The study will be a randomized control trial and will be conducted in DHQ and Sadiq Hospital in Sargodha District. This study will be completed in time duration of 10 months after the approval of synopsis. Nonprobability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A(Experimental) will receive core stability and pelvic clock exercises with baseline treatment while Group B(Control) will receive only core stability exercises after baseline treatment. The tools that will be used are Numeric Pain Rating Scale (NPRS), Oswestry Disability index (ODI) and WHOQOL-BREF. Treatment have duration of 8 weeks with 3 sessions per week and an hour per session is requires. After data collection, data will be analyzed by using SPSS version 26.
Vaginal delivery
Primiparous women
Pain intensity greater than 6 on the Numerical Pain Rating Scale (NPRS)
Positive responses to at least three physical provocation tests suggestive of sacroiliac joint dysfunction
Previous history of trauma
Musculoskeletal disorders (e.g., coccydynia, impingement syndrome)
Postpartum depression
Disc bulge or degeneration
Parallel
core stability exercises
Other interventionCore stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks.
pelvic clock exercises
Other interventionPelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks
Numeric Pain Rating Scale
The Numeric Pain Rating Scale (NPRS) is a segmented numeric version of the Visual Analog Scale (VAS), which asked respondents to choose a number ranging from 0-10 that represented their current pain intensity. The scale used a horizontal line with anchors describing the highest and lowest levels of pain intensity.
Oswestry Disability Index
Another common tool utilized to examine the degree to which the participant was affected due to back pain is the Oswestry Disability Index.The ODI had 10 items, each exploring a particular dimension within the patient's life. Scoring was from 0 to 5. Higher scores reflected increasing levels of disability. Self-administering the inventory took approximately five minutes to answer the items.
WHOQOL-BREF
The WHOQOL-BREF is a standardized scale developed by WHO to determine the perception of quality of life of an individual. It is a brief version of another scale known as WHOQOL-100 and has 26 questions related to four domains: Physical Health, Psychological Well-being, Social Relations, and Environment.
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