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Purpose of the study :
The purpose of the current study is investigating the effect of Blood Flow Restriction Training technique on postpartum pelvic girdle pain.
This study is a randomized controlled trial. To fulfill its purpose, we have two groups; control group (A) and experimental group (B) are two matched postpartum pelvic girdle pain groups. While group (A) will receive a core stability exercise program, group (B) will receive core stability exercise program with blood flow restriction technique.
The primary outcome measure will be pelvic girdle pain intensity, while the secondary outcomes will include pelvic girdle-related disability, health-related quality of life, Kinesiophobia , global improvement and ASLR-RE angle.
Treatment duration will be eight weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group (A) | Active Comparator | Group (A) will receive a core stability exercise program. |
|
| Group (B) | Experimental | Group (B) will receive core stability exercise program with blood flow restriction technique. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Core Stability Exercise | Other | Patients will receive specific core stabilizing exercises, focusing on Pelvic floor muscles ,Gluteus maximus, Gluteus Medius, specific abdominal muscles , the lumbar multifidus, and Erector spinae. |
| Measure | Description | Time Frame |
|---|---|---|
| pelvic girdle pain intensity ( pain index ) | In this study, pain severity will be measured using the mean of three 11-point NRS questionnaires for least, usual, and current pain over the previous 2 weeks. | Baseline , 8 weeks and 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| pelvic girdle-related disability | pelvic girdle-related disability, measured by pelvic girdle questionnaire (PGQ) | Baseline , 8 weeks and 16 weeks |
| Health-related quality of life | Health-related quality of life, measured by the Arabic version of European quality of life-Five-Dimension Five-Level Instrument (EQ-5d-5L) |
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Inclusion Criteria:
Patients will be eligible for the study if they met all the following criteria:
Are between 3 and 12 months postpartum.
Are aged between 20 and 35 years.
Have a body mass index (BMI) < 30 kg/m².
Reported experiencing pelvic girdle pain-defined as pain localized between the posterior iliac crest and the gluteal fold, particularly in the vicinity of the sacroiliac joints-that either began during pregnancy or persisted after delivery .
Presented with a positive Active Straight Leg Raise (ASLR) test.
Showed positive findings in at least two of the following six pelvic pain provocation tests:
Exclusion Criteria:
-Patients will be excluded if they have any of the following:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| jilan Adel, lecturer | Contact | 01007519909 | +20 | gelan_youssif@pt.kfs.edu.eg |
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| Blood Flow Restriction Technique | Other | Patients will receive the same core stability exercise added to Blood Flow Restriction Technique |
|
| Baseline , 8 weeks and 16 weeks |
| Kinesiophobia | Kinesiophobia measured by an Arabic Tampa scale | Baseline , 8 weeks and 16 weeks |
| Global improvement | Global improvement measured by global rating of change (GROC) scale | Baseline , 8 weeks and 16 weeks |
| Active straight leg raises repositioning error (ASLR-RE) | ASLR-RE angle, measured by Image J | Baseline , 8 weeks and 16 weeks |