Pilates Exercises on Nonspecific Low Back Pain in Postnatal Women

Kafrelsheikh University48 enrolled

Overview

This study aims to investigate the effects of Pilates for postnatal women with Non-specific low back pain (NSLBP).

Low back pain (LBP) is of high prevalence among adults, which can be related to factors such as sedentary lifestyle, being overweight or work conditions. Non-specific LBP (NSLBP) is defined as pain in the lower back region that cannot be attributed to a recognizable, specific pathology such as infection, fracture, or nerve root compression. Pilates exercises focus on improving core stability, flexibility, posture, and body awareness through controlled, precise movements. The integration of breathing techniques and concentration enhances the mind-body connection, which can contribute to pain reduction and functional improvement. For individuals with LBP, Pilates has been shown to improve strength and flexibility, reduce pain intensity, and enhance overall physical function, making it a promising intervention for managing musculoskeletal disorders.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pilates Exercises Nonspecific Low Back Pain Postnatal Women

Interventions

Pilates program + Home exercise programOTHER

Patients will do a comprehensive exercise consisting of a home exercise program (bridges, bridge with leg extension (bridge dog), back extensions, spine twist, and child's pose), a Pilates program, and oral paracetamol as needed for pain relief.

Home exercise programOTHER

Patients will perform a home-based exercise program consisting solely of postural correction exercises.

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 30 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ranges from 20 and 30 years old. * Body mass index (BMI) doesn't exceed 30 kg/m2. * Patients who are referred from a gynecologist with a diagnosis of nonspecific low back pain. * Patients who have pain for more than three months. * Patients who have parity ranging from one to three (to control the extreme physiological changes from multiple childbirths, ensuring a more uniform sample). * Patients who have score more than 4 on the Visual Analog Scale (VAS). Exclusion Criteria: * Mechanical low back pain (LBP). * Women who had performed any spinal surgery e.g. unilateral hemilaminectomy or microdiscectomy. * Women with history of vertebral fracture or trauma. * Women with systemic disorder e.g. diabetes mellitus. * Women who are pregnant. * Women who had received physiotherapy treatment for their LBP one month before the start of this study.

Locations (1)

Kafrelsheikh University (Faculty of Physical Therapy)

Kafr ash Shaykh, Kafrelsheikh, Egypt

RECRUITING

Outcomes

Primary Outcomes

Pain Intensity

Pain Intensity will be assessed using Visual Analog Scale (VAS). VAS (0 represents "no pain" while 10 represents "the worst pain imaginable").

Time frame: 3 months post-procedure

Secondary Outcomes

Assessment of pain pressure threshold

Pain pressure threshold (PPT) will be determined using a handheld electronic pressure algometer with a 1 cm2 probe area with an increasing of the pressure rate of 20 Kpa/s. The pressure algometer consists of a "pistol" handle and a rod with a pressure-sensitive gauge strain at the tip.

Time frame: 3 months post-procedure

Assessment of functional disability

Oswestry Disability Index will be used to assess functional disability. It is a self-assessing questionnaire for low back pain, which includes 10 items; each contains six levels of answers ranging from 0-5. Its items include pain intensity, personal care, lifting objects, walking, sitting, standing, sleeping, sex life, social life, and travelling. A total score is calculated, divided by 50, and multiplied by 100. It ranges from 0% indicating no disability to 100% indicating complete disability.

Time frame: 3 months post-procedure

Assessment of the quality of life

Quality of life (QOL) will be assessed using SF-36 Questionnaire. SF-36 questionnaire consists of thirty-six questions measuring PH components (physical function, role physic, bodily pain, general health and MH components (vitality, social functioning, role emotion, general mental health). The response for each item was scored from 0-100, and the mean score of each domain was calculated. Lower score implied poor QoL, whereas higher score indicated excellent QoL.

Time frame: 3 months post-procedure

Central Contacts

Eman M Elsheikh, MBBCH

CONTACT

00201009094244 emanelshiekh858@gmail.com

Data from ClinicalTrials.gov

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