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Dr. Aliaa Elabd :: Publications:

Title:
Effect of Tui-Na versus positional release techniques on pregnancy-related low back pain in the third-trimester: A randomized comparative trial
Authors: Aliaa M. Elabd, Shahnaz Hasan, Ahmad H. Alghadir, Omar M. Elabd, Ghada Mohamed Shawky, Amir Iqbal, Yara N.Marwan Marwan,
Year: 2025
Keywords: exercise therapy, low back pain, manual therapy, pregnancy, traditional Chinese medicine
Journal: Medicine
Volume: 103
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link:
Full paper Aliaa Elabd_effect_of_tui_na_versus_positional_release.871.pdf
Supplementary materials Not Available
Abstract:

Background: Researchers are prioritizing the development of an effective treatment approach for third-trimester pregnancy related low back pain (LBP), a prevalent and costly disorder. Therefore, this study aimed to examine the effects of Tui-Na (TN) versus positional release techniques (PRT) on third trimester pregnancy-related LBP. Methods: Fifty pregnant women in their third trimester with low back pain were randomly assigned to 1 of 2 groups for 4 weeks of prescribed treatment (TN or PRT). The primary outcome was LBP intensity. Secondary outcomes included the Oswestry disability index for back disability and the pressure pain threshold of lumbar tender points. Two-way multivariate analysis of variance was used for the data analysis. Results: Multivariate tests indicated statistically significant effects of group (F = 10.062, P < .001, partial η2 = 0.302), time (F = 473.5, P < .001, partial η2 = 0.953), and group-by-time interactions (F = 4.045, P < .001, partial η2 = 0.148). However, the TN group, when compared to the PRT group, revealed a significant decrease in back disability (P < .001, partial η2 = 0.124) and a significant increase in pressure pain threshold at the Rt and Lt points (P = .02 and .001, partial η2 = 0.055, and 0.108, respectively). Within-group comparisons were significant for all measured variables in both the groups (P < .001). Conclusion: Although both TN and PRT are beneficial treatments for third trimester pregnancy-related LBP, TN leads to more beneficial outcomes.

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