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This study protocol was designed to establish the feasibility of conducting a motor control exercise program with pregnant women presenting a history of lumbopelvic pain (LBPP) in order to reduce LBPP occurrence or limit its intensity. This randomized controlled trial also aims to preliminary assess the effectiveness of the program. To do so, 40 pregnant women with a history of LBPP will be recruited and randomly allocated to one of 2 groups: control (20 participants) or intervention (20 participants). The control group will receive standard care, including basic information on what to do when suffering from LBPP. The intervention group will participate in a weekly 40-minute group session and two more 40-minute weekly home exercise sessions. The motor control exercise program will be designed to target strengthening of the lumbo-pelvic-hip core muscles in order to improve stabilization and protection of the spine and pelvis. Participants of this group will also receive standard care. Adequate prevention and treatment of LBPP, experienced by women during pregnancy, should help reduce LBPP occurrence or limit its intensity during pregnancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Motor control exercise program | Experimental | Participants will be physically trained during pregnancy and will receive the standard care including basic information on what to do when suffering from lumbopelvic pain. |
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| Control | No Intervention | Participants will receive the standard care including basic information on what to do when suffering from lumbopelvic pain. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motor control exercise program | Other | Structure physical training aimed at strengthening muscles of the lumbo-pelvic-hip core complex in order to improve stabilization and alignment of the spine and pelvis. |
| Measure | Description | Time Frame |
|---|---|---|
| Recruitment rate | Defined as the ability to recruit 40 eligible women, willing to participate to the study | Baseline (Pre-intervention) |
| Retention rate | Defined as the completion of follow-up questionnaire by ≥ 80% of women | Baseline (Post-intervention) |
| Adherence rate | Defined as attendance to ≥75% of group sessions and ≥ 75% completion of home sessions | Baseline (Post-intervention) |
| Safety of the intervention | Determined based on the number of adverse events and defined as nature of adverse events | 16 weeks follow-up |
| Safety of the intervention | Determined based on the number of adverse events and defined as nature of adverse events | Week 16 (Post-intervention) |
| Acceptability of the intervention | Determined based on how the intervention is perceived by pregnant women (assessed using a 5-point Likert scale : higher score mean a better outcome) | 16 weeks follow-up |
| Acceptability of the intervention | Determined based on how the intervention is perceived by pregnant women (assessed using a 5-point Likert scale : higher score mean a better outcome) | Week 16 (Post-intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Functional disability | Assessed using the Pelvic Girdle Questionnaire (PGQ) (score range from 0 (minimum) to 75 (maximum) : higher score mean a worst outcome) | Baseline (Pre-intervention) and week 16 (Post-intervention) |
| Fear avoidance behaviors |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Martin Descarreaux, DC, PhD | Université du Québec à Trois-Rivières | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Université du Québec à Trois-Rivières | Trois-Rivières | Quebec | G8Z 4M3 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42218482 | Derived | Daneau C, Babineau V, Marchand AA, Bussieres A, O'Shaughnessy J, Descarreaux M, Ruchat SM. Motor control exercise program versus standard care in the treatment of lumbopelvic pain in pregnant women: a randomized controlled pilot trial. Chiropr Man Therap. 2026 May 30. doi: 10.1186/s12998-026-00655-x. Online ahead of print. | |
| 35313988 |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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Assessed using the Tampa Scale of Kinesiophobia (TSK) (score range from 17 (minimum) to 68 (maximum) : higher score mean a worst outcome)
| Baseline (Pre-intervention) and week 16 (Post-intervention) |
| Level of anxiety | Assessed using the State-Trait Anxiety Inventory (STAI) (score range from 20 (minimum) to 80 (maximum) : higher score mean a worst outcome) | Baseline (Pre-intervention) and week 16 (Post-intervention) |
| Depression | Assessed using the Beck Depression Inventory (BDI) (score range from 0 (minimum) to 63 (maximum) : higher score mean a worst outcome) | Baseline (Pre-intervention) and week 16 (Post-intervention) |
| Physical activity levels | Assessed using the Pregnancy Physical Activity Questionnaire (PPAQ) (weekly energy expenditure (MET-h·week-1), score range from 0 (minimum) to 1631 (maximum) : higher score mean a more active person) | Baseline (Pre-intervention) and week 16 (Post-intervention) |
| Lumbopelvic pain (incidence and frequency) | Defined as a weekly self-reported incidence and frequency of lumbopelvic pain (determined based on the number of episode) | Baseline (Pre-intervention) |
| Lumbopelvic pain (incidence and frequency) | Defined as a weekly self-reported incidence and frequency of lumbopelvic pain (determined based on the number of episode) | 16 weeks follow-up |
| Lumbopelvic pain (incidence and frequency) | Defined as a weekly self-reported incidence and frequency of lumbopelvic pain (determined based on the number of episode) | Week 16 (Post-intervention) |
| Lumbopelvic pain (intensity) | Defined as a weekly self-reported intensity of lumbopelvic pain using a 100 millimeters visual analog scale | Baseline (Pre-intervention) |
| Lumbopelvic pain (intensity) | Defined as a weekly self-reported intensity of lumbopelvic pain using a 100 millimeters visual analog scale | 16 weeks follow-up |
| Lumbopelvic pain (intensity) | Defined as a weekly self-reported intensity of lumbopelvic pain using a 100 millimeters visual analog scale | Week 16 (Post-intervention) |
| Daneau C, Marchand AA, Bussieres A, O'Shaughnessy J, Ruchat SM, Descarreaux M. Effects of a motor control exercise program on lumbopelvic pain recurrences and intensity in pregnant women with a history of lumbopelvic pain: a study protocol for a randomized controlled feasibility trial. Pilot Feasibility Stud. 2022 Mar 21;8(1):65. doi: 10.1186/s40814-022-01024-0. |