Short-Term Effects of Connective Tissue Massage After Hysterectomy
Condition: Massage; Hysterectomy; Pain
Study type: Interventional

Summary: 
      The aim of this study to investigate the effects of connective tissue massage (CTM) on pain,
      intestinal peristaltism and functionality after total laparoscopic (TLH) or abdominal
      hysterectomy (TAH). Patients who underwent TLH randomly group as TLH-CTM (n=15) and TLH
      control (n=16), and TAH randomly group as TAH-CTM (n=14) and TAH control (n=15). The
      postoperative daily monitoring sheet, Visual Analogue Scale (VAS), time of intestinal
      peristaltism employees to collect research data.
    

Detailed description: 
      Interventions In the control groups (TLH control and TAH control) only in-bed activities and
      walking recommendations will be given, and routine care (analgesics and wound care) applies.
      In addition, CTM applies in the CTM groups (TLH-CTM and TAH-CTM).

      Connective tissue manipulation: The patients are informed about CTM and its mechanism of
      action before starting the CTM application. CTM is performed by a trained physiotherapist as
      the patient was in a sitting position. All posterior connective tissue areas (sacral, lumbar,
      lower thoracic, scapular, inter-scapular, and cervical) are stimulated. Both short and long
      strokes will use during the manipulation. Each stroke will repeate three times, first on the
      right and then on the left of all desired zones. All sessions will terminated with long
      bilateral strokes to the iliac crest and subcostal regions. During manipulation, the pad of
      the middle finger will be in contact with the patient's skin. Application will take
      approximately 30-35 minutes depending on the area treated. CTM will apply twice: at
      postoperative 3rd hour and after 24 hours.

      Routine care and advising: In-bed activities will advice to the patients in both groups.
      In-bed activities are; rotation, sitting on the bedside, breathing exercises, range of motion
      exercises for upper and lower extremities. In addition, hourly walking activities are
      recommended after the anesthetic effect wore off. Vital signs (pulse rate, blood pressure,
      and respiratory rate) and body temperatures will evaluate regularly. The investigators, will
      determine the severity of severe pain with the VAS scale. According to the VAS scale, if the
      patient reports pain intensity between 7-10 out of 10, it means that she has severe pain.
      Patients will encourage for early ambulation. Initially, they walked 10-15 m inside their
      rooms and the amount of walking increased over time.
    

Intervention name(s): Massage and patient education; Routine care and advising
Intervention type(s): Other; Behavioral
Intervention description(s): Connective tissue manipulation: The patients were informed about CTM and its mechanism of action before starting the CTM application. CTM was performed by a trained physiotherapist as the patient was in a sitting position.
Routine care and advising: In-bed activities were taught and recommended to the patients in both groups. In-bed activities; rotation, sitting on the bedside, breathing exercises, range of motion exercises for upper and lower extremities. In addition, hourly walking activities were recommended after the anesthetic effect wore off.; Routine care and advising: In-bed activities were taught and recommended to the patients in both groups. In-bed activities; rotation, sitting on the bedside, breathing exercises, range of motion exercises for upper and lower extremities. In addition, hourly walking activities were recommended after the anesthetic effect wore off.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized Controlled Study
Masking: Single (Participant)
Primary purpose: Supportive Care