Effect of Pelvic Floor Muscles Down Training on Postpartum Coccydynia
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Pelvic floor down training exercise, Stretching exercises.
- Кому может быть актуально
- Состояния в реестре: Tailbone Disorders. Базовые параметры: 18 лет — 30 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Египет
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
This study will be conducted to investigate the effect of pelvic floor muscle down training on postpartum coccydynia.
Подробное описание
One complication of coccydynia is that it may become a chronic pain syndrome. Early and thorough medical attention may help patients avoid delays in diagnosis and treatment. The hope is that this will help decrease the chances of the pain becoming persistent and disabling. Many patients with coccydynia experience relief of symptoms within weeks or months of onset, whether or not they receive medical treatment. The success of conservative treatment has been reported to be 90% .
The significance of musculoskeletal and myofascial pain in chronic pelvic pain is becoming increasingly established. the findings suggest a direct link between impairments in coccyx mobility, pain, and muscle spasm and dysfunction of the pelvic floor muscles. Therefore, pelvic floor muscle impairments related to the coccyx may need to be addressed in treatment considerations .
There is a risk of pelvic floor dysfunction (PFD) from baby delivery. Many clinical guidelines recommend pelvic floor muscle training (PFMT) as the conservative treatment for PFD because pelvic floor muscles (PFMs) play a crucial role in development of PFD. PFM training is the most popular conservative intervention for PFD. Its role in PFM improvement is becoming more and more important along with the rapid development of rehabilitation medicine and it is more and more acceptable by women as their requirements for improvement of quality of life are getting stronger.
PFM function requires activation and relaxation at appropriate times and amounts to maintain pelvic organ support and closure, and enable passage. PFM tone that is greater than that required for a specific context (referred to as "increased" tone by the International Continence Society) could affect function and explain some features of pelvic health conditions, such as compromised relaxation or lengthening of PFM (eg, functional obstruction or interference with intercourse) and muscle ischemia (as implicated in some pain conditions). PFM tone could be increased by many factors, including stress, fear, anxiety, psychological trauma, injury, surgery or radiation, and hormonal, lifestyle, and occupational factors. Although plausible, evidence for increased PFM tone remains unclear
Вмешательства
- Другое Pelvic floor down training exercise
Patient will be asked to breathe deeply and bring her awareness to her pelvic floor. Feel her muscles relax as she inhales and maintain position for 5 seconds and then release for the same amount of time. Do two to three sets of 10 throughout the day. Once she masters this, she can try holding and releasing for longer periods of time. Make sure she is breathing while doing these exercises. It 's important to breathe all the way into her stomach (instead of only breathing into her chest). Keepin - Другое Stretching exercises
stretching exercises for piriform and iliopsoas muscles with 5 second stretch hold, 5 repetitions/session for 5 sessions/week for four weeks.
Первичные конечные точки
- Pain intensity [Срок оценки: 4 weeks]
Вторичные конечные точки (2)
- Function disability [Срок оценки: 4 weeks]
- Pelvic floor muscle tone [Срок оценки: 4 weeks]
Критерии участия
Критерии включения
- Their ages will range from 18 to 30 years.
- Suffering from moderate coccyx pain which assessed by VAS.
- Their body mass index will be equal or less than 30 kg/m².
- Primipara and multipara -2:3 times‖ women.
- Six months to one year after childbirth.
Критерии исключения
- Neurological disorders.
- Musculoskeletal disorders as Abnormal coccygeal morphology or abnormal scoliotic deformity
- Infection or malignancy.
- Fibromyalgia or myopathy.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Египет · 1 центр
- Alyaa Ragab Abdelmoity — Cairo
Идентификаторы
NCT: NCT07667634 · 012/005734