Assessment of Lumbar Spine Active Range of Motion in Women Who Were Experienced Cesarean or Vaginal Birth

September 28, 2025 updated by: Mohamed Gamal Abouelyazeed Ali, South Valley University

After the End of the Puerperium: Kinematic Assessment of Lumbar Spine Active Range of Motion in Women Who Experienced Cesarean or Vaginal Birth

Pregnancy may impact the musculoskeletal apparatus of females through pregnancy-associated biomechanical, vascular, and hormonal changes. Pregnant females may complain of lumbopelvic pain, especially during their last trimester. This lumbopelvic pain can be the result of an enlarged uterus and unstable lumbopelvic joints.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Cesarean birth can affect the lumbopelvic biomechanics through its impact on the sacroiliac joints and the abdominal muscles. while vaginal birth can trigger lumbopelvic pain through its impact on the pelvic joints like the symphysis pubis and sacroiliacs.

When puerperium is finished, most of these pregnancy-related changes assume its prepregnant conditions.

Physiotherapists are responsible for providing PT care for women to improve their quality of life during the puerperium and even during the delayed postpartum interval.

Study Type

Observational

Enrollment (Actual)

66

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
    • Qena Governorate
      • Qina, Qena Governorate, Egypt, 83523
        • Faculty of physical therapy, South Valley University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 35 years (Adult)

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

66 women participated in this study. They were recruited from the Woman and Child Hospital of South Valley University, located in Qena governorate, Egypt.

Description

Inclusion Criteria:

  1. All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia.
  2. Their ages ranged from 18 to 35 years.
  3. Participants were assessed between the 6th week to the 12th week postnatal.
  4. All participants were able to continue all assessment procedures.
  5. They might have a mild or moderate myofascial LBP

Exclusion Criteria:

  1. Women who were below 18 years old or above 35 years.
  2. Women who did not continue all assessment procedures.
  3. Women who had a severe myofascial LBP or any specific low back conditions.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Group A
25 females who experienced cesarean birth
Device: Bubble Inclinometer and Digital Pelvic Inclinometer
They are valid and reliable devices to measure the range of motion of the lumbar spine
Group B
16 females who experienced vaginal birth
Device: Bubble Inclinometer and Digital Pelvic Inclinometer
They are valid and reliable devices to measure the range of motion of the lumbar spine
Group C
25 females who were the controls, did not experience any pregnancy
Device: Bubble Inclinometer and Digital Pelvic Inclinometer
They are valid and reliable devices to measure the range of motion of the lumbar spine

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Lumbar Spine Flexion Active Range of Motion
Time Frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
It represent the non-painful full range of motion from standing upright to leaning forward in the sagittal plane
Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
Lumbar Spine Extension Active Range of Motion
Time Frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
It represent the non-painful full range of motion from standing upright to leaning backward in the sagittal plane
Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
Lumbar Spine Right Side Bending Active Range of Motion
Time Frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
It represent the non-painful full range of motion from standing upright to leaning sideway to the right in the frontal plane
Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
Lumbar Spine Left Side Bending Active Range of Motion
Time Frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
It represent the non-painful full range of motion from standing upright to leaning sideway to the left in the frontal plane
Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
Lumbar Spine Right Axial Rotation Active Range of Motion
Time Frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the right side
Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
Lumbar Spine Left Axial Rotation Active Range of Motion
Time Frame: Assessment will be done 6-12 weeks after Cesarean or Vaginal birth
It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the left side
Assessment will be done 6-12 weeks after Cesarean or Vaginal birth

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

South Valley University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 28, 2021

Primary Completion (Actual)

January 29, 2022

Study Completion (Actual)

August 5, 2023

Study Registration Dates

First Submitted

September 8, 2022

First Submitted That Met QC Criteria

September 8, 2022

First Posted (Actual)

September 13, 2022

Study Record Updates

Last Update Posted (Estimated)

October 2, 2025

Last Update Submitted That Met QC Criteria

September 28, 2025

Last Verified

September 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • Lumbar Spine ROM

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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