Effect of Blood Flow Restriction Technique on Postpartum Pelvic Girdle Pain

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.

Study Overview

• Status: Not yet recruiting
• Conditions: Postpartum Pelvic Girdle Pain
• Intervention / Treatment: Other: Core Stability Exercise; Other: Blood Flow Restriction Technique

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Estimated): 66
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: jilan Adel, lecturer; Phone Number: +20 01007519909; Email: gelan_youssif@pt.kfs.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients will be eligible for the study if they met all the following criteria:

  1. Are between 3 and 12 months postpartum.
  2. Are aged between 20 and 35 years.
  3. Have a body mass index (BMI) < 30 kg/m².
  4. 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 .
  5. Presented with a positive Active Straight Leg Raise (ASLR) test.

  6. Showed positive findings in at least two of the following six pelvic pain provocation tests:

     • Posterior Pelvic Pain Provocation (P4/Thigh Thrust) Test
     • Patrick's (FABER) Test
     • Long Dorsal Sacral Ligament Test
     • Pelvic Compression Test
     • Pelvic Distraction (Separation) Test
     • Sacral Thrust Test

Exclusion Criteria:

• -Patients will be excluded if they have any of the following:

  1. If they were Pregnant
  2. Known causes of pelvic girdle pain, such as fractures and rheumatism
  3. Undergone lumbar or pelvic surgery in the past
  4. Current neurological symptoms and signs in lower extremities such as lumbar radiculopathy and myelopathy
  5. Cancer
  6. Cardiovascular disease
  7. Experience with structured and supervised core or trunk exercise training programs

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Group (A); Group (A) will receive a core stability exercise program.	Other: Core Stability Exercise; 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.
Experimental: Group (B); Group (B) will receive core stability exercise program with blood flow restriction technique.	Other: Core Stability Exercise; 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.; Other: Blood Flow Restriction Technique; Patients will receive the same core stability exercise added to Blood Flow Restriction Technique

What is the study measuring?

Primary Outcome Measures

Outcome Measure	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

Secondary Outcome Measures

Outcome Measure	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)	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

Collaborators and Investigators

• Sponsor: Kafrelsheikh University

Study record dates

Study Major Dates

• Study Start (Estimated): December 12, 2025
• Primary Completion (Estimated): June 15, 2026
• Study Completion (Estimated): June 15, 2026

Study Registration Dates

• First Submitted: December 5, 2025
• First Submitted That Met QC Criteria: December 5, 2025
• First Posted (Actual): December 18, 2025

Study Record Updates

• Last Update Posted (Actual): December 18, 2025
• Last Update Submitted That Met QC Criteria: December 5, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: KFSIRB200-813

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No