Pilates Exercises on Nonspecific Low Back Pain in Postnatal Women

Kafrelsheikh University

Status: Enrolling

Conditions: Pilates Exercises; Postnatal Women; Low Back Pain; Nonspecific

Treatments: Other: Home exercise program; Other: Pilates program + Home exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT07359144

KFSIRB200-686

Details and patient eligibility

About

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

Full description

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.

Enrollment: 48 estimated patients

Sex: Female

Ages: 20 to 30 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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48 participants in 2 patient groups

Group (A) (Study group):

Experimental group

Description:

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.

Treatment:

Other: Pilates program + Home exercise program

Group (B) (Control group)

Active Comparator group

Description:

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

Treatment:

Other: Home exercise program