Clinical trial NCT05851742: Effects of Myofascial Release and Electrical Stimulation in Chronic Pelvic Pain
Official title: Effects of Myofascial Release With and Without Electrical Stimulation on Pain and Functionality in Women With Chronic Pelvic Pain
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Chronic Pelvic Pain
Myofascial Trigger Point Pain
Keywords: chronic pelvic pain syndrome
pelvic floor physical therapy
myofascial release
myofascial trigger points
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-05-10
Enrollment: 24
Sex: FEMALE
Minimum age (years): 25
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Myofascial pelvic pain (MFPP) caused by myofascial trigger points (MTrPs) is a major contributor to chronic pelvic pain in women.In females,pelvic pain is the single most common indication for referral to women's health services.Pelvic floor physical therapy with myofascial release improve mobility and reduce pain by releasing the painful trigger points.Tools that will be used,for pain numerical pain scale (NPS),functional pelvic pain scale(FPPS) and pelvic floor impact questionnaire-7 will be used to asses pain and functionality.

Detailed description: Myofascial pelvic pain (MFPP) caused by myofascial trigger points (MTrPs) is a major contributor to chronic pelvic pain in women. In females, pelvic pain ''is the single most common indication for referral to women's health services. Pelvic floor physical therapy with myofascial release improve mobility, and reduce pain by releasing the painful trigger points following restrictions in connective tissues that are related to pelvic floor.In this project we will observe effects of myofascial release with and without electrical stimulation on pain and functionality in women with chronic pelvic pain.It has been hypothesized that myofascial release along with electrical stimulation help in reducing pain and improve functionality in women.Patients will be having sessions for consecutive 4 weeks and will be exposed to both types of techniques to find out the effective results.

The study will be randomized control trial.For pain numerical pain scale (NPS),functional pelvic pain scale(FPPS) and pelvic floor impact questionnaire-7 will be used to asses pain and functionality respectively. A randomized control trial will be conducted on two groups. Group 1 will receive myofascial release with electrical stimulation in women with chronic pelvic pain for 4 weeks with 50-280 Hz frequency and a pulse duration of 50 µs for 10 minutes along with 10 minutes myofascial release..On the other hand Group 2 will receive myofascial release without electrical stimulation on pain and functionality in women with chronic pelvic pain. In previous studies there is ample amount of research conducted on chronic pelvic pain but there were very few recent studies available on myofascial release,so this relation of use of myofascial release with and without electrical stimulation on pain and functionality in chronic pelvic pain should also be carried out.

Eligibility criteria: Inclusion Criteria:

* Age 25-40 years,
* Presence of persistent chronic pelvic pain
* \>4 points on a 10 point numeric rating scale for atleast more than 3 months,
* Atleast 1 active MTrp in one of the muscle groups including the obturator internus,
* levator ani,piriformis and coccygeus on pelvic examination.

Exclusion Criteria:

* Prolapse of the pelvic organ,
* Pregnency,
* Fibromyalgia

Primary outcomes:
measure: NPRS (Numeric Pain Rating Scale)
timeFrame: 4 weeks
measure: FPPS (Functional Pelvic Pain Scale)
timeFrame: 4 weeks
measure: PFIQ-7 (Pelvic Floor Impact Questionaire)
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Jinnah Hospital Lahore
state: Punjab
Study officials:
affiliation: Riphah International University
name: Hafiza Mehjabeen, MSWHPT
role: PRINCIPAL_INVESTIGATOR
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