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

NCT05429957 | Completed

• 1 other identifier: REC/RCR & AHS/22/0516
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Pelvic Pain; Chronic Pain

Keywords

Pelvic Pain; Female; Exercise

Outcome Measures

Primary Outcomes (2)

• Pelvic pain impact questionnaire

  The Pelvic Pain Impact Questionnaire evaluates the pelvic pain impact on life. It has patient generated language, is easily managed and scored, has psychometric properties and it is appropriate for clinical settings and research across primary, secondary and tertiary care. The ten-item questionnaire consist of 8 Likert questions and 2 additional, non-scored questions

  8th week

• Numerical Pain Rating Scale

  The Numerical Pain Rating Scale (NPRS) is a particular measure in which people rate their pain on an 11-point numerical scale. The scale is comprised of 0 (no pain at all) to 10, 0 show no pain at all and 10 indicate worst imaginable pain

  8th week

Secondary Outcomes (1)

• Pain disability index

  8th week

Study Arms (2)

Muscle Energy Technique

EXPERIMENTAL

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

Other: Muscle Energy Technique

Aerobic Exercises

EXPERIMENTAL

aerobic exercises (walking on the treadmill)

Other: Aerobic Exercises

Interventions

Muscle Energy Technique 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

Muscle Energy Technique

Aerobic Exercises 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.

Aerobic Exercises

Eligibility Criteria

• Age: 25 Years - 45 Years
• Gender Eligibility Details: Pelvic pain is more common in female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• History of cancer
• 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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Jinnah Hospital

Lahore, Punjab Province, 54550, Pakistan

Location

Related Publications (6)

• 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.

  PMID: 29757068 BACKGROUND

• 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.

  PMID: 30349698 BACKGROUND

• 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.

  PMID: 32979978 BACKGROUND

• 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.

  PMID: 32654406 BACKGROUND

• 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.

  PMID: 34128995 BACKGROUND

• 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.

  PMID: 30703061 BACKGROUND

MeSH Terms

Conditions

Pelvic Pain; Chronic Pain; Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Hafiza Neelam, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 20, 2022
• First Posted: June 23, 2022
• Study Start: January 20, 2022
• Primary Completion: July 15, 2022
• Study Completion: July 15, 2022
• Last Updated: December 9, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)