dividing the obtained score by total (50) multiplied by 100. As the driving section in all the female patients, total score was considered as 45 instead of 50.
Secondary Outcome Measures
- Pain Pressure Algometer [6th week]
Changes from base line Pain Pressure Algometer was developed first by Baba et al. The pressure algometer has linear response to force application between 0 and 1,300 kilopascal.
- ROM Back region (flexion) [6th week]
Changes from the Baseline ROM range of motion of back region flexion was taken.
- ROM Back region (extension) [6th week]
Changes from the baseline ROM range of motion of back region extension was taken.
Eligibility Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Services Hospital | Lahore | Punjab | Pakistan | 54660 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Hafiza Mehjabeen, MSWHPT, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
- Bergström C, Persson M, Nergård 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.
- Gutke A, Lundberg M, Östgaard HC, Öberg 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.
- Malmqvist S, Kjaermann I, Andersen K, Økland I, Brønnick 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.
- 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. Review.
- Robinson HS, Vøllestad NK, Veierød 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.
- 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.
- 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. Review.
- REC/RCR&AHS/22/0518