Effects of Myofascial Release With and Without Thiele Massage

Riphah International University

Status: Completed

Conditions: Dyspareunia; Quality of Life; Pain

Treatments: Other: Myofascial release techniques; Other: Thiele massage

Study type: Interventional

Funder types: Other

Identifiers

NCT05834088

REC/RCR & AHS/23/0513

Details and patient eligibility

About

Dysperunia is caused by chronic discomfort during sexual intercourse causing pain during vaginal intercourse.Sexual pain causes relationship decreasing quality of life following anxiety and depression.Myofascial techniques with and without Thiele massage will be used via randomised controlled trial following sample size of 38.

Full description

Dyspareunia is characterised by recurring or chronic discomfort during sexual intercourse that causes distress. Dyspareunia can be superficial, causing pain when vaginal insertion is tried, or profound. Women who experience sexual pain are more likely to experience sexual dysfunction, relationship distress, decreased quality of life, anxiety, and depression. One in five nulliparous women (a female who has never given birth to a baby) experiences moderate dyspareunia. Myofascial pain is typically treated using manual manipulation (Manual manipulation involves using skilled, hands-on maneuvers to perform soft tissue mobilization, myofascial release and more) or Thiele massage. In this study the aim is to find the individual and combined effect of these techniques. The study will be Randomized Controlled Trial (RCT). Non probabiity convenient sampling technique will be used to assign randomly half of patients in group A for the experimental group and half in group B who will meet the inclusion criteria. Group A will include participants who will receive myofascial releases and Thiele massage. Whereas Group B will include participants who will receive myofascial releasing techniques but not Thiele massage.

Both group will have 1 session per week for 12 weeks. Numeric pain rating scale, Female sexual function index, Functional pelvic pain scale would be used as an outcome measure tools.

The collected data will be analyzed in Statistical Package for the Social Sciences (SPSS) 25

Enrollment: 38 patients

Sex: Female

Ages: 23 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Age 23-40

1. Dyspareunia symptoms for more than 6 months
2. Females with tenderness of pelvic muscles from last 6 months
3. Nulliparous women

Exclusion criteria

1. Any pelvic organ prolapse
2. Any current genital malignancy
3. Cases of chronic pelvic pain due to any other issue
4. Any traumatic conditions around the pelvis and lower limbs, any infectious, tumors conditions around the pelvis.
5. Pregnant females
6. Any lower limb abnormalities, any recently underwent abdominal and low back surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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38 participants in 2 patient groups

Myofascial techniques with Thiele massage

Experimental group

Description:

Group A will receive myofascial techniques with Thiele massage. 12 treatment sessions will be given in 12 weeks

Treatment:

Other: Thiele massage

Other: Myofascial release techniques

Myofascial techniques without Thiele massage

Active Comparator group

Description:

Group B will receive myofascial techniques without Thiele massage. 12 treatment sessions will be given in 12 weeks

Treatment:

Other: Myofascial release techniques