Diaphragmatic Exercises As Treatment of Referred Pain After Total Laparoscopic Hysterectomy: Randomized Controlled Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hysterectomy
- Sponsor
- University of Seville
- Enrollment
- 74
- Locations
- 2
- Primary Endpoint
- The Quick Dash quiz
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Through a blinded clinical trial, the aim is to evaluate the efficacy of manual therapy in the treatment of pain referred to after laparoscopic hysterectomy.
Control and intervention groups were randomly established. Informed consent will be requested for participation in the study.
Investigators
Antonio Luis Partida Márquez
Diplomado en Enfermería
University of Seville
Eligibility Criteria
Inclusion Criteria
- •• Patients who have given their consent to participate in the project by signing the informed consent.
- •Patient between 18 and 65 years of age.
- •Patients with a hysterectomy scheduled to be performed in less than 3 months at the Women's Hospital in Seville or at the Quirón Sagrado Corazón Clinic in Seville.
- •Who develops pain of intensity greater than 7 points located in the head, neck or upper limbs in the first 24 hours post-hysterectomy.
- •Patients who are able to communicate in Spanish or English.
Exclusion Criteria
- •Neurological Pathology.
- •Non-cooperative Subject.
- •Severe Psychiatric Illness.
- •Loss of Cognitive Capacity.
- •Evidence that post-hysterectomy pain is not caused by surgery (eg, presence of fracture or infection in the head, neck or upper limbs.
- •Localized pain in areas not considered in this study and that may affect the performance and results of the study.
Outcomes
Primary Outcomes
The Quick Dash quiz
Time Frame: 24 hours after laparoscopy
Questionnaire containing questions about symptoms and the ability to use instruments of the upper limbs. Collect data referring to the last week
The McGill Pain Questionnaire
Time Frame: 24 hours after laparoscopy
Location of pain: which is usually represented by a schematic figure of the human body, where the patient points out the areas where they feel pain. * Quality of pain: the patient must choose from a wide list of types of pain those characteristics that define the one he presents. They are grouped into various categories that in turn form four large groups: sensory, emotional, evaluative and miscellaneous. In the original English version, the number of words was 78, although they may vary in the different validations of the questionnaire (66 in the Spanish version). * Pain intensity at the current moment: explored by means of a question with five possible response categories. * Assessment of pain at the current time using a visual analogue scale, ranging from "no pain" to "unbearable pain".
The Brief Pain Questionnaire
Time Frame: 24 hours after laparoscopy
This questionnaire, in its short version, includes a body map that the patient can use to mark the areas where pain is located. In addition to providing a useful tool for localizing pain, this questionnaire provides important information about other characteristics of pain, as well as response to prescribed treatments.
The Neck Disability Index questionnaire
Time Frame: 24 hours after laparoscopy
assesses neck and back pain and its influence on basic activities of daily living
The HIT-6 scale
Time Frame: 24 hours after laparoscopy
evaluates the headache through 6 questions