Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities

Study Overview
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Brief Summary
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This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.

Detailed Description
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This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems which make difficulties in functional activities, and includes a physiotherapy intervention group and a control group. Physical characteristics, obstetrical and surgical histories, and systemic problems, back pain, low back pain, headache, urinary/fecal incontinence problems and bowel habit of the subjects both in pregnancy and postpartum periods are recorded. First ambulation time after cesarean, presence of syncope, related vital signs, onset time of bowel peristalsis and defecation are also recorded. Intensities of incisional pain and difficulty in performing functional activities are evaluated by daily 0-10 cm visual analogue scales (VASs). Also, intensities of back pain, low back pain, headache, bloated feeling of the abdomen, and fatigue are also evaluated by daily VASs. Physiotherapy program included breathing exercises, active joint movements of the lower limbs, posture exercises, connective tissue manipulation and transcutaneous electrical nerve stimulation.

Official Title
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Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities

Conditions
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Cesarean Section

Intervention / Treatment
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* Device: transcutaneous electrical nerve stimulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: cesarean section giving birth to single baby having cesarean under general anesthesia Exclusion Criteria: giving birth to multiple babies being followed in intensive care unit after cesarean because of complications
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Device: transcutaneous electrical nerve stimulation|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| incisional pain intensity |  |  | 
| intensity of difficulty in functional activities |  |  | 
| first ambulation time |  |  | 
| onset time of bowel peristalsis |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| vital signs before and after first ambulation |  |  | 
| first defecation time |  |  | 
| intensity of fatigue |  |  | 
| number of postcesarean analgesic drug intervention |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postcesarean physiotherapy, incisional pain, functional activity, connective tissue manipulation, transcutaneous electrical nerve stimulation