About this trial
Aim of the study to evaluate the impact of mobilization on symptom severity, disability \& quality of life in female with Coccydynia.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient with coccygeal pain for more than 3 months
Diagnosed patients of Coccydynia.
Pain from the pericoccygeal soft tissues
Pelvic floor muscle spasm, referred pain from lumbar pathology.
Disqualifiers
Patient with local infection (inflammatory bowel disease or psoriasis)
Patient who undergone cocygectomy, sacroccygeal joint fusion, bleeding disorder and pregnancy.
Spinal surgery
Fracture of coccyx
Trial design
Parallel
Treatments tested in this trial
external mobilization
Other interventiontwo 5-minute sessions of external manipulation per week over a 5-week period.
rectal coccygeal mobilization
Other interventionconsisted of two 5-minute sessions of external manipulation per week over a 5-week period.
Treatment groups
Trial outcomes
Primary outcomes
Paris Scale Questionnaire
The Paris Questionnaire was specifically designed for coccydynia. It covers, specifically, the functional aspects of the pain, which are not assessed by the other two questionnaires. It explores the pain when sitting (and differs, in this respect, from the VAS, which only measures the intensity of the pain), when passing from sitting to standing (very specific of coccydynia with radiologic findings), when walking and at night (pain on these occasions is frequent in severe coccydynia), and when traveling (the most sensitive detector of coccygeal pain). This set of three questionnaires offers a correct representation of the pain impact in chronic coccydynia.
DALLAS Pain Questionnaire
The Dallas Pain Questionnaire (DPQ), which is a 16-item visual analog tool was developed by Lawlis, McCoy, and Selby (appendix) for the purpose of evaluating subject's cognitions about the percentage that chronic pain affects four aspects of the patients' lives: 1) daily activities including pain and intensity, personal care, lifting, walking, sitting, standing, and sleeping; 2) work and leisure activities including social life, travelling, and vocational; 3) anxiety-depression and 4) social interest that includes interpersonal relationship, social support, and punishing responses. Each question asks the responder to rate their experience with different activities using a percentage scale from 0% to 100%. Retest reliability of DALLAS Pain Questionnaire is 0.970.
SF-36 Questionnaire in Urdu version
The SF-36-U is a 36 item scale, which measures eight domains of health status: physical functioning (10 items); physical role limitations (four items); bodily pain (two items); general health perceptions (five items); energy/vitality (four items); social functioning (two items); emotional role limitations (three items) and mental health (five items). A scoring algorithm is used to convert the raw scores into the eight dimensions listed above. The scores are transformed to range from zero where the respondent has the worst possible health to 100 where the respondent is in the best possible health. SF-36-U presented good to excellent test-retest reliability for all eight domains (ICC2,1 = 0.75-0.92. Internal consistency for all domains (Cronbach's alpha = 0.73- 0.90)
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