Low back pain (LBP) is a prevalent complaint during pregnancy, affecting 50-70% of women, especially in the second and third trimesters. Physiological and biomechanical changes such as hormonal relaxation of ligaments, postural shifts, and increased lumbar lordosis contribute to this condition. LBP during pregnancy can significantly limit mobility, reduce daily activity levels, and impair the quality of life. Conservative interventions like prenatal stretching and kinesiotaping are commonly used by physiotherapists. Stretching improves flexibility and reduces musculoskeletal stress, while kinesiotaping offers support, reduces pain perception, and promotes better posture. However, there is limited clinical evidence evaluating their combined effect in pregnant women with LBP. This study will be randomized controlled trial and will be conducted at Rahim Yar Khan hospital and Hamdani Hospital Rahim Yar khan .Non-probability convenience sampling technique will be used. Inclusion criteria include Gestational age 20 -34 weeks with low back pain and age between 18-35 years .Baseline measurement include pain (measured by using 10 cm Numeric Pain rating scale ) mobility (measured by Schober Test) quality of life( SF36 questionaire). Participant will be randomly assigned to either Group A (stretching exercise and kinesiotaping) and Group B (Stretching exercise ). The total duration of the study will be 6 to 8 weeks. After identifying eligible pregnant women, obtaining informed consent, and recording baseline measurements from both groups intervention period will begin, during which participants will receive prenatal stretching and kinesiotaping. After data collection all data analysis will be performed using SPSS version 21.
Low back pain (LBP) is a prevalent complaint during pregnancy, affecting 50-70% of women, especially in the second and third trimesters. Physiological and biomechanical changes such as hormonal relaxation of ligaments, postural shifts, and increased lumbar lordosis contribute to this condition. LBP during pregnancy can significantly limit mobility, reduce daily activity levels, and impair the quality of life. Conservative interventions like prenatal stretching and kinesiotaping are commonly used by physiotherapists. Stretching improves flexibility and reduces musculoskeletal stress, while kinesiotaping offers support, reduces pain perception, and promotes better posture. However, there is limited clinical evidence evaluating their combined effect in pregnant women with LBP. This study will be randomized controlled trial and will be conducted at Rahim Yar Khan hospital and Hamdani Hospital Rahim Yar khan .Non-probability convenience sampling technique will be used. Inclusion criteria include Gestational age 20 -34 weeks with low back pain and age between 18-35 years .Baseline measurement include pain (measured by using 10 cm Numeric Pain rating scale ) mobility (measured by Schober Test) quality of life( SF36 questionaire). Participant will be randomly assigned to either Group A (stretching exercise and kinesiotaping) and Group B (Stretching exercise ). The total duration of the study will be 6 to 8 weeks. After identifying eligible pregnant women, obtaining informed consent, and recording baseline measurements from both groups intervention period will begin, during which participants will receive prenatal stretching and kinesiotaping. After data collection all data analysis will be performed using SPSS version 21.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
34
Participants in Group A will receive a combined intervention of: Prenatal Stretching Exercises: Performed under supervision three times per week. Each session will last approximately 30 minutes, focusing on lumbar and pelvic flexibility and relieving low back pain. Kinesiotaping: Applied to the lumbar region by a certified professional using standard kinesiotaping techniques. The tape will remain in place for 3 to 5 days and will be reapplied regularly for the entire 4 to 6-week intervention period.
• Participants in Group B will receive only prenatal stretching exercises o Three sessions per week, each of 30 minutes, targeting lumbar and pelvic muscles. During the intervention period, participants in both groups will be monitored regularly to ensure adherence to the treatment protocol and to identify any adverse effects or complications. At the end of the intervention period (4 to 6 weeks), all participants will undergo a post-intervention assessment using the same tools:
Hmdani hospital , Rahim yar khan hospital
Rahim Yar Khan, Punjab Province, Pakistan
RECRUITINGNumeric rating scale
Numeric rating scale is a simple and reliable tool commonly used to assess pain intensity, including low back pain. It consists of a scale from 0 to 10, where 0 indicates "no pain" and 10 represents the "worst imaginable pain." Patients are asked to select a number that best reflects the severity of their pain. NRS is frequently used in clinical settings to evaluate back pain due to its ease of use, quick administration, and applicability in both acute and chronic conditions. It helps healthcare providers monitor pain progression and treatment effectiveness
Time frame: 6 weeks
Schober test
this test is used to check the mobility
Time frame: 6 weeks
SF 36 health survey
The SF-36 is a validated, self-administered questionnaire designed to assess health-related quality of life across eight domains, including physical functioning, role limitations, pain, general health, vitality, social functioning, emotional well-being, and mental health. Each domain is scored on a scale from 0 to 100, with higher scores reflecting better perceived health status. It is extensively used in clinical research and healthcare evaluations due to its reliability and broad applicability
Time frame: 6 weeks
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