ABSTRACT

Background Postpartum lumbopelvic pain is a prevalent musculoskeletal condition following pregnancy and childbirth, associated with hormonal changes, ligament laxity, weakened core musculature, and altered biomechanics. These factors contribute to reduced lumbopelvic stability and functional limitations. Core stabilization exercises are commonly used to restore spinal stability and alleviate pain. Breathing strategies, including diaphragmatic breathing and abdominal bracing, influence intra-abdominal pressure and deep core muscle activation, potentially enhancing rehabilitation outcomes. Methodology A randomized controlled trial was conducted on 24 postpartum women (6 weeks to 6 months) diagnosed with lumbopelvic pain. Participants were randomly allocated into two groups (n=12 each). Group A received diaphragmatic breathing combined with core stabilization exercises, while Group B performed abdominal bracing with core stabilization exercises. Interventionswere supervised, conducted 5 sessions per week for 4 weeks. Outcome measures included pain intensity assessed using the Visual Analog Scale (VAS) and functional disability using the Oswestry Disability Index (ODI). Pre- and post-intervention data were statistically analyzed. Results Both groups showed statistically significant improvements in VAS and ODI scores post- intervention (p < 0.001). However, between-group comparison indicated that Group B (abdominal bracing with core stabilization) achieved significantly greater reductions in pain and disability compared to Group A (p < 0.05). Conclusion Both interventions are effective in managing postpartum lumbopelvic pain. However, abdominal bracing combined with core stabilization demonstrates superior outcomes in reducing pain and functional disability. Integrating these strategies into postpartum rehabilitation may enhance recovery and improve quality of life. Keywords: Breathing exercises, Lumbopelvic pain, Core stability exercises
Publication date: 01/11/2026

https://www.ijbpas.com/pdf/2026/November/MS_IJBPAS_2026_10599.pdf

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https://doi.org/10.31032/IJBPAS/2026/15.11.10599