Aug 15, 2025
Exercise for Postpartum Low-back-pain in Cesarean Section Mother
- Khandoker Faria Zaman1,
- Dr. Md. Feroz Kabir2
- 1Jashore University of Science and Technology;
- 2Jashore University of Science & Technology
Protocol Citation: Khandoker Faria Zaman, Dr. Md. Feroz Kabir 2025. Exercise for Postpartum Low-back-pain in Cesarean Section Mother. protocols.io https://dx.doi.org/10.17504/protocols.io.j8nlkyoedg5r/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: August 14, 2025
Last Modified: August 15, 2025
Protocol Integer ID: 224697
Keywords: Postpartum low back pain, cesarean section, community-based rehabilitation, abdominal capsule muscles, stabilization exercise., exercise for postpartum low, pain in cesarean section mother postpartum, community physiotherapy practice in bangladesh, community physiotherapy practice, reducing pain, cesarean section mother postpartum, abdominal capsule muscle stabilization exercise, greater reductions in pain, improved muscle strength, cesarean section mother, based rehabilitation, postpartum low, postural change, postural education, enhancing muscle strength, prevalent among cesarean section mother, muscle strength, exercise, stabilization exercise, pressure biofeedback, muscle weakness
Funders Acknowledgements:
Department of Physiotherapy and Rehabilitation
Abstract
Postpartum low back pain (LBP) is highly prevalent among cesarean section mothers due to surgical factors, postural changes, and muscle weakness. This randomized controlled trial will evaluate the effectiveness of a community-based rehabilitation (CBR) program combined with abdominal capsule muscle stabilization exercises in reducing pain, improving function, and enhancing muscle strength.
Participants (18–40 years, ≥6 weeks post-cesarean) will be randomized into two groups: control (postural education) and experimental (postural education + stabilization exercises) for 8 weeks. Pain (VAS), function (Oswestry Disability Index), and muscle strength (pressure biofeedback) will be measured.
It is expected that both groups will improve, but the experimental group will show greater reductions in pain and disability, and improved muscle strength, supporting integration of this intervention into community physiotherapy practice in Bangladesh.
Materials
Educational Materials
- Postural education handouts or booklets (Bangla & English versions)
- Visual aids (charts, posters, diagrams of abdominal capsule muscles)
- Exercise instruction sheets with illustrations
Exercise Equipment
- Yoga mats or exercise mats
- Stability ball (for core and pelvic floor exercises)
- Resistance bands (varied resistance levels)
Visual Analogue Scale (VAS) for pain assessment
Oswestry Disability Index (ODI) questionnaire (Bangla-translated version)
Pressure biofeedback unit (for muscle strength measurement)
General Stationery & Recording Materials
- Participant consent forms
- Data collection sheets
- Clipboard, pens, and markers
Miscellaneous
- Disinfectant wipes (for cleaning equipment between uses)
- Drinking water facility for participants during sessions
Protocol references
•Jabu, N. J. (2019, October 12). “Effectiveness of specific lumbar stabilization Exercises for low back pain among postpartum Women”. http://dspace.crpbangladesh.org:8080/xmlui/handle/123456789/766
•Nayyab, N. I., Ghous, N. M., Rehman, N. S. S. U., & Yaqoob, N. I. (2021). The effects of an exercise program for core muscle strengthening in patients with low back pain after cesarean-section: a single blind randomized controlled trial. Journal of the Pakistan Medical Association, 1–15. https://doi.org/10.47391/jpma.596
•Weis, C. A., Barrett, J., Tavares, P., Draper, C., Ngo, K., Leung, J., Huynh, T., & Landsman, V. (2018). Prevalence of low back pain, pelvic girdle pain, and combination pain in a pregnant Ontario population. Journal of Obstetrics and Gynaecology Canada, 40(8), 1038–1043. https://doi.org/10.1016/j.jogc.2017.10.032
•Therapeutic Exercise – Foundations and Techniques
Acknowledgements
We would like to express our sincere gratitude to the Department of Physiotherapy and Rehabilitation at Jashore University of Science and Technology (JUST) for partially funding this study. We also thank the faculty members, clinical staff, and all participants whose support and cooperation were essential to the successful execution of this research.