Low Back Pain
Conditions
Brief summary
the effect of kinetic control training and hotpack and compare it with hotpack alone on postnatal low back pain
Detailed description
Background: Postnatal low back pain (PLBP) is a common condition affecting women after childbirth due to musculoskeletal and biomechanical changes during pregnancy. Effective rehabilitation strategies are essential for pain relief and functional recovery. Objective: This study aims to evaluate the effect of kinetic control training in postnatal women with low back pain. Methods: A total of 66 postnatal women with low back pain were randomly selected from WENGAT Hospital and EL SHATBY Hospital in Alexandria. Participants were divided into two equal groups: Group A: 33 women treated with hot pack for 20 minutes twice daily for 6 weeks. Group B: 33 women treated with a combination of kinetic control training and hot pack 3 sessions/week for 6 weeks. Pain intensity will be assessed using the Visual Analog Scale (VAS) and Pressure Algometer. Range of motion (ROM) will be evaluated using the Modified Schober Test.
Interventions
OTHERhot pack therapy
Application of a commercial hot pack to the lumbar region for 20-30 minutes per session, twice daily, for 6 weeks.
GENETICKinetic control training
is an evidence-based rehabilitation approach, focused on retraining movement patterns by addressing and improving motor control of the lumbar spine and pelvis, correcting faulty movement strategies, enhancing stability in functional tasks. The principles of KCT entail the identification of direction-specific motor control deficit, uncontrolled extension, followed by focused retraining of movement control through specific exercises designed to improve the coordination and activation of deep stabilizing muscle systems, including the transversus abdominis, multifidus, and pelvic floor muscles. This approach is especially relevant in postpartum women, where motor control deficits and poor load transfer capabilities are commonly observed . Based on the clinical presentation of patients with postnatal low back pain, demonstrated symptoms that were aggravated during lumbar extension movements or when maintaining prolonged upright postures. The
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
\*\*Inclusion Criteria:\*\* * Female patients with postnatal low back pain (PLBP) that lasted for at least 6 months. * Pain intensity ≥ 5 on the Visual Analog Scale (VAS). * Limitation score ≤ 5 on the Modified Schober Test. * Age between 25 and 35 years. * Body mass index (BMI) between 20-25 kg/m². * Medically stable and able to provide informed consent. * Positive result in the extension uncontrolled movement test, indicating: * Loss of lumbopelvic control. * Overactivity of global extensors during functional tasks. \*
Exclusion criteria
\*\* * Any neurological or rheumatological disorders. * Previous spinal surgery. * Pregnancy or planning to become pregnant during the study period. * BMI outside the 20-25 kg/m² range. * Inability to participate in exercise or physical activity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity Measured by Visual Analog Scale (VAS) | Baseline and after 8weeks of intervention | Pain intensity will be assessed using the Visual Analog Scale (VAS), a validated tool for measuring subjective pain levels. Participants will indicate their pain level on a 10 cm horizontal line ranging from no pain (0) to worst imaginable pain (10). This measurement will help evaluate the effectiveness of kinetic control training in reducing postnatal low back pain compared to hot pack therapy alone |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar Range of Motion (Flexion and Extension) Using Modified Schober Test | Baseline and after 8weeks of intervention | This measure assesses the flexibility and mobility of the lumbar spine using the Modified Schober Test. A non-invasive tape measure method is used to evaluate the difference in spinal segment length during full flexion and extension compared to the neutral standing posture. The outcome reflects the degree of lumbar mobility, which may be affected by postnatal low back pain and improved through targeted interventions like kinetic control training. |
Countries
Egypt
Contacts
Primary Contactdr mohamed awad and dr marwa mahran prof and doctor, phd /master
Backup ContactMarwa Mahran, Doctor
Outcome results
None listed