Low Back Pain, Post Partum
Conditions
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.
Interventions
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.
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.
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Oswestry Disability Index (ODI) | 4th week | The ODI is a disease specific disability measure is used to establish a level of disability stage on a patient activity status and monitor change over the time. The ODI is made up of 10 questions. Each question is scored from (o-5) minimum to maximum. |
| Numeric pain rating scale (NPRS) | 4th week | The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale: the patient rates pain from 0 (no pain) to 10 (worst imaginable pain). |
Countries
Pakistan