Clinical trial NCT00302315: Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities
Official title: Effectiveness of Physiotherapy on Postcesarean Pain and Functional Activities
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cesarean Section
Keywords: postcesarean physiotherapy
incisional pain
functional activity
connective tissue manipulation
transcutaneous electrical nerve stimulation
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2006-03-14
Enrollment: 50
Sex: FEMALE
Minimum age (years): 19
Maximum age (years): 42
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: incisional pain intensity
timeFrame: Intensity of incision pain was evaluated daily during hospitalization period before the physiotherapy program in the study group.
measure: intensity of difficulty in functional activities
timeFrame: Intensity of difficulty in functional activities was evaluated daily during hospitalization period before the physiotherapy program in the study group.
measure: first ambulation time
timeFrame: From transfer to obstetric department room to first ambulation after cesarean
measure: onset time of bowel peristalsis
timeFrame: Only once when breaking gas and defecation occured after Cesarean.
Secondary outcomes:
measure: Vital signs
timeFrame: Vital signs were measured before and after first ambulation
measure: Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure
timeFrame: Only once before discharge from the hospital
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University Hospital
Study officials:
affiliation: Prof. PT.
name: İnci Yüksel, PT. Prof.
role: STUDY_DIRECTOR
affiliation: Research assistant
name: İlkim Çıtak Karakaya, PT. PhD.
role: PRINCIPAL_INVESTIGATOR
affiliation: Research assistant
name: Mehmet Gürhan Karakaya, PT. PhD.
role: STUDY_CHAIR
References: