Investigation of the Effect of Manual Therapy and Pelvic Floor Exercises on Pelvic Floor Muscles

NCT06494917 | Recruiting

• 1 other identifier: 2024/02
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to Investigation of the effect of manual therapy and pelvic floor exercises on pelvic floor muscle in women with constipation. The main question\[s\] it aims to answer are:

• In addition to pelvic floor exercises, manual therapy applied to the pelvic floor muscles has no impact on constipation.
• In addition to pelvic floor exercises, manual therapy applied to the pelvic floor muscles has an impact on constipation. Participants will apply pelvic floor exercises and manual therapy techniques. If there is a comparison group: Researchers will compare \[insert groups\] to see if \[insert effects\].

Conditions

Colonic Inertia; Dyschezia; Constipation

Keywords

constipation; pelvic floor; manual therapy; exercise

Outcome Measures

Primary Outcomes (1)

• Constipation Quality of Life questionnaire

  evaluates constipation through daily individual health assessment and functioning. The highest score that can be obtained from the scale is 140 and the lowest score is 28. It is thought that quality of life is negatively affected as scores on the scale increase.

  will be evaluated at the first session and at the end of session 6

Secondary Outcomes (1)

• Constipation Severity Scale

  will be evaluated at the first session and at the end of session 6

Other Outcomes (3)

• Bristol stool chart

  will be evaluated at the first session and at the end of session 6

• Rome IV Criteria

  will be evaluated at the first session and at the end of session 6

• bowel diary

  During the 6-week study

Study Arms (2)

pelvic floor exercises

ACTIVE COMPARATOR

Diaphragmatic breathing training and Pelvic Floor Exercises will be applied.Participants will receive exercise training 5 days a week for 6 weeks.

Other: pelvic floor exercises

Pelvic floor exercises and manual therapy techniques

ACTIVE COMPARATOR

In addition to diaphragmatic breathing training and pelvic floor exercises, manual therapy methods will be applied. Participants will receive exercise training 5 days a week for 6 weeks. Manual therapy methods will be used 2 days a week for the first 2 weeks and then 1 day a week.

Other: Pelvic floor exercises and manual therapy techniques

Interventions

pelvic floor exercises OTHER

First arm; Pelvic Floor Exercises (PFE) consisting of diaphragm breathing training, bridge exercise to strengthen the pelvic floor, 3-dimensional diaphragm exercise, 'I Love you massage' for intestinal motility, happy baby pose, child position exercise, full squat, adductor and iliopsoas stretching, mermaid position exercise, 'Shhh' sound exercise, 'Üüüü' sound exercise will be applied.

pelvic floor exercises

Pelvic floor exercises and manual therapy techniques OTHER

Second arm; Pelvic Floor Exercises (PFE) consisting of diaphragm breathing training, bridge exercise to strengthen the pelvic floor, 3-dimensional diaphragm exercise, 'I Love you massage' for intestinal motility, happy baby pose, child position exercise, full squat, adductor and iliopsoas stretching, mermaid position exercise, 'Shhh' sound exercise, 'Üüüü' sound exercise will be applied. In addition to diaphragmatic breathing training and pelvic floor exercises, manual therapy methods such as momentum minus mobilisation, sphincter opening, colon massage, global fascia manipulation, trigger point and myofascial release will be applied.

Pelvic floor exercises and manual therapy techniques

Eligibility Criteria

• Age: 18 Years - 55 Years
• Gender Eligibility Details: Biological female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Constipation in the last 6 months
• Being able to use smartphones and social media (whatsapp and instagram)
• Not having a health problem that prevents exercise
• Able to communicate
• Literate

You may not qualify if:

• Not had constipation in the last 6 months
• Pregnancy or recent pregnancy
• had surgery
• having a tumour
• Having vertigo Taking medication (use of bowel-regulating drugs)
• Previous physiotherapy for constipation problems
• Inflammatory bowel disease

Sponsors & Collaborators

• Istanbul Arel University: lead

Study Sites (1)

Cizre Dr Selahattin Cizrelioglu State Hospital

Şırnak, 732000, Turkey (Türkiye)

RECRUITING

Related Publications (1)

• Rao SS, Bharucha AE, Chiarioni G, Felt-Bersma R, Knowles C, Malcolm A, Wald A. Functional Anorectal Disorders. Gastroenterology. 2016 Mar 25:S0016-5085(16)00175-X 10.1053/j.gastro.2016.02.009. doi: 10.1053/j.gastro.2016.02.009. Online ahead of print.

  PMID: 27144630 BACKGROUND

MeSH Terms

Conditions

Constipation; Motor Activity

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Serhad Bekir Sünbül

  Cizre Dr. Selahattin Cizrelioğlu Devlet Hastanesi

  STUDY CHAIR

Central Study Contacts

islek

CONTACT

+905442755137; cihanislek97@gmail.com

Halis Doğan, phd

CONTACT

+90532 200 08 43; halisdogan@arel.edu.tr

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: master's degree student

Study Record Dates

• First Submitted: June 2, 2024
• First Posted: July 10, 2024
• Study Start: June 14, 2024
• Primary Completion: August 1, 2024
• Study Completion: September 1, 2024
• Last Updated: July 15, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)