Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- onset time of bowel peristalsis
研究概览
简要总结
This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 42 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •cesarean section giving birth to single baby having cesarean under general anesthesia
排除标准
- •giving birth to multiple babies being followed in intensive care unit after cesarean because of complications
研究组 & 干预措施
Routine care
All subjects were operated by the same obstetrician (SB) and lower segment transverse incision technique was used for the cesarean section. After delivery, patients were transferred to their rooms within the obstetric ward. Vital signs (heart rate, blood pressure and breathing rate) and body temperatures were assessed regularly. Patients were not allowed to feed orally before bowel movements had started. For post-operative pain control in the first 24 h, meperidine (50 mg, 4 × 1) and non-steroid anti-inflammatory medicine (4 × 1) were administered intravenously. If required by the patient, additional analgesics or anti-inflammatory medications were also administered by the nurses, who were blinded to the group assignment. Patients were encouraged for early ambulation after delivery if they were not hypotensive and uterine bleeding was under control. Initially, they ambulated 10-15 m inside their rooms, and the intensity increased in hours and days. Patients were usually discharged wit
干预措施: Physiotherapy (Other)
结局指标
主要结局
onset time of bowel peristalsis
时间窗: Only once when breaking gas and defecation occured after Cesarean.
Time of breaking gas and defecation after Cesarean.
incisional pain intensity
时间窗: 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
时间窗: 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
时间窗: From transfer to obstetric department room to first ambulation after cesarean
Time from transfer to obstetric department room to first ambulation after cesarean.
次要结局
- 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)
研究者
İlkim Çıtak Karakaya
Research Assistant
Hacettepe University