Effect of Blood Flow Restriction Technique on Postpartum Pelvic Girdle Pain

N/ANot Yet RecruitingNCT07292051

Kafrelsheikh University66 enrolled

Overview

Purpose of the study : The purpose of the current study is investigating the effect of Blood Flow Restriction Training technique on postpartum pelvic girdle pain.

This study is a randomized controlled trial. To fulfill its purpose, we have two groups; control group (A) and experimental group (B) are two matched postpartum pelvic girdle pain groups. While group (A) will receive a core stability exercise program, group (B) will receive core stability exercise program with blood flow restriction technique. The primary outcome measure will be pelvic girdle pain intensity, while the secondary outcomes will include pelvic girdle-related disability, health-related quality of life, Kinesiophobia , global improvement and ASLR-RE angle. Treatment duration will be eight weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Postpartum Pelvic Girdle Pain

Interventions

Core Stability ExerciseOTHER

Patients will receive specific core stabilizing exercises, focusing on Pelvic floor muscles ,Gluteus maximus, Gluteus Medius, specific abdominal muscles , the lumbar multifidus, and Erector spinae.

Blood Flow Restriction TechniqueOTHER

Patients will receive the same core stability exercise added to Blood Flow Restriction Technique

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 35 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients will be eligible for the study if they met all the following criteria: 1. Are between 3 and 12 months postpartum. 2. Are aged between 20 and 35 years. 3. Have a body mass index (BMI) \< 30 kg/m². 4. Reported experiencing pelvic girdle pain-defined as pain localized between the posterior iliac crest and the gluteal fold, particularly in the vicinity of the sacroiliac joints-that either began during pregnancy or persisted after delivery . 5. Presented with a positive Active Straight Leg Raise (ASLR) test. 6. Showed positive findings in at least two of the following six pelvic pain provocation tests: * Posterior Pelvic Pain Provocation (P4/Thigh Thrust) Test * Patrick's (FABER) Test * Long Dorsal Sacral Ligament Test * Pelvic Compression Test * Pelvic Distraction (Separation) Test * Sacral Thrust Test Exclusion Criteria: * -Patients will be excluded if they have any of the following: 1. If they were Pregnant 2. Known causes of pelvic girdle pain, such as fractures and rheumatism 3. Undergone lumbar or pelvic surgery in the past 4. Current neurological symptoms and signs in lower extremities such as lumbar radiculopathy and myelopathy 5. Cancer 6. Cardiovascular disease 7. Experience with structured and supervised core or trunk exercise training programs

Outcomes

Primary Outcomes

pelvic girdle pain intensity ( pain index )

In this study, pain severity will be measured using the mean of three 11-point NRS questionnaires for least, usual, and current pain over the previous 2 weeks.