Effects of Myofascial Release and Electrical Stimulation in Chronic Pelvic Pain

Riphah International University

Status: Enrolling

Conditions: Myofascial Trigger Point Pain; Chronic Pelvic Pain

Treatments: Other: Myofascial trigger point release; Device: TENS

Study type: Interventional

Funder types: Other

Identifiers

NCT05851742

REC/RCR & AHS/23/0507

Details and patient eligibility

About

Myofascial pelvic pain (MFPP) caused by myofascial trigger points (MTrPs) is a major contributor to chronic pelvic pain in women.In females,pelvic pain is the single most common indication for referral to women's health services.Pelvic floor physical therapy with myofascial release improve mobility and reduce pain by releasing the painful trigger points.Tools that will be used,for pain numerical pain scale (NPS),functional pelvic pain scale(FPPS) and pelvic floor impact questionnaire-7 will be used to asses pain and functionality.

Full description

Myofascial pelvic pain (MFPP) caused by myofascial trigger points (MTrPs) is a major contributor to chronic pelvic pain in women. In females, pelvic pain ''is the single most common indication for referral to women's health services. Pelvic floor physical therapy with myofascial release improve mobility, and reduce pain by releasing the painful trigger points following restrictions in connective tissues that are related to pelvic floor.In this project we will observe effects of myofascial release with and without electrical stimulation on pain and functionality in women with chronic pelvic pain.It has been hypothesized that myofascial release along with electrical stimulation help in reducing pain and improve functionality in women.Patients will be having sessions for consecutive 4 weeks and will be exposed to both types of techniques to find out the effective results.

The study will be randomized control trial.For pain numerical pain scale (NPS),functional pelvic pain scale(FPPS) and pelvic floor impact questionnaire-7 will be used to asses pain and functionality respectively. A randomized control trial will be conducted on two groups. Group 1 will receive myofascial release with electrical stimulation in women with chronic pelvic pain for 4 weeks with 50-280 Hz frequency and a pulse duration of 50 µs for 10 minutes along with 10 minutes myofascial release..On the other hand Group 2 will receive myofascial release without electrical stimulation on pain and functionality in women with chronic pelvic pain. In previous studies there is ample amount of research conducted on chronic pelvic pain but there were very few recent studies available on myofascial release,so this relation of use of myofascial release with and without electrical stimulation on pain and functionality in chronic pelvic pain should also be carried out.

Enrollment: 24 estimated patients

Sex: Female

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 25-40 years,
• Presence of persistent chronic pelvic pain
• >4 points on a 10 point numeric rating scale for atleast more than 3 months,
• Atleast 1 active MTrp in one of the muscle groups including the obturator internus,
• levator ani,piriformis and coccygeus on pelvic examination.

Exclusion criteria

• Prolapse of the pelvic organ,
• Pregnency,
• Fibromyalgia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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24 participants in 2 patient groups

Mfofascial release with electrical stimulation

Active Comparator group

Description:

TENS 50-280 HZ frequency and a pulse duration of 50 us for 10 minutes along with 10 minutes myofascial release.

Treatment:

Device: TENS

Myofascial release without electrical stimulation

Experimental group

Description:

Release of trigger points

Treatment:

Other: Myofascial trigger point release