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CTRI Number  CTRI/2025/07/091832 [Registered on: 28/07/2025] Trial Registered Prospectively
Last Modified On: 27/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA)
Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Abdominal Exercises for Back Pain in Mothers after Cesarean 
Scientific Title of Study   Effectiveness of Community-based Rehabilitation endorsed with Abdominal Capsule Muscles Stabilization Exercise for the Management of Postpartum Low back pain in Cesarean-section Mother 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Khandoker Faria Zaman 
Designation  Undergraduate Student 
Affiliation  Jashore University of Science and Technology 
Address  Room No.301, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology



7408
Other 
Phone  8801306543615  
Fax    
Email  fariazaman76@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Md Feroz Kabir 
Designation  Assistant Professor 
Affiliation  Jashore University of Science and Technology 
Address  Room No.409, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology



7408
Other 
Phone  8801765932545  
Fax    
Email  feroz@just.edu.bd  
 
Details of Contact Person
Public Query  
Name  Dr Md Feroz Kabir 
Designation  Assistant Professor 
Affiliation  Jashore University of Science and Technology 
Address  Room No.409, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology



7408
Other 
Phone  8801765932545  
Fax    
Email  feroz@just.edu.bd  
 
Source of Monetary or Material Support  
Dr MR Khan Medical Center, Level 3, Room 301, Musculoskeletal lab, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408, Bangladesh 
 
Primary Sponsor  
Name  Dr Ehsanur Rahman 
Address  Room No.401,Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology 
Type of Sponsor  Other [University] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Bangladesh  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Md Kabir Hossain  Dr MR Khan Medical Centre  Level 3,Room No.301, Musculoskeletal lab, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408

 		 8801778 315139

kabir2002pt@gmail.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IRB of Physiotherapy and Rehabilitation, JUST  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M545||Low back pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Abdominal capsule muscles stabilization exercise  Diaphragmatic breathing:3 days per week,5–10 min; Pelvic floor contractions:3 days per week, 5–10 min; Transverse abdominis engagement:3 days per week, 5–10 min; Multifidus activation (bird-dog exercise): 3 days per week, 10 min for 8 weeks  
Comparator Agent  Postural education  Sitting & breastfeeding posture, Proper lifting techniques, Standing with neutral spine, Ergonomic sleep advice, Avoiding harmful bending;45 minutes per session in a month for 2 months  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Females aged 18 to 40 years, postpartum mothers who have undergone cesarean section, At least 6 weeks after cesarean section, Presenting with low back pain, Willing to participate and provide informed consent

 
 
ExclusionCriteria 
Details  History of low back pain (LBP) before pregnancy, Complicated deliveries; e.g., requiring intensive interventions, prolonged hospitalization; Recent traumatic history; e.g., falls, accidents, Uncontrolled medical conditions, such as diabetes, hypertension, or heart disease, Presence of red flags, including radiating pain, numbness, or signs of serious pathology

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain by Visual Analogue Scale (VAS)  8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To assess functional disability related to low back pain by Oswestry Disability Index (ODI); To measure muscle strength by Biofeedback
 		 8 weeks 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="0" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  11/08/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Applicable 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [feroz@just.edu.bd].

  6. For how long will this data be available start date provided 01-02-2026 and end date provided 01-02-2031?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This study will assess the effectiveness of a community-based rehabilitation program combined with abdominal muscle stabilization exercises in managing low back pain among postpartum mothers after cesarean section. Eligible mothers aged 18–40 years, at least 6 weeks post-cesarean, will be randomly assigned to receive either postural education alone or postural education plus therapeutic exercises over 8 weeks. Outcomes will be measured using VAS, ODI, and Biofeedback. 
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