Effects of Core Stabilization Exercises and High-Velocity Thrust Manipulation on Pelvic-Girdle Pain: A Randomized Controlled Trial

Abstract

Pelvic-girdle pain is a mechanical disorder is very prevalent that leads the individual to suffer with disability and functional limitations. Objective: To determine the effectiveness of core stabilization exercises with thrust manipulation (HVT) on pelvic girdle pain in postpartum women. Methods: This randomized, placebo treatment-controlled trial was conducted in Physiotherapy OPD clinic in Jinnah Memorial Trust Hospital Gujranwala, Pakistan. We included 40 post-partum females consecutively aged 18 to 45 years presenting with pelvic girdle pain for over the past 6 to 16 months of the delivery meeting were isolated in two groups using convenient sampling. The control group received stabilization exercises with routine physical therapy treatment and the treatment group received a high velocity thrust manipulations technique (HVTT). The study instruments included   Oswestry Disability Index Questionnaire and numeric pain rating scale. Data were analysed using SPSS 21.0. Results: The findings indicated demographics age with a mean and S.D score of 31.08 ± 6.36. In participants pain numeric pain and ODI scores in the post-treatment group were significant with a p <0.01 and general exercise with a p<0.02.  The pre and post ODI scores in both groups had a p-value <0.05 except the within-group score of p >0.068. Conclusions: The application of high velocity thrust manipulation is effective approach in reducing pelvic girdle pain and discomfort in postpartum women. The HVTT treatment therapy can be deemed superior to core stabilization exercises.