[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"low-back-biomechanical-dysfunctions\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:low-back-biomechanical-dysfunctions":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":17,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":28,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":4},"100653788","effects-of-multimodal-physical-therapy-intervention-on-musculoskeletal-function-and-low-back-pain-in-postpartum-women-100653788",false,"NCT07790848","Effects Of Multimodal Physical Therapy Intervention On Musculoskeletal Function And Low Back Pain In Postpartum Women","Inclusion Criteria:\n\n* Within six months postpartum following vaginal or caesarean delivery.\n* Experiencing low back pain or lumbopelvic pain after childbirth.\n* Pain intensity ≥3 on the Numeric Pain Rating Scale during activity or rest.\n* Able to attend supervised physiotherapy sessions for six consecutive weeks.\n* Willing to provide informed consent and participate in follow-up assessments.\n\nExclusion Criteria:\n\n* History of spinal surgery or diagnosed structural spinal deformities such as scoliosis, spondylolisthesis, or disc herniation.\n* Severe postpartum complications including postpartum haemorrhage, infection, or wound dehiscence limiting physical activity.\n* Pelvic organ prolapse grade II or above or severe pelvic floor dysfunction requiring specialized care.\n* Uncontrolled systemic illness such as diabetes mellitus, hypertension, or thyroid dysfunction affecting exercise tolerance.\n* Current participation in another structured physiotherapy or rehabilitation program for low back pain.\n* Neurological disorders or musculoskeletal conditions unrelated to postpartum low back pain that may affect outcomes.","FEMALE","20 Years","40 Years",{"count":19,"type":20},40,"ESTIMATED","INTERVENTIONAL",[23],"NA","Postpartum low back pain is a common musculoskeletal problem that affects women's functional ability, childcare activities, and quality of life after childbirth. Hormonal, biomechanical, and muscular changes during pregnancy and the postpartum period, including reduced core stability and pelvic floor weakness, contribute to persistent lumbopelvic pain and disability. In Pakistan, awareness and access to postpartum physiotherapy rehabilitation remain limited despite the high prevalence of postpartum low back pain.\n\nEvidence suggests that multimodal physiotherapy interventions, including core stabilization exercises, pelvic floor training, manual therapy, ergonomic advice, and patient education, can effectively reduce pain and improve functional outcomes in postpartum women. However, limited randomized controlled trials have been conducted in Pakistan to evaluate these interventions.\n\nThe aim of this study is to determine the effects of a multimodal physical therapy intervention on low back pain, musculoskeletal function, core endurance, fatigue, and quality of life in postpartum women.\n\nThis study will be conducted as a single-blinded, two-arm parallel randomized controlled trial at Ayub Medical Complex Abbottabad and CMH Abbottabad. A total of 40 postpartum women aged 20-40 years with low back pain within six months after delivery will be recruited and randomly allocated into experimental and control groups.\n\nThe experimental group will receive a six-week multimodal physiotherapy program consisting of core stabilization exercises, pelvic floor muscle training, manual therapy, posture correction, ergonomic education, and home exercise guidance. The control group will receive routine postpartum care only.\n\nOutcome measures will include the Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), core endurance tests, SF-36 Quality of Life Questionnaire, and PROMIS® Fatigue Short Form. Assessments will be conducted at baseline, post-intervention, and follow-up.\n\nData will be analyzed using SPSS version 29 with appropriate statistical tests for within-group and between-group comparisons. Ethical approval and informed consent procedures will be ensured before data collection.\n\nThis study is expected to provide evidence regarding the effectiveness of multimodal physiotherapy in improving pain, function, and quality of life among postpartum women and may support the integration of physiotherapy into routine maternal healthcare services in Pakistan.",[26,27],"Low Back Biomechanical Dysfunctions","Post Partum",[29],"Postpartum Women Low Back Pain Multimodal Physiotherapy","NOT_YET_RECRUITING","2026-08-25",{"date":33,"type":34},"2026-08-27","ACTUAL",{"date":36,"type":20},"2026-09",{"date":38,"type":20},"2026-12-30",{"name":40,"class":41},"Riphah International University","OTHER"]