Impact of Pelvic Floor Rehabilitation Combined With Ultrasound Therapy on Osteomyoarticular Symptoms in Chronic Perineal Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Assessment of osteomyoarticular symptoms
研究概览
简要总结
The purpose of the study is to find out the effect of pelvic floor rehab combined with ultrasound have effect in chronic perineal pain subjects associated with osteomyoarticular symptoms .
详细描述
Chronic perineal pain is the anorectal and perineal pain without underlying organic disease, anorectal or endopelvic, which has been excluded by careful physical examination, radiological and endoscopic investigations. So, perineal and vaginal pain after vaginal delivery has been associated with tissue trauma related to operative vaginal delivery, perineal laceration, and episiotomy.
Studies assessing chronic pain after vaginal delivery report 2% to 10% of women with pain at six months and later, almost exclusively in mothers who had an assisted vaginal birth. Postpartum pain intensity is usually higher when it is related to vaginal delivery than to cesarean delivery and more severely affects the woman's quality of life and mood.
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
- 20 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •The age of the subjects will be ranged from 20 to 35 years.
- •All participants had vaginal delivery with episiotomy.
- •They are in late post partum period over 6 months
- •Their BMI will be ranger from 25 to 30 kg/m
- •All participants have mechanical low back pain.
- •All participants have perineal pain.
- •The Number of parity Ranged from 2-3 times.
排除标准
- •Females will be excluded if they have any spine or lower extremities injuries or previous surgeries.
- •Females with radicular back pain.
- •Inability to understand the written and verbal instruction.
- •Females had irregular menstrual cycle
结局指标
主要结局
Assessment of osteomyoarticular symptoms
时间窗: 6 weeks
It will be assessed before and after the end of treatment for each participant in both groups using Nordic Musculoskeletal Questionnaire (NMQ), an instrument characterized by multiple or binary choices facing osteomyoarticular symptoms in various anatomical regions that these symptoms appear more frequently, and a questionnaire that has good reliability (Legault et al., 2014).
Assessment of perineal pain intensity
时间窗: 6 weeks
It will be assessed before and after the end of treatment for each participant in both groups through the visual analouge scale (VAS). It is a 10-cm horizontal line on which the patient's pain intensity was represented by a point between the extremes of "no pain at all" and "worst pain imaginable". Its simplicity, reliability and validity, as well as its ratio scale properties, make the VAS the optimal tool for describing pain intensity. Each participant will be asked to mark a point on the VAS line between the extremes that related to her perineal intensity. Then, the centimeters will be measured in each time from the left end of the line to the marked point to obtain the VAS score for perineal pain intensity
次要结局
- Assessment of lumbar spine mobility(6 weeks)
- Assessment of pelvic floor muscle tightness(6 weeks)
- Assessment of pelvic floor muscle strength(6 weeks)
研究者
Aya T- Allah Mohamed Nabil Mohamed
PhD student at Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University
Cairo University