Low Back Pain Post Partum, Lumbosacral Instability
Conditions
Keywords
clamshell exercise, lumbopelvic instability, low back pain, post partum
Brief summary
This study will be conducted on 44 females with postpartum LBP & pelvic instability, selected from Dar of women hospital in port said to investigate effect of clamshell exercise on lumbo-pelvic stability and low back pain in postpartum women.
Interventions
they will perform 3 times/week of static abdominal contraction for six weeks.
Each women will be positioned in side lying on the floor, with the pelvis and the spine in neutral position, the hips will bent at 45° and the knees flexed to 90°. She will abduct the top knee as far as possible, while keeping the heels together, then return to the starting position , the position will be maintained for 5 seconds in an abduction state, and repeated 10 times, with rest for 1 minute to minimize muscle fatigue,they will perform 3 times/week fo 6 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
1. Post-partum females complaining of LBP and lumber instability 2. Their age will be ranged from 25-35 years. 3. Their BMI will be ranged from 25-30 kg/m2
Exclusion criteria
1. Spinal deformity. 2. Lower limb deformity. 3. Osteosarcoma 4. Mental disorders. 5-25\>BMI\>30 6-Performing any physical exercise at the time of the study. 7-Bad general Health
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the degree of lumbopelvic instability | change in the lumbopelvic instability degree will be measured at baseline and after 6 weeks of the interventions | Change in the degree of lumbopelvic instability will be measured by specific tests(The dip test, the runner pose test and the single leg squat test) and the pateint performance will be graded as poor or good |
| lumbopelvic range of motion | change in the lumbopelvic instability degree will be measured at baseline and after 6 weeks of the interventions | Degree of lumbopelvic range of motion will be measured by goniometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| severity of pain intensity | change in the lumbopelvic instability will be measured at baseline and after 6 weeks of the interventions | change in low back pain intensity will be measured using visual analogue scale(VAS) low back pain intensity |
| the degree of function disability | change in the lumbopelvic instability will be measured at baseline and after 6 weeks of the interventions | the change in the degree of function disability will be measured by Oswestry disability index (ODI) |