Effects of Soft Tissue Mobilization and Pelvic Floor Muscle Exercises on Pelvic Adhesions
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age40-60
SponsorRiphah International University
About this trial
Adhesions are permanent tissue connections that are created by fibrin deposition between different tissue planes or organs. They are a part of the internal healing process and inflammatory reactions that go through several overlapping phases, including the proliferative phase, remodeling phase, and hemostasis/inflammatory phase. Adhesions are typically the body's defense mechanisms against various triggers of inflammation, including physical, chemical, and infections. These triggers can have unfavorable consequences, including chronic pain, obstruction (particularly bowel), functional impairment, and infertility. This may cause adjacent structures to lose their flexibility and mobility. The nonsurgical treatment of symptoms thought to be associated with adhesions has centered on several methods of soft tissue scar removal.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Married women
Age 40-60 years
BMI below 30 (13)
Women with post-operative pelvic adhesions (14)
Disqualifiers
Women with any other surgery
Women with failed pelvic surgery (14)
Post-operative women with open wound (unhealed suture site) (14)
Women with uncontrolled hypertension, thrombophlebitis, hematoma, osteomyelitis, myositis ossificans and malignancy
Trial design
Design model
Parallel
Treatments tested in this trial
soft tissue mobilization with pelvic floor muscle exercises
Other interventionGroup A will receive soft tissue mobilization and pelvic floor muscle exercises. Soft tissue mobilization technique will include abdominal myofascial release/trigger point release and deep scar mobilization to decrease pain and improve scar mobility
soft tissue mobilization without pelvic floor muscle exercises
Other interventionGroup B will receive soft tissue mobilization technique without pelvic floor exercises.
Treatment groups
56 Participants
are divided into 2 treatment groupsGroup A: soft tissue mobilization with pelvic floor muscle exercisesExperimental treatment 1 intervention
Group B: soft tissue mobilization without pelvic floor muscle exercisesExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Numeric pain rating scale
The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.
Time frame
6 weeks2
Female sexual function index
The FSFI questionnaire consists of 19 close-ended questions related to sexual activity and includes six domains: * Sexual desire (question number 1-2) * Sexual arousal (question number 3-6) * Lubrication (question number 7-10) * Orgasm (question number 11-13) * Sexual satisfaction (question number 14-19)
Time frame
6 weeks3
Functional status questionnaire
The Functional Status Questionnaire (FSQ) is a brief, self-administered questionnaire developed by researchers from Boston's Beth Israel Hospital and the University of California at Los Angeles. The FSQ was designed to screen for disability and to monitor clinically meaningful change in function.
Time frame
6 weeksSponsors and contacts
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Source ClinicalTrials.gov