An interventional study of Therapeutic Exercise and Ergonomic Education in Low Back Pain, Postpartum Fatigue and Psychological Well-being, sponsored by Shifa Tameer-e-Millat University. Completed at 1 site in Pakistan. Open to female participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-09-16.
Sponsored by Shifa Tameer-e-Millat University · Not applicable, Interventional, and Treatment
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Among 223 studies in Low Back Pain with a site in Pakistan — 67 open to participants now, 79 under way, none of them phase 3. Low Back Pain · Pakistan.
Among the 223 studies in Low Back Pain with a site in Pakistan, this one is the 176th largest by enrollment of the 216 interventional ones that give a count, is one of 31 that started in 2026, is one of 216 with no phase, and was the 213th registered.
2,923 studies on the registry are indexed under Low Back Pain; 579 are open to participants now.
Browse Low Back Pain studies →67 of the 223 studies in Low Back Pain with a site in Pakistan are open now. Recruiting first, the newest first:
University of Karachi · Sites in Pakistan
Ages 18–45
Riphah International University · Sites in Pakistan
Ages 18–30
Riphah International University · Sites in Pakistan
Ages 25–55
Riphah International University · Sites in Pakistan
Ages 35–50
Riphah International University · Sites in Pakistan
Ages 20–40
A study can be open while its sites in Pakistan have not opened yet or have stopped. Only those recruiting at a site in Pakistan →
Of the 332 Low Back Pain studies recruiting now, 92 (28%) set no upper age limit and 210 (63%) stop at 75 or younger; 8 take children under 18; 46 take healthy volunteers.
This study: 20 Years to 40 Years · female · no healthy volunteers.
The full table on the hub →This tab as a report to print or save as PDF → With an account.
223 studies; the count open now beside each. This study's row is marked.
First in 2018; this study’s year is marked. 31 started in 2026.
By drug class, each counting the studies that test any of its medicines:
This study's enrollment of 30 is below the median of 60 across 2,364 interventional studies indexed under Low Back Pain.
Median enrollment 42 across the 216 interventional studies, 180 across the 7 observational. Of the 123 that completed or were terminated, 0 (0%) have results posted.
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None of the 223 has an industry lead sponsor. The 10 most frequent:
Shifa Tameer-e-Millat University is the lead sponsor of 27 studies on the registry; 10 are open to participants now.
Shifa Tameer-e-Millat University has 2 studies filed under Low Back Pain — fewer than ten, so there is no comparison to draw.
12 of the studies in Low Back Pain with a site in Pakistan that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT07645859Dow University of Health SciencesComparison of High-Intensity Interval Training With Moderate-Intensity Continuous Training in Chronic Non-Specific Low Back Pain Patients | 2026-12 |
| NCT06910982University of KarachiYoga and Mindfulness for Chronic Low Back Pain: A Randomized Controlled Trial | 2026-12-30 |
| NCT07912060University of Management and Technology LahoreIntegrated Feldenkrais Method With and Without DNS for Chronic Low Back Pain in Females | 2026-12-31 |
| NCT07912073University of Management and Technology LahoreComparative Effects of Kinetic Control Training and Neural Mobilization in Lumbar Radiculopathy | 2026-12-31 |
| NCT07912047University of Management and Technology LahoreEffects of Spinal Mobilization With and Without Clinical Pilates in Patients With Lumbar Disc Herniationc Herniation | 2026-12-31 |
Add all 12 to your calendar (.ics) → With an account.
Among the 223 studies in Low Back Pain with a site in Pakistan, from their registry updates:
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The goal of this study is to learn whether tele-rehabilitation helps postpartum women recover from low back pain after a cesarean section (C-section). The study will also look at whether tele-rehabilitation helps reduce fatigue, improve psychological well-being, and make daily activities easier.
The main questions it aims to answer are:
Participants will:
The study may help determine whether tele-rehabilitation is a practical way to provide physiotherapy support to women recovering at home after a C-section.
Detailed Description
This study will evaluate the effect of a structured tele-rehabilitation program on low back pain, fatigue, and psychological well-being among postpartum women following cesarean section. The study will use a two-arm randomized controlled trial design. Participants will be recruited according to predefined eligibility criteria and will be randomly allocated to either an intervention group or an active comparator group.
The study will include postpartum women aged 20 to 40 years who have experienced low back pain following cesarean section and who are able to participate in tele-rehabilitation sessions. Participants with postpartum complications, neurological deficits, diagnosed spinal pathology, current physiotherapy treatment, or contraindications to exercise will be excluded. The study will be conducted over a 6-week intervention period, with assessments performed before and after the intervention. The synopsis specifies a postpartum recruitment period of approximately 2-6 weeks after delivery.
Participants will be randomly allocated using computer-generated randomization into two groups. The intervention group will receive tele-rehabilitation consisting of therapeutic exercises combined with ergonomic education and back-care advice. The active comparator group will receive ergonomic education and back-care advice without the therapeutic exercise component. Randomization will be performed independently of outcome assessment, and outcome assessors will be blinded to group allocation where feasible.
The therapeutic exercise program will be designed for postpartum women following cesarean section and will progress gradually according to participants' tolerance. The program will include gentle mobility exercises, pelvic and core muscle activation, pelvic floor exercises, strengthening exercises, and postural control activities. Exercises will include ankle pumps, heel slides, pelvic rocking, pelvic tilts, butterfly stretching, Kegel exercises, bridging, bow-and-arrow exercises, and shoulder rolls. Participants will also be encouraged to follow a gradually progressive walking program.
Ergonomic education will be provided to both groups. The education will focus on posture correction and safe performance of common postpartum activities. Participants will receive guidance regarding sitting and standing posture, breastfeeding and feeding positions, lifting and carrying the baby, bed mobility, bending and reaching, household activities, avoidance of prolonged flexed postures, back-care strategies, and activity pacing. Educational material will also be provided for home reference.
The tele-rehabilitation sessions will be delivered remotely through video-based communication platforms. Participants will receive guidance and supervision during the intervention and will be instructed to perform the prescribed exercises at home. Adherence will be monitored through follow-up communication, exercise records, or self-reported practice. Any pain or discomfort experienced during exercise will be monitored, and the exercise program will be modified when necessary.
The primary outcomes will include low back pain intensity, fatigue, and psychological well-being. Low back pain will be assessed using the Visual Analog Scale (VAS), fatigue will be assessed using the 9-item Fatigue Severity Scale (FSS), and psychological well-being will be assessed using the WHO-5 Well-Being Index. Functional disability related to low back pain will be assessed as a secondary outcome using the Oswestry Disability Index (ODI). The outcomes will be measured at baseline and immediately after completion of the 6-week intervention.
The study will determine whether adding therapeutic exercises through tele-rehabilitation to ergonomic education will provide greater improvements in low back pain, fatigue, and psychological well-being than ergonomic education alone. The findings will help assess whether remotely supervised rehabilitation can provide a practical and accessible physiotherapy approach for postpartum women who may experience difficulties accessing in-person rehabilitation after cesarean section.
The study will also provide information about the potential role of tele-rehabilitation in improving functional ability and reducing the impact of postpartum low back pain on daily activities. The results may support the development of accessible home-based physiotherapy programs for postpartum women, particularly in settings where regular face-to-face physiotherapy may be difficult to access.
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Postpartum women between 2-6 weeks after delivery
Exclusion Criteria:
Postpartum complications (e.g., infection, delayed healing)
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants will receive tele-rehabilitation combining therapeutic exercises and ergonomic education. Therapeutic exercises will be delivered remotely through WhatsApp video sessions, with participants receiving guidance and supervision during the exercise program. Ergonomic education will include posture correction and back-care advice related to breastfeeding, sitting, standing, lifting, carrying, and other daily activities. Participants will complete the intervention at home and will undergo outcome assessments before and after the treatment program.
Behavioral: Therapeutic Exercise · Behavioral: Ergonomic Education
Participants will receive ergonomic education focused on posture correction and back care during the postpartum period. Education will include guidance on appropriate breastfeeding posture, sitting and standing mechanics, safe lifting and carrying techniques, and strategies for reducing strain on the lower back during daily activities. Participants will receive the education remotely and will complete outcome assessments before and after the treatment program.
Behavioral: Ergonomic Education
Participants will receive a structured therapeutic exercise program through tele-rehabilitation. The exercises will be performed at home under remote guidance and supervision. The program is designed to reduce low back pain and fatigue and improve functional ability among postpartum women following cesarean section.
Participants will receive ergonomic education focused on posture correction and back care during the postpartum period. Education will include appropriate breastfeeding posture, sitting and standing mechanics, safe lifting and carrying techniques, and strategies to reduce strain on the lower back during daily activities.
Low Back Pain Intensity measured by Visual Analog Scale (VAS)
Low back pain intensity will be assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain. Lower scores indicate lower pain intensity. The VAS will be used to assess changes in low back pain following the intervention.
Time frame: Baseline (pre-treatment) and immediately after completion of the intervention (post-treatment)
Fatigue Severity measured by Fatigue Severity Scale (FSS)
Description: Fatigue severity will be assessed using the Fatigue Severity Scale (FSS), which consists of 9 items scored from 1 to 7, with a total score ranging from 9 to 63. Higher scores indicate greater fatigue severity (worse outcome). Changes in Fatigue Severity Scale scores will be assessed before and after the intervention.
Time frame: Baseline (pre-treatment) and immediately after completion of the intervention (post-treatment)
Psychological Well-being measured by WHO-5 Well-Being Index
Description: Psychological well-being will be assessed using the World Health Organization-Five Well-Being Index (WHO-5). Each item is scored from 0 to 5, with a raw total score ranging from 0 to 25. The raw score may be converted to a percentage score ranging from 0 to 100. Higher scores indicate better psychological well-being (better outcome). Changes in World Health Organization-Five Well-Being Index scores will be assessed before and after the intervention.
Time frame: Baseline (pre-treatment) and immediately after completion of the intervention (post-treatment)
Functional Disability measured by Oswestry Disability Index (ODI)
Description: Functional disability related to low back pain will be assessed using the Oswestry Disability Index (ODI). The index consists of 10 sections, with each section scored from 0 to 5, giving a total score of 0 to 50, which can be expressed as a percentage from 0% to 100%. Higher scores indicate greater functional disability (worse outcome). Changes in Oswestry Disability Index scores will be assessed before and after the intervention.
Time frame: Baseline (pre-treatment) and immediately after completion of the intervention (post-treatment)
Plan to share: No
No publications or documents are linked to this record.
Ran from May 2026 to primary completion in Aug 2026, 3 months.
Of 1,231 non-industry interventional studies with no phase under Low Back Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 26. This study's 3 months is below that.
Counting every sponsor, half of 1,286 studies reached it within 11 months; a quarter within 5 and three quarters within 27.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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Shifa Tameer-e-Millat University