Efficacy of Acupressure Versus Traditional Treatment on Reducing Ankle Edema During Pregnancy

Study Overview
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Brief Summary
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Incidence of ankle edema is high during pregnancy, If left untreated, it may lead to difficulty walking; stiffness; stretched skin which can become itchy and uncomfortable. Acupressure promotes the condition of the circulatory and lymphatic system leading to the elimination of edema. The aim of this study is to investigate the efficacy of acupressure versus traditional physical therapy treatment on ankle edema during pregnancy.

Detailed Description
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Sixty pregnant women aged 25 to 35 years old and body mass index was ≥ 30 kg/m², will participate in this study. They will be assigned into three equal groups, Group A will receive only traditional physical therapy protocol in the form of advice including elevation, wearing supportive stocking, and avoiding standing in one position for extended periods, and Group B will receive the same traditional treatment as group A in addition to circulatory exercises, 3times per week for 4 weeks; while Group C will receive the same conventional physical therapy protocol in addition to foot acupressure 3times per week for 4 weeks.

Official Title
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Efficacy of Acupressure Versus Traditional Treatment on Reducing Ankle Edema During Pregnancy

Conditions
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Gestational Edema

Intervention / Treatment
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* Other: advices
* Other: Traditional physical therapy
* Other: Acupressure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pregnant women in their third trimester, age ranged from 25-35 years and BMI was ≥30Kg/m2. Exclusion Criteria: Pregnant women with skin diseases irremovable bracelet, decreased functional active range of motion in the affected lower extremity any mental or physical disorders.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Sixty pregnant women aged 25 to 35 years old and body mass index was ≥ 30 kg/m², will participate in this study. They will be assigned into three equal groups, Group A will receive only traditional physical therapy protocol in the form of advice including elevation, wearing supportive stocking, and avoiding standing in one position for extended periods, and Group B will receive the same traditional treatment as group A in addition to circulatory exercises, 3times per week for 4 weeks; while Group C will receive the same conventional physical therapy protocol in addition to foot acupressure 3times per week for 4 weeks.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Control group<br>patient in this group received advice only for edema relief | Other: advices<br>* each pregnant woman was advices how to elevate her legs and daily positions to elevate edema<br>* Other names: daily advices;|
| Experimental: Circulatory exercise group<br>patient in this group received advice in addition to circulatory exercise for edema relief | Other: advices<br>* each pregnant woman was advices how to elevate her legs and daily positions to elevate edema<br>* Other names: daily advices;Other: Traditional physical therapy<br>* each pregnant woman was advised about daily routine in addition to circulatory exercise<br>* Other names: circulatory exercise;|
| Experimental: Acupressure group<br>patient in this group received advice in addition to acupressure for edema relief | Other: advices<br>* each pregnant woman was advices how to elevate her legs and daily positions to elevate edema<br>* Other names: daily advices;Other: Acupressure<br>* each pregnant woman was advised about daily routine in addition to acupressure therapy<br>* Other names: acupressure therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in foot and ankle edema during pregnancy | Foot Volumeter was used to assess foot and ankle edema | Before starting study and after four weeks of intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| level of swelling | Patient reported oedema Questionnaire was used to determine the level of swelling | Before starting study and after 4 weeks of intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Edema Leg