Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities

Not Applicable

Completed

• Conditions: Cesarean Section

• Registration Number: NCT00302315
• Lead Sponsor: Hacettepe University

Brief Summary

This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.

Detailed Description

This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems which make difficulties in functional activities, and includes a physiotherapy intervention group and a control group. Physical characteristics, obstetrical and surgical histories, and systemic problems, back pain, low back pain, headache, urinary/fecal incontinence problems and bowel habit of the subjects both in pregnancy and postpartum periods are recorded. First ambulation time after cesarean, presence of syncope, related vital signs, onset time of bowel peristalsis and defecation are also recorded. Intensities of incisional pain and difficulty in performing functional activities are evaluated by daily 0-10 cm visual analogue scales (VASs). Also, intensities of back pain, low back pain, headache, bloated feeling of the abdomen, and fatigue are also evaluated by daily VASs. Physiotherapy program included breathing exercises, active joint movements of the lower limbs, posture exercises, connective tissue manipulation and transcutaneous electrical nerve stimulation.

Study Timeline

• Study Start: 2004-12
• Primary Completion: 2005-05
• Study Completion: 2005-05
• Status Verified: 2006-03
• Study First Submitted: 2006-03-13
• Study First Submitted QC: 2006-03-13
• Study First Posted: 2006-03-14
• Last Update Submitted: 2025-03-11
• Last Update Posted: 2025-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 50

Inclusion Criteria

cesarean section giving birth to single baby having cesarean under general anesthesia

Exclusion Criteria

giving birth to multiple babies being followed in intensive care unit after cesarean because of complications

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
incisional pain intensity	Intensity of incision pain was evaluated daily during hospitalization period before the physiotherapy program in the study group.	Intensity of incision pain was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no pain, 10 = unbearable pain).
intensity of difficulty in functional activities	Intensity of difficulty in functional activities was evaluated daily during hospitalization period before the physiotherapy program in the study group.	Intensity of difficulty in functional activities was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no difficulty, 10 = unable to perform the activity).
first ambulation time	From transfer to obstetric department room to first ambulation after cesarean	Time from transfer to obstetric department room to first ambulation after cesarean.
onset time of bowel peristalsis	Only once when breaking gas and defecation occured after Cesarean.	Time of breaking gas and defecation after Cesarean.

Secondary Outcome Measures

Name	Time	Method
Vital signs	Vital signs were measured before and after first ambulation	Heart rate, blood pressure, breathing rate and body temperature
Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure	Only once before discharge from the hospital	Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure were recorded, and also cases were observed for any adverse effects which may be due to the physiotherapy applications.

Trial Locations

Locations (1)

Hacettepe University Hospital; 🇹🇷 Ankara, Turkey