Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities

NCT00302315 | Completed

• 1 other identifier: 05.T02.102.003
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.

Conditions

Cesarean Section

Keywords

postcesarean physiotherapy; incisional pain; functional activity; connective tissue manipulation; transcutaneous electrical nerve stimulation

Outcome Measures

Primary Outcomes (4)

• incisional pain intensity

  Intensity of incision pain was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no pain, 10 = unbearable pain).

  Intensity of incision pain was evaluated daily during hospitalization period before the physiotherapy program in the study group.

• intensity of difficulty in functional activities

  Intensity of difficulty in functional activities was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no difficulty, 10 = unable to perform the activity).

  Intensity of difficulty in functional activities was evaluated daily during hospitalization period before the physiotherapy program in the study group.

• first ambulation time

  Time from transfer to obstetric department room to first ambulation after cesarean.

  From transfer to obstetric department room to first ambulation after cesarean

• onset time of bowel peristalsis

  Time of breaking gas and defecation after Cesarean.

  Only once when breaking gas and defecation occured after Cesarean.

Secondary Outcomes (2)

• Vital signs

  Vital signs were measured before and after first ambulation

• Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure

  Only once before discharge from the hospital

Study Arms (1)

Routine care

ACTIVE COMPARATOR

All subjects were operated by the same obstetrician (SB) and lower segment transverse incision technique was used for the cesarean section. After delivery, patients were transferred to their rooms within the obstetric ward. Vital signs (heart rate, blood pressure and breathing rate) and body temperatures were assessed regularly. Patients were not allowed to feed orally before bowel movements had started. For post-operative pain control in the first 24 h, meperidine (50 mg, 4 × 1) and non-steroid anti-inflammatory medicine (4 × 1) were administered intravenously. If required by the patient, additional analgesics or anti-inflammatory medications were also administered by the nurses, who were blinded to the group assignment. Patients were encouraged for early ambulation after delivery if they were not hypotensive and uterine bleeding was under control. Initially, they ambulated 10-15 m inside their rooms, and the intensity increased in hours and days. Patients were usually discharged wit

Other: Physiotherapy

Interventions

Physiotherapy OTHER

Thoracic expansion exercises and huffing technique Lower limb exercises TENS with frequency of 120 Hz and pulse width of 60 μs was used for 30 min in every session Connective tissue manipulation (CTM) to the sacral and lumbar regions, Education (proper use of body mechanics during baby caring and daily activities; improving posture; anatomy and functions of the pelvic floor and Knack maneouvre)

Also known as: exercise, TENS, patient education and recommendations, connective tissue manipulation

Routine care

Eligibility Criteria

• Age: 19 Years - 42 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• cesarean section giving birth to single baby having cesarean under general anesthesia

You may not qualify if:

• giving birth to multiple babies being followed in intensive care unit after cesarean because of complications

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University Hospital

Ankara, 06100, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Physical Therapy Modalities; Exercise; Transcutaneous Electric Nerve Stimulation; Patient Education as Topic

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Electric Stimulation Therapy; Analgesia; Anesthesia and Analgesia; Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• İnci Yüksel, PT. Prof.

  Prof. PT.

  STUDY DIRECTOR

• İlkim Çıtak Karakaya, PT. PhD.

  Research assistant

  PRINCIPAL INVESTIGATOR

• Mehmet Gürhan Karakaya, PT. PhD.

  Research assistant

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: March 13, 2006
• First Posted: March 14, 2006
• Study Start: December 1, 2004
• Primary Completion: May 1, 2005
• Study Completion: May 1, 2005
• Last Updated: March 13, 2025

Record last verified: 2006-03

Locations

TU (1)