An interventional study of hot pack therapy and Kinetic control training in Low Back Pain, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to female participants aged 25 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-06.
Sponsored by Cairo University · Not applicable, Interventional, and Treatment
the effect of kinetic control training and hotpack and compare it with hotpack alone on postnatal low back pain
Background: Postnatal low back pain (PLBP) is a common condition affecting women after childbirth due to musculoskeletal and biomechanical changes during pregnancy. Effective rehabilitation strategies are essential for pain relief and functional recovery.
Objective: This study aims to evaluate the effect of kinetic control training in postnatal women with low back pain.
Methods: A total of 66 postnatal women with low back pain were randomly selected from WENGAT Hospital and EL SHATBY Hospital in Alexandria. Participants were divided into two equal groups:
Group A: 33 women treated with hot pack for 20 minutes twice daily for 6 weeks. Group B: 33 women treated with a combination of kinetic control training and hot pack 3 sessions/week for 6 weeks.
Pain intensity will be assessed using the Visual Analog Scale (VAS) and Pressure Algometer. Range of motion (ROM) will be evaluated using the Modified Schober Test.
2,818 studies on the registry are indexed under Low Back Pain; 482 are open to participants now.
This study's planned enrollment of 66 is close to the median of 60 across 2,268 interventional studies indexed under Low Back Pain.
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**Inclusion Criteria:**
Participants in this arm receive hot pack therapy as a standard physiotherapeutic intervention. A moist hot pack is applied to the lumbar region for 20-30minutes per session, twice daily, over a period of 8weeks. This intervention is intended to provide superficial heat to reduce pain, promote muscle relaxation, and improve local circulation. No additional therapeutic exercises are administered to this group
Other: hot pack therapy
Participants in this arm receive both hot pack therapy and kinetic control training. The hot pack is applied to the lumbar region for 20-30minutes per session, twice daily, for 8weeks. In addition, participants undergo kinetic control training, which includes therapist-guided exercises targeting the deep stabilizing muscles of the lumbar-pelvic region. Exercises focus on improving muscle coordination, movement control, and spinal stability. Sessions are conducted three times per week for 8 weeks.
Other: hot pack therapy · Genetic: Kinetic control training
Application of a commercial hot pack to the lumbar region for 20-30 minutes per session, twice daily, for 6 weeks.
is an evidence-based rehabilitation approach, focused on retraining movement patterns by addressing and improving motor control of the lumbar spine and pelvis, correcting faulty movement strategies, enhancing stability in functional tasks. The principles of KCT entail the identification of direction-specific motor control deficit, uncontrolled extension, followed by focused retraining of movement control through specific exercises designed to improve the coordination and activation of deep stabilizing muscle systems, including the transversus abdominis, multifidus, and pelvic floor muscles. This approach is especially relevant in postpartum women, where motor control deficits and poor load transfer capabilities are commonly observed . Based on the clinical presentation of patients with postnatal low back pain, demonstrated symptoms that were aggravated during lumbar extension movements or when maintaining prolonged upright postures. The
Pain Intensity Measured by Visual Analog Scale (VAS)
Pain intensity will be assessed using the Visual Analog Scale (VAS), a validated tool for measuring subjective pain levels. Participants will indicate their pain level on a 10 cm horizontal line ranging from "no pain" (0) to "worst imaginable pain" (10). This measurement will help evaluate the effectiveness of kinetic control training in reducing postnatal low back pain compared to hot pack therapy alone
Time frame: Baseline and after 8weeks of intervention
Lumbar Range of Motion (Flexion and Extension) Using Modified Schober Test
This measure assesses the flexibility and mobility of the lumbar spine using the Modified Schober Test. A non-invasive tape measure method is used to evaluate the difference in spinal segment length during full flexion and extension compared to the neutral standing posture. The outcome reflects the degree of lumbar mobility, which may be affected by postnatal low back pain and improved through targeted interventions like kinetic control training.
Time frame: Baseline and after 8weeks of intervention
Plan to share: No — The plan for sharing deidentified individual participant data is under consideration. It will depend on institutional policies and ethical approvals. Further details will be provided once finalized.
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Cairo University