Effects of Soft Tissue Mobilization and Pelvic Floor Muscle Exercises on Pelvic Adhesions
Combined Effects of Soft Tissue Mobilization and Pelvic Floor Muscle Exercises on Pain, Sexual Life Quality and Functional Mobility in Women With Post-operative Adhesions After Hysterectomy
Riphah International University
56 participants
Feb 1, 2024
INTERVENTIONAL
Conditions
Summary
Adhesions are permanent tissue connections that are created by fibrin deposition between different tissue planes or organs. They are a part of the internal healing process and inflammatory reactions that go through several overlapping phases, including the proliferative phase, remodeling phase, and hemostasis/inflammatory phase. Adhesions are typically the body's defense mechanisms against various triggers of inflammation, including physical, chemical, and infections. These triggers can have unfavorable consequences, including chronic pain, obstruction (particularly bowel), functional impairment, and infertility. This may cause adjacent structures to lose their flexibility and mobility. The nonsurgical treatment of symptoms thought to be associated with adhesions has centered on several methods of soft tissue scar removal.
Eligibility
Inclusion Criteria5
- Married women
- Age 40-60 years
- BMI below 30 (13)
- Women with post-operative pelvic adhesions (14)
- Women after hysterectomy (3 months after surgery)
Exclusion Criteria4
- Women with any other surgery
- Women with failed pelvic surgery (14)
- Post-operative women with open wound (unhealed suture site) (14)
- Women with uncontrolled hypertension, thrombophlebitis, hematoma, osteomyelitis, myositis ossificans and malignancy
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Interventions
Group A will receive soft tissue mobilization and pelvic floor muscle exercises. Soft tissue mobilization technique will include abdominal myofascial release/trigger point release and deep scar mobilization to decrease pain and improve scar mobility
Group B will receive soft tissue mobilization technique without pelvic floor exercises.
Locations(1)
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NCT06658210