Effect of MET on Meralgia Paraesthesia Postpartum Muscle Energy Technique

Study Overview
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Brief Summary
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To investigate the effect of muscle energy technique on Femoral meralgia paraesthesia in a postpartum female. BACKGROUND: meralgia paraesthesia is one of the serious disorders in the postpartum female which results in pain and less physical activities. ………HYPOTHESES: This study hypothesized that: muscle energy technique will have a significant effect on Femoral meralgia paraesthesia in postpartum female

Detailed Description
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Thirty meralgia paraesthesia postpartum females will participate in this study. The patients will randomly be divided into two equal groups; the control group received the conventional selected exercise program and the study group received the same exercise training program in addition to muscle energy technique, three times per week for four weeks. The evaluation methods by Femoral nerve conduction velocity will be measured via the Neuropack S1 MEB9004 EMG device before the exercise program and after finishing the exercise program, and also the Pelvic compression test and Pain numeric rating scale

Official Title
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The Effect of Muscle Energy Technique on Femoral Meralgia Paraesthesia in Postpartum: A Randomized Controlled Trial

Conditions
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Meralgia Paresthetica, Femoral Neuropathy

Intervention / Treatment
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* Other: muscle energy technique
* Other: conventional selected physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Thirty meralgia paraesthesia postpartum female Patients with positive Pelvic compression test age ranging from 25:40 years post vaginal delivery or post-operative (postpartum) persistent dysthesia in anterolateral thigh (one side or both) body mass index (20:29.9) Kg/m2 Exclusion Criteria: difficulty to communicate or to understand program instructions other conditions that caused pain (for example fibromyalgia and arthritis) any psychiatric or cognitive symptoms any other musculoskeletal disorders or neurologic diseases of the lower extremities and spine

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 40 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: the control group received the conventional selected exercise program and the study group received the same exercise training program in addition to muscle energy technique
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group<br>received the conventional selected exercise program in addition to muscle energy technique | Other: muscle energy technique<br>* the patient was supine and the therapist fix the lower limb of the affected side then ask the patient to perform isometric contraction for abductors maintained for 3-5 seconds, then the patient was instructed to stop, exhale and relax then the therapist perform further adducted the patient's knee of the affected side as a stretching exercise for Three to five repetitions of these directions were performed.<br>Other: conventional selected physical therapy<br>* life style modification Transcutaneous electrical nerve stimulation (TENS) Flexibility stretching exercises to the hip flexors<br>|
| Experimental: control group<br>received the conventional selected exercise program | Other: conventional selected physical therapy<br>* life style modification Transcutaneous electrical nerve stimulation (TENS) Flexibility stretching exercises to the hip flexors<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Femoral nerve conduction latency | Femoral nerve conduction latency measured via the Neuropack S1 MEB9004 EMG device | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic compression test | the therapist applied a downward compression force to the pelvis and maintained a pressure for 45 seconds. If the patients reported an alleviation of symptoms the test is considered positive | four weeks | 
| Numeric Pain Rating Scale (NPRS) | it includes 11-point numeric scale ranges from no pain with score of 0 to worst pain imaginable with score of 10 | four weeks |