Effects of Core Stabilization Exercises and Myofascial Induction Therapy in Postpartum Low-back Pain

May 4, 2026 updated by: Riphah International University

Combine Effects of Core Stabilization Exercises and Myofascial Induction Therapy on Lumber Pain, Core Endurance and Quality of Life in Postpartum Low-back Pain

The aim of this study is to determine the combine effects of core stabilization exercises and Myofascial Induction therapy on lumber pain, core endurance and quality of life on postpartum low-back pain.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

A randomized controlled trial will be conducted at Bashir Hospital and Fatima Hospital, Sialkot recruiting 40 female patients (aged between 20-45 years) with postpartum low back pain. Participants will be randomly assigned into two groups using a non-probability convenience sampling technique. The Experimental group A will receive myofascial induction therapy along with core stabilization exercises thrice a week for a total of 8 weeks, and the Control group B will receive only core stabilization exercises three times a week for a total of 8 weeks. Both groups will also receive baseline treatment that includes a hot pack and TENS for 15 minutes. Outcome measures include lumbar pain, core endurance and quality of life will be measured by using the Numeric Pain Rating Scale (NPRS), Supine Bridge test and the Short Form health survey (SF-36) and. Data will be analyzed by SPSS version 21. Outcome measures will be assessed pre-test and post-test.

Study Type

Interventional

Enrollment (Estimated)

40

Phase

  • Not Applicable

Contacts and Locations

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

Study Contact

Study Locations

  • Pakistan
    • Punjab Province
      • Sialkot, Punjab Province, Pakistan, 51310
        • Recruiting
        • Bashir hospital
        • Contact:
        • Principal Investigator:
          • amara amara, MSPT(WH)

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

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Will have a NPRS scoring ranging 3-8
  • Female with normal vaginal delivery (SVD)
  • Patients within 6 months of postpartum
  • BMI < 30 kg/ m2

Exclusion Criteria:

  • Spinal fracture or deformity
  • Arthritis
  • Lumber radiculopathy
  • Inflammatory condition that cause low back pain
  • Severe discopathy

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

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: CORE STABILIZATION EXERCISES & MYOFASCIAL INDUCTION THERAPY
Core stabilization exercises include bird-dog, side bridges, Curl ups and supine extension bridge. The Myofascial Induction therapy techniques related to the lumbopelvic region contain stroke application, deep induction application, cross-hands induction of the lumbar spine, and hip-flexor region induction.
Other: CORE STABILIZATION EXERCISES
Total 5 sets will perform and each set contain 10 repetitions with rest period of 10 sec between each set. Three sessions will be given per week for a total of 8 weeks and each session will be of 30- 45 mins
Other: MYOFASCIAL INDUCTION THERAPY
All of the MIT techniques, will applied to the patients for a total of 40 min in a session, three time per week for eight weeks
Active Comparator: CORE STABILIZATION EXERCISES
Core stabilization exercises include bird-dog, side bridges, Curl ups and supine extension bridge.
Other: CORE STABILIZATION EXERCISES
Total 5 sets will perform and each set contain 10 repetitions with rest period of 10 sec between each set. Three sessions will be given per week for a total of 8 weeks and each session will be of 30- 45 mins

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric Pain rating Scale (NPRS)
Time Frame: 8th week
The NPRS is a commonly used, valid, flexible, and reliable outcome measure of pain. It consists of an 11-point rating system that takes a number between 0 and 10, where 0 means "no pain" and 10 means "worst imaginable pain." Patients are asked to select the value from scale that best represents their degree of pain.
8th week
Short Form Health survey (SF-36)
Time Frame: 8th week
Short Form Health survey (SF-36) is a self-reported health outcome measuring tool. There are 36 questions total, covering eight different health domains.
8th week
Spine Bridge test (SUBT)
Time Frame: 8th week
The supine bridge test is the most frequently recommended test for evaluating the core muscles. Starting with a supine posture, each participant placed their feet on a bed near to but without touching one another. and both knees flexed 90 degrees. Next to the torso were the arms. With the shoulders, hips, and knees all in a straight alignment, the individual raised their pelvis off the bed. The test posture was maintained until it was no longer possible due to discomfort. If the participant completed two minutes in the test posture, one support point was removed and the dominant limb was extended in air.
8th week

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: hina G gul, PhD*, Riphah International 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

  • Abdelhaleem MD, Aly SM, Taha TS, Abdallah EA. Effect of 8 weeks of cognitive behavioral therapy versus 8 weeks core stabilization training in the management of subjects with non-specific low back pain: a randomized controlled trial. Bulletin of Faculty of Physical Therapy. 2024;29(1):37.
  • Smrcina Z, Woelfel S, Burcal C. A Systematic Review of the Effectiveness of Core Stability Exercises in Patients with Non-Specific Low Back Pain. Int J Sports Phys Ther. 2022;17(5):766-74.
  • Prem L, Noman A, Muneeba A, Saifullah Khan D, Ghulam F, Ahmed Shahid A. Myofascial Release and Core Stability Exercises Among Chronic Lower Back Pain Patients: MFR and CSE for Chronic LBP. Journal of Health and Rehabilitation Research. 2024;4(3):1-5.
  • Gadre ST, Kanase SB, Mane D. Effect of core strengthening exercises on post-partum women with lumbar dysfunction. J Coast Life Med. 2022;10:210-9.
  • Mamipour H, Farazmehr S, Negahban H, Nazary-Moghadam S, Dehghan-Manshadi F, Navi Nezhad M, et al. Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics. 2023;46(1):27-36.

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)

October 1, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

July 1, 2026

Study Registration Dates

First Submitted

May 4, 2026

First Submitted That Met QC Criteria

May 4, 2026

First Posted (Actual)

May 8, 2026

Study Record Updates

Last Update Posted (Actual)

May 8, 2026

Last Update Submitted That Met QC Criteria

May 4, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/25/0506

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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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