Treatment of Scars and Dysfunctions of the Pelvic Floor in Postpartum

Study Overview
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Brief Summary
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Recruitment of patients who have suffered third- and fourth-degree perineal tear during childbirth, and who have given birth at the Hospital Universitario Marqués de Valdecilla (Santander, Spain). They are distributed randomly in two groups an experimental group who apply techniques of physiotherapy and a control group, receiving medical treatment. At the same time is recruited the same number of patients who have not suffered tear and whose birth has been instrumental, dividing into two groups, control and experimental. And the same number of patients who have given birth but have not suffered tear or instrumental delivery, divided also into control group and experimental.

Official Title
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Treatment of Scarring and Dysfunction of the Pelvic Floor in Postpartum, Through Physical Therapy or by Medical Recommendations in Consultation

Conditions
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Pelvic Floor Disorders

Intervention / Treatment
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* Other: Pysiotherapy techniques
* Other: physician treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who have dysfunctions in the pelvic floor after childbirth Patients who have given birth at the Hospital Universitario Marqués de Valdecilla Patients who do not have any medical alteration that does not indicate the treatment Exclusion Criteria: Patients who do not have pelvic floor dysfunctions after childbirth Patients who have not given birth at the Hospital Universitario Marqués de Valdecilla Patients who have any medical changes that counter the treatment

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 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: Sequential Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental<br>Physical Therapy Techniques | Other: Pysiotherapy techniques<br>* manual therapy techniques, postural re-education and muscle strengthening<br>|
| Other: Control<br>physician treatment | Other: physician treatment<br>* hygienic-dietary recommendations, Kegel exercises and pain relievers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in VAS from the start to the end | Pain | in the begining, at thirth month, at sixth month and at the finish (one year later) | 
| Change in SF36 from de start to the end | quality of life sorth form | in the begining, at thirth month, at sixth month and at the finish (one year later) | 
| Change in EPIQ from de start to the end | Epidemiology of Prolapse and Incontinence Questionnaire | in the begining, at thirth month, at sixth month and at the finish (one year later) | 
| Change in OXFORD from the start to the end | muscle strength | in the begining, at thirth month, at sixth month and at the finish (one year later) |