About this trial
This study aims to investigate the effects of Pilates for postnatal women with Non-specific low back pain (NSLBP).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial design
Parallel
Treatments tested in this trial
Pilates program + Home exercise program
Other interventionPatients 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.
Home exercise program
Other interventionPatients will perform a home-based exercise program consisting solely of postural correction exercises.
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity
Pain Intensity will be assessed using Visual Analog Scale (VAS). VAS (0 represents "no pain" while 10 represents "the worst pain imaginable").
Secondary outcomes
Assessment of pain pressure threshold
Pain pressure threshold (PPT) will be determined using a handheld electronic pressure algometer with a 1 cm2 probe area with an increasing of the pressure rate of 20 Kpa/s. The pressure algometer consists of a "pistol" handle and a rod with a pressure-sensitive gauge strain at the tip.
Assessment of functional disability
Oswestry Disability Index will be used to assess functional disability. It is a self-assessing questionnaire for low back pain, which includes 10 items; each contains six levels of answers ranging from 0-5. Its items include pain intensity, personal care, lifting objects, walking, sitting, standing, sleeping, sex life, social life, and travelling. A total score is calculated, divided by 50, and multiplied by 100. It ranges from 0% indicating no disability to 100% indicating complete disability.
Assessment of the quality of life
Quality of life (QOL) will be assessed using SF-36 Questionnaire. SF-36 questionnaire consists of thirty-six questions measuring PH components (physical function, role physic, bodily pain, general health and MH components (vitality, social functioning, role emotion, general mental health). The response for each item was scored from 0-100, and the mean score of each domain was calculated. Lower score implied poor QoL, whereas higher score indicated excellent QoL.
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