Effect of Kinetic Control Training on Postnatal Low Back Pain

Обзор

the effect of kinetic control training and hotpack and compare it with hotpack alone on postnatal low back pain

Подробное описание

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.

Вмешательства

• Другое hot pack therapy
  Application of a commercial hot pack to the lumbar region for 20-30 minutes per session, twice daily, for 6 weeks.
• Генная терапия Kinetic 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 stabi

Первичные конечные точки

• Pain Intensity Measured by Visual Analog Scale (VAS) [Срок оценки: Baseline and after 8weeks of intervention]

Вторичные конечные точки (1)

• Lumbar Range of Motion (Flexion and Extension) Using Modified Schober Test [Срок оценки: Baseline and after 8weeks of intervention]

Критерии участия

\*\*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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• physical therapy cairo University — Cairo

Идентификаторы

NCT: NCT07105683 · P.T.REC/012/005122 · P.T.REC/012/005122

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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