Effects of MET on PPDH, Neck Pain and Disability After Cesarean Section
NCT ID: NCT05834140
Last Updated: 2023-04-28
Study Results
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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UNKNOWN
NA
30 participants
INTERVENTIONAL
2023-01-01
2023-08-31
Brief Summary
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Detailed Description
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It is performed under neuraxial anesthesia (spinal and epidural anesthesia). Post- dural puncture headache (PDPH) is a major complication of neuraxial anesthesia which presents as a dull throbbing pain in a frontal-occipital distribution, aggravates on sitting or standing, and is reduced by lying down.
This study will be a randomized clinical trial. Subjects with PPDH meeting the predetermined inclusion and exclusion criteria will be divided into two groups: i.e. treatment and control group. Both groups will receive baseline treatments i.e. (heating pads \& TENS). In addition, treatment group will receive post-isometric relaxation of METs. Each subject will receive a total of 4 treatment sessions, with 2 treatment sessions per day
Pre-treatment will be done at day 1 and post-treatment will be done at day 2, using Headache Disability Index (HDI), Numeric Pain Rating Scale (NPRS) and Neck Disability Index (NDI) as subjective measurements. Recorded values will be analysed for any change using SPSs
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Traditional physical therapy
TENS and Heating pads
Traditional Physical Therapy
TENS (transcutaneous electrical nerve stimulation) on continuous mode at 80-120 Hz for 15-20 min and Heating pads for 10-15 min
Total 4 sessions will be given in 2 days
Muscle Energy Technique
Muscle Energy Technique protocol in along with TENS and Heating pads
Muscle Energy Technique
Muscle energy technique (Post Isometric relaxation) along with TENS and Heating pads.
* MET of the scaleni
* MET of Sternocleidomastoid
* MET of Levator Scapulae
* MET of Upper fibers of Trapezius
Total 4 sessions will be given in 2 days
Interventions
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Traditional Physical Therapy
TENS (transcutaneous electrical nerve stimulation) on continuous mode at 80-120 Hz for 15-20 min and Heating pads for 10-15 min
Total 4 sessions will be given in 2 days
Muscle Energy Technique
Muscle energy technique (Post Isometric relaxation) along with TENS and Heating pads.
* MET of the scaleni
* MET of Sternocleidomastoid
* MET of Levator Scapulae
* MET of Upper fibers of Trapezius
Total 4 sessions will be given in 2 days
Eligibility Criteria
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Inclusion Criteria
* Both Primiparous and multiparous
* Both elective and emergency Lower Section Cesarean Section
* Headache occurring within 24-72 hours post C-section
* Headache aggravates on getting in upright position
Exclusion Criteria
* History of cervical spine surgery
* Had previous diagnostic Lumbar Puncture (LP)
* Any kind of infection, malignancy, inflammation and structural deformity present in head and neck region.
* Other serious forms of headaches including Migraine, Cluster, thunderclap, hypnic etc.
* Cervical Radiculopathies and spondylolisthesis
18 Years
30 Years
FEMALE
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Hafiza Neelam Muneeb, MPhil
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Madinah Teaching Hospital
Faisalabad, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Hafiza Neelam, MPhil
Role: primary
References
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Kwak KH. Postdural puncture headache. Korean J Anesthesiol. 2017 Apr;70(2):136-143. doi: 10.4097/kjae.2017.70.2.136. Epub 2017 Feb 3.
Halalmeh DR, Sandio A, Adrian M, Moisi MD. Intracranial Subdural Hematoma Versus Postdural Puncture Headache Following Epidural Anesthesia: A Case Report. Cureus. 2022 Feb 1;14(2):e21824. doi: 10.7759/cureus.21824. eCollection 2022 Feb.
Patel R, Urits I, Orhurhu V, Orhurhu MS, Peck J, Ohuabunwa E, Sikorski A, Mehrabani A, Manchikanti L, Kaye AD, Kaye RJ, Helmstetter JA, Viswanath O. A Comprehensive Update on the Treatment and Management of Postdural Puncture Headache. Curr Pain Headache Rep. 2020 Apr 22;24(6):24. doi: 10.1007/s11916-020-00860-0.
Yang XJ, Sun SS. Comparison of maternal and fetal complications in elective and emergency cesarean section: a systematic review and meta-analysis. Arch Gynecol Obstet. 2017 Sep;296(3):503-512. doi: 10.1007/s00404-017-4445-2. Epub 2017 Jul 5.
Segraves RL, Segraves JM. Reducing Maternal Morbidity on the Frontline: Acute Care Physical Therapy After Cesarean Section During and Beyond the COVID-19 Pandemic. Phys Ther. 2021 Jul 1;101(7):pzab093. doi: 10.1093/ptj/pzab093. No abstract available.
Kato S, Takeshita K, Matsudaira K, Tonosu J, Hara N, Chikuda H. Normative score and cut-off value of the Neck Disability Index. J Orthop Sci. 2012 Nov;17(6):687-93. doi: 10.1007/s00776-012-0276-y. Epub 2012 Aug 16.
Other Identifiers
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REC/RCR & AHS/23/0510
Identifier Type: -
Identifier Source: org_study_id