NCT05493891

Low Back Pain Intensity and Core Muscle Strength After Different Delivery Modes

Testing the Association Between Low Back Pain Intensity and Core Muscle Strength in Women Who Underwent Cesarean or Vaginal Deliveries

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 36 (actual)
• Sponsor: South Valley University · Academic / Other
• Sex: Female
• Age: 18 Years – 35 Years
• Healthy volunteers: —

Summary

Cesarean delivery (CD) may trigger an increase in low back pain (LBP) intensity and induce core muscle weakness. This study will assess the correlation between low back pain intensity and core muscle strength of transverse abdominis and Lumbar multifidus among women who underwent CD and compare it with those who experienced vaginal delivery.

Detailed description

Cesarean delivery (CD) is one of the most common surgical procedures in obstetrics, and it is also one of the oldest medical procedures. The rise in the rate of cesarean sections is one of the most striking hallmarks of modern obstetrics. In Egypt, the prevalence of CD has increased dramatically over the last decade, with the most recent Egypt Demographic and Health Survey (EDHS) reporting a rate of 52 percent, implying that cesarean sections may be overused or utilized for improper reasons. The two deep local core muscles are the transversus abdominis and the lumbar multifidus muscles. The definition of Core muscle strength is the active ability of these muscles to not only produce but also, maintain stresses to provide stability for the spine through management of the intra-abdominal pressure. LBP prevalence in mothers undergoing cesarean delivery was higher compared to its counterpart in mothers undergoing vaginal delivery. The related mechanisms for LBP during the postpartum period following cesarean or vaginal deliveries may be overweight and obesity, postural adaptations, and stressful positions that mothers assume during either delivery or lactation.

Conditions

• Low Back Pain and Core Muscle

Interventions

Type	Name	Description
OTHER	Visual analogue scale (VAS)	VAS is a reliable and valid method for assessing the intensity of low back pain (LBP)
DEVICE	Pressure Biofeedback Unit (PBU)	PBU is a valid and reliable instrument for measuring the maximal voluntary isometric contraction of both lumbar multifidus and transversus abdominis muscles (core muscle strength)

Timeline

• Start date: 2021-06-28
• Primary completion: 2022-01-29
• Completion: 2023-08-05
• First posted: 2022-08-09
• Last updated: 2025-10-02

Locations

1 site across 1 country: Egypt