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CTRI Number  CTRI/2020/03/023676 [Registered on: 02/03/2020] Trial Registered Prospectively
Last Modified On: 28/02/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   EFFECT OF LAND EXERCISES VS WATER EXERCISES IN POSTNATAL FEMALES WITH UPPER BACK PAIN 
Scientific Title of Study   Effect of land based exercise v/s water based exercises in post partum women with upper back pain: A Randomized clinical trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DAMINI N HALDANKAR 
Designation  pg student 
Affiliation  KLEU INSTITUTE OF PHYSIOTHERAPY 
Address  KLEU INSTITUTE OF PHYSIOTHERAPY NEHRU NAGAR BELAGAVI KARNATAKA

Belgaum
KARNATAKA
590010
India 
Phone  7021298195  
Fax    
Email  damini.haldankar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Arati Mahishale 
Designation  professor 
Affiliation  KLEU INSTITUTE OF PHYSIOTHERAPY 
Address  KLEU INSTITUTE OF PHYSIOTHERAPY NEHRU NAGAR BELAGAVI KARNATAKA

Belgaum
KARNATAKA
590010
India 
Phone    
Fax    
Email  mphysioarati@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DAMINI N HALDANKAR 
Designation  pg student 
Affiliation  KLEU INSTITUTE OF PHYSIOTHERAPY 
Address  KLEU INSTITUTE OF PHYSIOTHERAPY NEHRU NAGAR BELAGAVI KARNATAKA

Belgaum
KARNATAKA
590010
India 
Phone  7021298195  
Fax    
Email  damini.haldankar@gmail.com  
 
Source of Monetary or Material Support  
DAMINI N HALDANKAR 
 
Primary Sponsor  
Name  DAMINI N HALDANKAR 
Address  KLEU INSTITUTE OF PHYSIOTHERAPY NEHRU NAGAR BELAGAVI KARNATAKA 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DAMINI N HALDANKAR  DR PRABHAKAR KORE HOSPITAL  OPD NO.39 ADVANCED PHYSICAL THERAPY DEPT.
Belgaum
KARNATAKA 
7021298195

damini.haldankar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RESEARCH AND ETHICAL COMMITTEE KLEU INSTITUTE OF PHYSIOTHERAPY BELAGAVI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  POSTPARTUM FEMALES WITH UPPER BACK PAIN 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  LAND EXERCISE WATER EXERCISE   AQUATIC BASED EXERCISE GROUP 2: F- 3 times / week for 3 weeks I- low to moderate intensity (monitored using Borgs rate of perceived exertion Scale) T- 40 mins with 20 mins warm up and cool down total sessions each T- aerobic exercise Warm up period-10 mins(including stretching of upper back muscles, alternate leg hopping, breathing) Aerobic training- 20 mins(including movements of upper limbs, movements of upper back ) Cool down period- 10 mins(relaxation in pool ,breathing ) EXERCISE Breathing exercises-10 repetitions Stretching of all set of muscles of neck and upper back-3 repetitions for 30s hold each Lateral trunk flexor stretch Scapular retraction Angel wings for shoulder range of motion Front and back chest press With 15 to 20 repetitions each 
Comparator Agent  LAND EXERCISE WATER EXERCISE  LAND BASED EXERCISE GROUP 1: F- 3 times / week for 3 weeks I- low to moderate intensity (monitored using Borgs rate of perceived exertion Scale) T- 40 mins with 20 mins warm up and cool down total sessions each T- aerobic exercise Warm up period-10mins including breathing exercise , stretching of neck and upper back muscles , neck movements , upper extremity movements Aerobic training-20mins Cool down period-10mins including relaxation EXERCISES Breathing exercises-10 repetitions Stretching of all sets of neck muscles and upper back muscles -3 repetition with 30 s hold each Neck movements-15 to 20 repetitions All set of upper extremity movements-15 to 20 repetitions Scapulothoracic movements including scapula retraction, combined scapular retraction with shoulder lateral rotation ,shoulder press forward punch etc. for 15 to 20 repetitions AQUATIC BASED EXERCISE GROUP 2: F- 3 times / week for 3 weeks I- low to moderate intensity (monitored using Borgs rate of perceived exertion Scale) T- 40 mins with 20 mins warm up and cool down total sessions each T- aerobic exercise Warm up period-10 mins(including stretching of upper back muscles, alternate leg hopping, breathing) Aerobic training- 20 mins(including movements of upper limbs, movements of upper back ) Cool down period- 10 mins(relaxation in pool ,breathing ) EXERCISE Breathing exercises-10 repetitions Stretching of all set of muscles of neck and upper back-3 repetitions for 30s hold each Lateral trunk flexor stretch Scapular retraction Angel wings for shoulder range of motion Front and back chest press With 15 to 20 repetitions each  
Intervention  LAND EXERCISE WATER EXERCISE  LAND BASED EXERCISE GROUP 1: F- 3 times / week for 3 weeks I- low to moderate intensity (monitored using Borgs rate of perceived exertion Scale) T- 40 mins with 20 mins warm up and cool down total sessions each T- aerobic exercise Warm up period-10mins including breathing exercise , stretching of neck and upper back muscles , neck movements , upper extremity movements Aerobic training-20mins Cool down period-10mins including relaxation EXERCISES Breathing exercises-10 repetitions Stretching of all sets of neck muscles and upper back muscles -3 repetition with 30 s hold each Neck movements-15 to 20 repetitions All set of upper extremity movements-15 to 20 repetitions Scapulothoracic movements including scapula retraction, combined scapular retraction with shoulder lateral rotation ,shoulder press forward punch etc. for 15 to 20 repetitions AQUATIC BASED EXERCISE GROUP 2: F- 3 times / week for 3 weeks I- low to moderate intensity (monitored using Borgs rate of perceived exertion Scale) T- 40 mins with 20 mins warm up and cool down total sessions each T- aerobic exercise Warm up period-10 mins(including stretching of upper back muscles, alternate leg hopping, breathing) Aerobic training- 20 mins(including movements of upper limbs, movements of upper back ) Cool down period- 10 mins(relaxation in pool ,breathing ) EXERCISE Breathing exercises-10 repetitions Stretching of all set of muscles of neck and upper back-3 repetitions for 30s hold each Lateral trunk flexor stretch Scapular retraction Angel wings for shoulder range of motion Front and back chest press With 15 to 20 repetitions each  
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Female subjects within the age group 21-35 years
History of upper back pain
Primiparous and multiparous
FTND and LSCS
Women who are breastfeeding
6 months to 1 year postpartum females
Subjects willing to participate
 
 
ExclusionCriteria 
Details  Performing regular exercises of upper back
Females who have skin disease or skin infection
Open wounds
Females who are hydrophobic
Undergoing treatment for upper back and neck
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
BACK SCRATCH TEST
PLUMB LINE
FLEXICURVE
OSWESTRY DISABILITY INDEX 
PRE -0 WEEKS;POST-3 WEEKS
 
 
Secondary Outcome  
Outcome  TimePoints 
NONE  PRE-0 WEEKS;POST-3 WEEKS 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
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)   02/03/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

A study done by  Eric Watelain et al , in 2017 stated that exercise for trunk muscles reduces pain , improves quality of life and physical health of females during pregnancy and 2 months postpartum.

Literature  concluded that physical exercise helps to reduce low back and pelvic girdle pain in pregnancy.

Many studies have been done to determine the effects of aquatic therapy during pregnancy , but however there is derth of literature to determine the effects of aquatic therapy in postpartum .Also there is a paucity of data to determine effect land based exercise on upper back and its effects on pain flexibility and posture.

Hence the present study has been undertaken to compare the effect of land based and aquatic exercise on upper back pain in postpartum females on flexibility and posture.

Alternate Hypothesis(Ha):Either land based exercise or water based exercise will be more effective on pain , flexibility and posture in postpartum women

Null Hypothesis (H0):Land based exercise and water based exercise will be equally effective or will not be equally effective on pain , flexibility and posture in postpartum women

 
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