Comparative Effects of Wurn Technique and Mercier Therapy in Women With Endometriosis

Riphah International University

Status: Not yet enrolling

Conditions: Endometriosis

Treatments: Other: Mercier Therapy; Other: Wurn Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06460376

REC/RCR & AHS/23/0563

Details and patient eligibility

About

This project was a Randomized controlled trial conducted to check the comparative effects of wurn technique and mercier therapy on dyspareunia, dysmenorrhea, and quality of life in women with endometriosis. The duration was 6 months, convenient sampling was done, subjects following eligibility criteria from DHQ Hospital Narowal and THQ Hospital Shakargarh were randomly assigned, a baseline assessment was done, Group A participants were given baseline treatment along with wurn technique 2 sessions per week for 6 weeks, Group B participants were given baseline treatment along with mercier therapy 1 session per week for 6 weeks, the post-intervention assessment was done, via the Marinoff Scale, Mankoski Pain Scale and Endometriosis Health Profile Questionnaire (EHP 30). Data was analyzed by using SPSS version 26.

Detailed Description: Endometriosis

Full description

Endometriosis is the condition involving the presence of glands or stroma of the endometrial lining outside the uterus cavity. Its characteristics include unpleasant pain in the pelvic region, impaired fertility, pain during or after sex, and heavy bleeding during periods. Endometriosis occurs as a result of genetic, angiogenic, immunological, and inflammatory factors. In endometriosis, adhesions may be formed due to local inflammation. It can also occur as the blood-filled implants start bleeding in their surroundings. As a result of this bleeding healing occurs which causes scar formation. Pharmacologically, NSAIDS are used for instant pain relief. The most common surgical approach is laparoscopy. Physiotherapy in its various forms can be an excellent complement to the gynecological treatment of endometriosis. as previous studies also reported the effect of pelvic massage, pelvic manipulation, kinesiotherapy, and hydrotherapy. According to researcher knowledge, there is limited evidence on wurn technique and mercier therapy and how these techniques improve dyspareunia, dysmenorrhea, and quality of life in women with endometriosis. This study aims to see the comparative effects of wurn technique and mercier therapy on dyspareunia, dysmenorrhea, and quality of life in women with endometriosis.

Enrollment: 26 estimated patients

Sex: Female

Ages: 25 to 43 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ranging from 25-43(17)
• Diagnosed patients with endometriosis
• BMI (18.5-29.9),(normal and overweight)
• Multigravida
• Mode of delivery: vaginal delivery or c section both
• Females having grade 1 or 2 grade on the dyspareunia scale
• Females having moderate scores on EHP -30

Exclusion criteria

• Malignancy
• Pregnancy
• Fibroids
• Pelvic congestion syndrome
• Pelvic inflammatory disease
• Females having IUD (inter uterine device)
• Recent abdominal or pelvic surgery
• Ovarian abscess

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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26 participants in 2 patient groups

Wurn technique

Experimental group

Description:

The principle intent of the Wurn Technique is to decrease pain and increase mobility and function of abdominopelvic and reproductive organs by diminishing adhesions. The protocol focuses on deforming the adhesive collagen cross-links comprising adhesions that appear to contribute to the underlying causes of endometriosis.

Treatment:

Other: Wurn Technique

Mercier therapy

Active Comparator group

Description:

The principal intent of mercier therapy is visceral pelvic manipulation that addresses scar tissue, adhesions, and the misalignment of pelvic organs. It increases blood flow and circulation to the pelvis.

Treatment:

Other: Mercier Therapy