Abdominal Hypopressive Technique on Postpartum Low Back Pain

Riphah International University

Status: Completed

Conditions: Postpartum

Treatments: Other: General exercises; Other: Abdominal hypopressive Exercises (AHE)

Study type: Interventional

Funder types: Other

Identifiers

NCT05397899

RiphahIU Asma Bhatti

Details and patient eligibility

About

Postpartum Low back pain (PP-LBP) is more common and can lead to limitations to women's daily activity. Pregnancy related low back pain has been reported to occur in 55% to 78% women worldwide.This study is planned to determine the effects of abdominal hypopressive technique on postpartum low back pain, mobility and disability.

Full description

literature suggests the use of hypopressive abdominal techniques to be effective in increasing the thickness of the abdominal muscles and hence add to the stability of the spine and alleviation of low back pain in the postpartum period. This will be a randomized controlled trial, with two groups.

Participants in the experimental group will learn how to perform the "hypopressive maneuver", which consisted of exhaling to their expiratory reserve volume, then holding their breath (apnea), and expanding their rib cage, to draw their abdominal wall inward and cranially without inhalation. control group will perform general exercises. Both groups will be assessed at pre and post test (after 6weeks)

Enrollment: 31 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Postpartum non-radiating low back Pain
• LBP severity >3 on numeric pain rating scale (NPRS)
• Spontaneous vaginal delivery

Exclusion criteria

• Prenatal history of low back pain
• Caesarean section
• Hypertension
• Puerperium period
• Arterial complications
• Neurological deficit
• Disc Bulge
• Lumbar Radiculopathy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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31 participants in 2 patient groups

AHT group

Experimental group

Description:

This group will receive Abdominal hypopressive exercises. Each AHT will be repeated 3-5 times with 1 min rest between exercises (shift to new posture, lying,sitting and standing). Between 6 and 15 hypopressive exercises (HEs) will be performed within each session based on the participant's mastery of the exercises and readiness to progress, for 6 weeks.

Treatment:

Other: Abdominal hypopressive Exercises (AHE)

General exercise group

Active Comparator group

Description:

This group will receive general exercises (Bridging, knee to chest, Straight leg rise) these will be repeated 3-5 times with 1 min rest between exercises. Between 6 and 15 repetitions will be performed within each session based on the participant's mastery of the exercises and readiness to progress. Each exercise to be repeated 3-5 times per set, and participants will be asked to perform technique once daily for 6 weeks

Treatment:

Other: General exercises