Investigation of the Effect of Manual Therapy and Pelvic Floor Exercises on Pelvic Floor Muscles
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-55
SponsorIstanbul Arel University
About this trial
The goal of this clinical trial is to Investigation of the effect of manual therapy and pelvic floor exercises on pelvic floor muscle in women with constipation. The main question\[s\] it aims to answer are:
* In addition to pelvic floor exercises, manual therapy applied to the pelvic floor muscles has no impact on constipation. * In addition to pelvic floor exercises, manual therapy applied to the pelvic floor muscles has an impact on constipation.
Participants will apply pelvic floor exercises and manual therapy techniques. If there is a comparison group: Researchers will compare \[insert groups\] to see if \[insert effects\].
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Constipation in the last 6 months
Being able to use smartphones and social media (whatsapp and instagram)
Not having a health problem that prevents exercise
Able to communicate
Disqualifiers
Not had constipation in the last 6 months
Pregnancy or recent pregnancy
had surgery
having a tumour
Trial design
Design model
Parallel
Treatments tested in this trial
pelvic floor exercises
Other interventionFirst arm; Pelvic Floor Exercises (PFE) consisting of diaphragm breathing training, bridge exercise to strengthen the pelvic floor, 3-dimensional diaphragm exercise, 'I Love you massage' for intestinal motility, happy baby pose, child position exercise, full squat, adductor and iliopsoas stretching, mermaid position exercise, 'Shhh' sound exercise, 'Üüüü' sound exercise will be applied.
Pelvic floor exercises and manual therapy techniques
Other interventionSecond arm; Pelvic Floor Exercises (PFE) consisting of diaphragm breathing training, bridge exercise to strengthen the pelvic floor, 3-dimensional diaphragm exercise, 'I Love you massage' for intestinal motility, happy baby pose, child position exercise, full squat, adductor and iliopsoas stretching, mermaid position exercise, 'Shhh' sound exercise, 'Üüüü' sound exercise will be applied. In addition to diaphragmatic breathing training and pelvic floor exercises, manual therapy methods such as momentum minus mobilisation, sphincter opening, colon massage, global fascia manipulation, trigger point and myofascial release will be applied.
Treatment groups
44 Participants
are divided into 2 treatment groupsGroup A: pelvic floor exercisesActive comparator 1 intervention
Group B: Pelvic floor exercises and manual therapy techniquesActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Constipation Quality of Life questionnaire
evaluates constipation through daily individual health assessment and functioning. The highest score that can be obtained from the scale is 140 and the lowest score is 28. It is thought that quality of life is negatively affected as scores on the scale increase.
Time frame
will be evaluated at the first session and at the end of session 6Secondary outcomes
1
Constipation Severity Scale
scale that is calculated as a sum of a 5-point ordinal frequency ratings for the six Rome III (IV) functional constipation questions. The lowest score is 0 and the highest is 73. A high score on the scale indicates that the symptoms are at a severe level.
Time frame
will be evaluated at the first session and at the end of session 6Other outcomes
1
Bristol stool chart
Bristol stool chart is a medical aid designed to classify faeces into seven groups.
Time frame
will be evaluated at the first session and at the end of session 62
Rome IV Criteria
categorizes disorders of chronic constipation into four subtypes: (a) functional constipation, (b) irritable bowel syndrome with constipation, (c) opioid-induced constipation, and (d) functional defecation disorders, including inadequate defecatory propulsion and dyssynergic defecation
Time frame
will be evaluated at the first session and at the end of session 63
bowel diary
a record you keep of when and how much faeces (poo) you passed or leaked during the day and overnight.
Time frame
During the 6-week studySponsors and contacts
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Source ClinicalTrials.gov