Effects of Muscle Energy Technique Versus Aerobic Exercises on Pain and Disability in Patients With Chronic Pelvic Pain

NCT ID: NCT05429957

Last Updated: 2022-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-20

Study Completion Date

2022-07-15

Brief Summary

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The aim of study is to find out the effects of muscle energy technique versus aerobic exercises on pain and disability in patients with chronic pelvic pain.

Detailed Description

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Conditions

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Pelvic Pain Chronic Pain

Keywords

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Pelvic Pain Female Exercise

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Muscle Energy Technique

Muscle Energy Technique of Iliopsoas, Piriformis, Quadratus Lumborum and Erector Spinae muscle

Group Type EXPERIMENTAL

Muscle Energy Technique

Intervention Type OTHER

Muscle energy technique (Post Isometric relaxation) three times per week for 8 weeks.

* MET of the Iliopsoas
* MET of Piriformis muscle
* MET of Quadratus Lumborum muscle
* MET of Erector Spinae muscle

Aerobic Exercises

aerobic exercises (walking on the treadmill)

Group Type EXPERIMENTAL

Aerobic Exercises

Intervention Type OTHER

Aerobic exercise (treadmill walking) three times per week for 8 weeks

* Warm-up phase: in which each patient alternately steps their legs forward, backward, and sideways in each direction for 5 min
* Active phase: Treadmill speed was 3km/hour for 5 weeks and progress to 4km/hour after 5 weeks for 20 min.
* Cool down phase: During a cool down period take a deep breath with both arms overhead and exhale while bringing the arms down, shaking out the legs and arms for 5 min.

Interventions

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Muscle Energy Technique

Muscle energy technique (Post Isometric relaxation) three times per week for 8 weeks.

* MET of the Iliopsoas
* MET of Piriformis muscle
* MET of Quadratus Lumborum muscle
* MET of Erector Spinae muscle

Intervention Type OTHER

Aerobic Exercises

Aerobic exercise (treadmill walking) three times per week for 8 weeks

* Warm-up phase: in which each patient alternately steps their legs forward, backward, and sideways in each direction for 5 min
* Active phase: Treadmill speed was 3km/hour for 5 weeks and progress to 4km/hour after 5 weeks for 20 min.
* Cool down phase: During a cool down period take a deep breath with both arms overhead and exhale while bringing the arms down, shaking out the legs and arms for 5 min.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* women with chronic pelvic pain of \>6 months' duration and the cause of their pain is unknown
* CPP was located within the true pelvis (between and below the anterior iliac crests)
* Average score of at least 4 out of 10 (0-10) on a numeric rating scale
* moderate to severe pain on pelvic pain impact questionnaire

Exclusion Criteria

* History of cancer
* Pregnancy at the time of inclusion
* Known pelvic pathology (eg, endometriosis, ovarian cyst, fibroid \>3cm)
* Intraabdominal and pelvic surgery within the last six months
* chronic or recurrent gastro-intestinal disease including irritable bowel syndrome
* Received any physiotherapy treatment within the previous month
Minimum Eligible Age

25 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hafiza Neelam, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Jinnah Hospital

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Fuentes-Marquez P, Cabrera-Martos I, Valenza MC. Physiotherapy interventions for patients with chronic pelvic pain: A systematic review of the literature. Physiother Theory Pract. 2019 Dec;35(12):1131-1138. doi: 10.1080/09593985.2018.1472687. Epub 2018 May 14.

Reference Type BACKGROUND
PMID: 29757068 (View on PubMed)

Chong OT, Critchley HO, Williams LJ, Haraldsdottir E, Horne AW, Fallon M. The impact of meridian balance method electro-acupuncture treatment on chronic pelvic pain in women: a three-armed randomised controlled feasibility study using a mixed-methods approach. Br J Pain. 2018 Nov;12(4):238-249. doi: 10.1177/2049463718776044. Epub 2018 May 14.

Reference Type BACKGROUND
PMID: 30349698 (View on PubMed)

Horne AW, Vincent K, Hewitt CA, Middleton LJ, Koscielniak M, Szubert W, Doust AM, Daniels JP; GaPP2 collaborative. Gabapentin for chronic pelvic pain in women (GaPP2): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet. 2020 Sep 26;396(10255):909-917. doi: 10.1016/S0140-6736(20)31693-7.

Reference Type BACKGROUND
PMID: 32979978 (View on PubMed)

Ghai V, Subramanian V, Jan H, Pergialiotis V, Thakar R, Doumouchtsis SK; CHORUS: An International Collaboration for Harmonising Outcomes, Research, Standards in Urogynaecology, Women's Health. A systematic review on reported outcomes and outcome measures in female idiopathic chronic pelvic pain for the development of a core outcome set. BJOG. 2021 Mar;128(4):628-634. doi: 10.1111/1471-0528.16412. Epub 2020 Sep 1.

Reference Type BACKGROUND
PMID: 32654406 (View on PubMed)

Lamvu G, Carrillo J, Ouyang C, Rapkin A. Chronic Pelvic Pain in Women: A Review. JAMA. 2021 Jun 15;325(23):2381-2391. doi: 10.1001/jama.2021.2631.

Reference Type BACKGROUND
PMID: 34128995 (View on PubMed)

Nygaard AS, Stedenfeldt M, Oian P, Haugstad GK. Characteristics of women with chronic pelvic pain referred to physiotherapy treatment after multidisciplinary assessment: a cross-sectional study. Scand J Pain. 2019 Apr 24;19(2):355-364. doi: 10.1515/sjpain-2018-0308.

Reference Type BACKGROUND
PMID: 30703061 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/22/0516

Identifier Type: -

Identifier Source: org_study_id