Effects of Muscle Energy Technique Versus Aerobic Exercises on Pain and Disability in Patients With Chronic Pelvic Pain

Study Overview
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Brief Summary
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The aim of study is to find out the effects of muscle energy technique versus aerobic exercises on pain and disability in patients with chronic pelvic pain.

Official Title
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Effects of Muscle Energy Technique Versus Aerobic Exercises on Pain and Disability in Patients With Chronic Pelvic Pain

Conditions
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Pelvic Pain, Chronic Pain

Intervention / Treatment
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* Other: Muscle Energy Technique
* Other: Aerobic Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women with chronic pelvic pain of >6 months' duration and the cause of their pain is unknown CPP was located within the true pelvis (between and below the anterior iliac crests) Average score of at least 4 out of 10 (0-10) on a numeric rating scale moderate to severe pain on pelvic pain impact questionnaire Exclusion Criteria: History of cancer Pregnancy at the time of inclusion Known pelvic pathology (eg, endometriosis, ovarian cyst, fibroid >3cm) Intraabdominal and pelvic surgery within the last six months chronic or recurrent gastro-intestinal disease including irritable bowel syndrome Received any physiotherapy treatment within the previous month

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 45 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
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Muscle Energy Technique<br>Muscle Energy Technique of Iliopsoas, Piriformis, Quadratus Lumborum and Erector Spinae muscle | Other: Muscle Energy Technique<br>* Muscle energy technique (Post Isometric relaxation) three times per week for 8 weeks. MET of the Iliopsoas MET of Piriformis muscle MET of Quadratus Lumborum muscle MET of Erector Spinae muscle<br>|
| Experimental: Aerobic Exercises<br>aerobic exercises (walking on the treadmill) | Other: Aerobic Exercises<br>* Aerobic exercise (treadmill walking) three times per week for 8 weeks Warm-up phase: in which each patient alternately steps their legs forward, backward, and sideways in each direction for 5 min Active phase: Treadmill speed was 3km/hour for 5 weeks and progress to 4km/hour after 5 weeks for 20 min. Cool down phase: During a cool down period take a deep breath with both arms overhead and exhale while bringing the arms down, shaking out the legs and arms for 5 min.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic pain impact questionnaire | The Pelvic Pain Impact Questionnaire evaluates the pelvic pain impact on life. It has patient generated language, is easily managed and scored, has psychometric properties and it is appropriate for clinical settings and research across primary, secondary and tertiary care. The ten-item questionnaire consist of 8 Likert questions and 2 additional, non-scored questions | 8th week | 
| Numerical Pain Rating Scale | The Numerical Pain Rating Scale (NPRS) is a particular measure in which people rate their pain on an 11-point numerical scale. The scale is comprised of 0 (no pain at all) to 10, 0 show no pain at all and 10 indicate worst imaginable pain | 8th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain disability index | The Pain Disability Index is a seven-item survey to investigate functional disability. Every question utilizes an ordinal scale going from 0 to 10, 0 indicates no disability and 10 means worst disability. Scores can be added to represent a combined score of worldwide disability ranging from 0 to 70 ,where higher scores indicate greater disability | 8th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pelvic Pain, Female, Exercise