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The study will be a randomized control trial and will be conducted in DHQ and Sadiq Hospital in Sargodha District. This study will be completed in time duration of 10 months after the approval of synopsis. Nonprobability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A(Experimental) will receive core stability and pelvic clock exercises with baseline treatment while Group B(Control) will receive only core stability exercises after baseline treatment. The tools that will be used are Numeric Pain Rating Scale (NPRS), Oswestry Disability index (ODI) and WHOQOL-BREF. Treatment have duration of 8 weeks with 3 sessions per week and an hour per session is requires. After data collection, data will be analyzed by using SPSS version 26.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| core stability exercises | Experimental | Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks. |
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| pelvic clock exercises | Active Comparator | Pelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| core stability exercises | Other | Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale | The Numeric Pain Rating Scale (NPRS) is a segmented numeric version of the Visual Analog Scale (VAS), which asked respondents to choose a number ranging from 0-10 that represented their current pain intensity. The scale used a horizontal line with anchors describing the highest and lowest levels of pain intensity. | 8th week |
| Oswestry Disability Index | Another common tool utilized to examine the degree to which the participant was affected due to back pain is the Oswestry Disability Index.The ODI had 10 items, each exploring a particular dimension within the patient's life. Scoring was from 0 to 5. Higher scores reflected increasing levels of disability. Self-administering the inventory took approximately five minutes to answer the items. | 8th week |
| WHOQOL-BREF | The WHOQOL-BREF is a standardized scale developed by WHO to determine the perception of quality of life of an individual. It is a brief version of another scale known as WHOQOL-100 and has 26 questions related to four domains: Physical Health, Psychological Well-being, Social Relations, and Environment. | 8th week |
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Inclusion Criteria:
Exclusion Criteria:
postpartum female
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| imran amjad | Contact | 03324390125 | imran.amjad@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| adeela arif, t-DPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al-Khidmat Hospital | Recruiting | Sargodha | Punjab Province | 6400 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32123652 | Background | Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. eCollection 2020 Feb. | |
| 34786225 | Background | Fiani B, Sekhon M, Doan T, Bowers B, Covarrubias C, Barthelmass M, De Stefano F, Kondilis A. Sacroiliac Joint and Pelvic Dysfunction Due to Symphysiolysis in Postpartum Women. Cureus. 2021 Oct 9;13(10):e18619. doi: 10.7759/cureus.18619. eCollection 2021 Oct. |
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| pelvic clock exercises | Other | Pelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks |
|
| 33159735 | Background | Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722. |
| 33988941 | Background | Javadov A, Ketenci A, Aksoy C. The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome. Pain Physician. 2021 May;24(3):223-233. |
| 36595991 | Background | Li C, Xiao Z, Chen L, Pan S. Efficacy and safety of extracorporeal shock wave on low back pain: A systematic review and meta-analysis. Medicine (Baltimore). 2022 Dec 30;101(52):e32053. doi: 10.1097/MD.0000000000032053. |