Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Hacettepe University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- incisional pain intensity
Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 19 Years to 42 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
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
Outcomes
Primary Outcomes
incisional pain intensity
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: Only once when breaking gas and defecation occured after Cesarean.
Time of breaking gas and defecation after Cesarean.
Secondary Outcomes
- Vital signs(Vital signs were measured before and after first ambulation)
- 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)
Investigators
İlkim Çıtak Karakaya
Research Assistant
Hacettepe University