Quantification of Different Lumbar Paravertebral Muscles Properties in Women Who Experienced Cesarean Delivery Under Different Types of Anaesthesia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Lumbar paravertebral muscle stiffness
研究概览
简要总结
Cesarean delivery (CD) is an obstetric surgery for fetal delivery that involves both an abdominal incision (laparotomy) and a uterine incision (hysterotomy). It is presently the most prevalent surgery in the United States, with over 1 million women giving birth by cesarean section each year.
详细描述
The anaesthetic types of choice for cesarean delivery are neuraxial and general anaesthesia.
Neuraxial anesthesia is the gold standard anaesthesia for CD; it includes spinal and epidural anaesthesia. For spinal anaesthesia, local anesthetics are injected into the spinal canal, while for epidural anaesthesia, they are injected into the epidural space.
Despite the superiority of neuraxial anaesthesia for cesarean delivery, general anesthesia is still performed to some extent especially when neuraxial anaesthesia is failed or inconsistent.
General anesthesia involves a transient state of unconsciousness through the administration of inhaled anesthetic gases combined with intravenous drugs.
LBP patients showed changes in their neuromuscular activity, reduction in the lumbar muscle flexibility, and alteration of the biomechanical properties of the lumbar muscles.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •All women gave birth through a cesarean delivery.
- •All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia.
- •Their ages ranged from 18 to 35 years.
- •All participants had a body mass index (BMI) of not more than 30, and a waist-to-hip ratio of not more than
- •Participants were assessed between the 6th week to the 12th week postnatal.
- •All participants were able to continue all assessment procedures.
- •They were medically stable.
排除标准
- •Women who delivered through vaginal delivery.
- •Women who delivered through cesarean delivery, but the used anaesthetic technique was the paramedian approach for either the epidural or spinal anaesthesia.
- •Women with urinary tract infections.
- •Women who were below 18 years old or above 35 years old.
- •Women who had a (BMI) above 30 or a waist-to-hip ratio above
- •Women who did not continue all assessment procedures.
- •Women who had any specific low back pain as women who were diagnosed with lumbar disc prolapse, scoliosis, or spondylolisthesis.
结局指标
主要结局
Lumbar paravertebral muscle stiffness
时间窗: Assessment will be done 6-12 weeks after the use of anaesthesia for Cesarean section by the MyotonPRO device
Stiffness is a biomechanical property of a muscle and its connective tissue which refers to the tissue's resistance toward the deformation of external load
Lumbar paravertebral muscle frequency (tone)
时间窗: Assessment will be done 6-12 weeks after the use of anaesthesia for Cesarean section by the MyotonPRO device
Tone is a contractile property of a muscle which describes the resting muscle's resistance to passive and active stretch forces
次要结局
未报告次要终点
研究者
Mohamed Gamal Abouelyazeed Ali
Assistant Lecturer of Physical Therapy for Women's Health
South Valley University