Effects of Kegel Exercises With and Without Myofascial Release in Chronic Pelvic Pain

Riphah International University

Status: Completed

Conditions: Chronic Pelvic Pain Syndrome

Treatments: Other: Myofascial release technique; Other: Kegel Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05865210

REC/RCR & AHS/23/0525

Details and patient eligibility

About

Study will be a Randomized control trial to check the effects of kegel exercise with and without myofascial release on chronic pelvic pain in females so that we can examine the effect of above techniques on pain, function and quality of life in chronic pelvic pain females.Non-probability convenience sampling technique will be used, subject following eligibility criteria from DHQ Hospital Layyah will be randomly allocated in two groups. Group A participants will be given kegel exercise with myofascial release, Group B participants will be given kegel exercise for 3 weeks. Assessment will be done via, Numeric Pain Rating Scale and pelvic floor impact questionnaire (PFIQ) and functional pelvic pain scale

Full description

Chronic pelvic pain (CPP), defined as a noncyclical pain lasting for more than 6 months can lead to lower physical performance and quality of life in women. In this study the effects of Kegel Exercise with and without myofascial release in chronic pelvic pain population will be analyzed. This study will be a randomized clinical trial. Kegel Exercise and Myofasical Release would be administered to the chronic Pelvic pain Females. Subjects meeting the predetermined inclusion criteria will be divided into two groups. Assessment will be done using Numeric Pain rating scale (NPR), Pelvic floor Impact Questionnaire (PFIQ) and Functional pelvic pain scale (FPPS). Subjects in one group will be treated with kegel exercise with myofascial release, and the other will be treated with kegel exercise only. Each subject will receive a total 12 treatment sessions, with 04 treatment sessions per week. Measurements will be recorded at start and end of treatment session. Recorded values will be analyzed for any change using SPSS.

Enrollment: 20 patients

Sex: Female

Ages: 25 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Age 25-55

  • Record of CPPS for more than 6 months.
  • Complete gynaecological consultation with necessary workup.
  • Chronic pelvic pain associated with gynaecological issue.
  • Patients who have tenderness upon palpation are included, suggesting that the trigger points are painful.
  • Patient that can't cope with their daily activities

Exclusion criteria

• Acute active infection
• Malignancy
• Active pregnancy
• Pudendal nerve entrapment syndrome.
• Not simultaneously partaking in pelvic floor physical therapy.
• No evoked tenderness upon palpation of levator ani sling at examination.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

20 participants in 2 patient groups

Kegel Exercise with Myofascial release technique group:

Experimental group

Description:

Group A, we told patient to perform kegel exercise by hold and relax the pelvic floor muscles, initially 3-4 contractions for 3-5 seconds then we increase the repetition according to patient and apply myofascial release for trigger points. 4 session per week and post intervention assessment after 3 weeks follow-up

Treatment:

Other: Myofascial release technique

Other: Kegel Exercise

Kegel Exercise group

Active Comparator group

Description:

Group B, In this group we only perform kegel exercises to patients as hold and relax of pelvic floor muscle 3-4 contraction for 3-5 seconds.4 session per week and post intervention assessment after 3 weeks follow-up

Treatment:

Other: Kegel Exercise