Effect of Kinetic Control Training on Postnatal Low Back Pain (KCT-PLBP)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Low Back Pain

Treatments: Genetic: Kinetic control training; Other: hot pack therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07105683

P.T.REC/012/005122 (Other Identifier)

Details and patient eligibility

About

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

Full description

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.

Enrollment: 66 estimated patients

Sex: Female

Ages: 25 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

**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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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66 participants in 2 patient groups

Hot Pack Therapy Only (Control Group)

Active Comparator group

Description:

Participants in this arm receive hot pack therapy as a standard physiotherapeutic intervention. A moist hot pack is applied to the lumbar region for 20-30minutes per session, twice daily, over a period of 8weeks. This intervention is intended to provide superficial heat to reduce pain, promote muscle relaxation, and improve local circulation. No additional therapeutic exercises are administered to this group

Treatment:

Other: hot pack therapy

Hot Pack Therapy + Kinetic Control Training (Experimental Group)

Experimental group

Description:

Participants in this arm receive both hot pack therapy and kinetic control training. The hot pack is applied to the lumbar region for 20-30minutes per session, twice daily, for 8weeks. In addition, participants undergo kinetic control training, which includes therapist-guided exercises targeting the deep stabilizing muscles of the lumbar-pelvic region. Exercises focus on improving muscle coordination, movement control, and spinal stability. Sessions are conducted three times per week for 8 weeks.

Treatment:

Other: hot pack therapy

Genetic: Kinetic control training