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

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age20-65
SponsorYI-JU TSAI

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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)

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Diaphragmatic breathing retraining

    Other intervention

    8 weeks diaphragmatic breathing training

  • Pelvic stabilization exercise

    Other intervention

    8 weeks pelvic stabilization exercise training

  • pelvic anatomy education

    Other intervention

    pelvic anatomy education

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Diaphragmatic breathing exercise groupExperimental treatment 2 interventions
Group B: Pelvic stabilization exercise groupActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Muscle function measures of lumbopelvic muscles

Ultrasonography image for muscle thickness of trunk and back muscles during rest and during active straight leg raise. Ultrasonography image for bladder displacement for pelvic floor muscles during rest,maximum contraction and during active straight leg raise

Time frame
Change from baseline to 8 weeks
2

Diaphragm thickness

Ultrasonography image for diaphragm thickness during maximum inspiration and expiration (B mode)

Time frame
Change from baseline to 8 weeks
3

Diaphragm mobility

Ultrasonography image for mobility during maximum inspiration and expiration (M mode)

Time frame
Change from baseline to 8 weeks
4

Diaphragm strength

Ultrasonography image for diaphragm strength during maximal sniff and expiration (M mode). The slope achieved (mm/sec) during the diaphragmatic excursion is used to calculate the velocity of the diaphragmatic contraction

Time frame
Change from baseline to 8 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

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YI-JU TSAI

Lead sponsor

National Cheng Kung University

Sponsor institution