Telehealth: Diaphragmatic vs. Pelvic Exercise in Postpartum Pregnancy-related Pelvic Girdle Pain

YI-JU TSAI

Status: Enrolling

Conditions: Pregnancy Related; Pelvic Girdle Pain; Postpartum

Treatments: Other: Pelvic stabilization exercise; Other: Diaphragmatic breathing retraining; Other: pelvic anatomy education

Study type: Interventional

Funder types: Other

Identifiers

NCT06284278

NCKU_PPGP_diaphragm

Details and patient eligibility

About

The goal of this interventional study is to compare investigate the short-term and long-term effects of 8-week real-time telehealth-based diaphragmatic breathing exercise and pelvic stabilization exercise on pain, disability, and quality of life in postpartum women with pregnancy-related pelvic girdle pain.

Enrollment: 60 estimated patients

Sex: Female

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 20-65 years
• Postpartum ≥ 3 months
• Pain located in sacroiliac joints (i.e., pain located between the posterior iliac crest and gluteal fold)
• Pregnancy-related cause of pelvic pain that pain occurs during pregnancy or after delivery (i.e., not traumatic or degenerative cause)
• At least 2 positive findings of 6 pain provocation tests for pelvic pain
• Score of Active Straight Leg Rise (ASLR) test > 0

Exclusion criteria

• being pregnant or actively trying to get pregnant
• having known causes of pelvic girdle pain, such as fractures and rheumatism
• having undergone lumbar, pelvic, gynecologic or obstetric surgery
• having current neurological symptoms and signs in lower extremities such as lumbar radiculopathy and myelopathy
• having cancer
• having cardiovascular disease
• being diagnosed as having a psychiatric disease
• active infection or infectious disease in the pelvis or abdomen
• having experience with structured and supervised core or trunk exercise training programs.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Diaphragmatic breathing exercise group

Experimental group

Description:

Diaphragmatic breathing exercise through telehealth

Treatment:

Other: pelvic anatomy education

Other: Diaphragmatic breathing retraining

Pelvic stabilization exercise group

Active Comparator group

Description:

Pelvic stabilization exercise through telehealth

Treatment:

Other: pelvic anatomy education

Other: Pelvic stabilization exercise