Aliaa Elabd
Lecturer
Effect of Tui-Na versus positional release techniques on pregnancy-related low back pain in the third-trimester: A randomized comparative trial
Medicine • 2025
Publication Information
Authors
Aliaa M. Elabd, Shahnaz Hasan, Ahmad H. Alghadir, Omar M. Elabd,
Ghada Mohamed Shawky, Amir Iqbal, Yara N.Marwan Marwan,
Keywords
exercise therapy, low back pain, manual therapy, pregnancy, traditional Chinese medicine
Journal
Medicine
Publisher
Not Available
Volume
103
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Open Link
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.
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.