Pelvic Floor Dysfunction
Conditions
Keywords
pelvic floor training ,, gynecological surgery,, quality of life,, strength of pelvic floor muscle
Brief summary
The purpose of the study is to assess the pelvic floor dysfunction and quality of life in patient undergoing gynecological surgery.Common gynecological surgeries done for prolapse, fibroids, and cervical abnormality and also for Gynecological cancer.Early physiotherapy after gynecological surgery improves recovery by managing pain, restoring movement, and strengthening muscles, especially the pelvic floor.Conservative treatments like pelvic floor muscle exercises, biofeedback, and lifestyle changes can help with pelvic symptoms, including urinary incontinence and mild to moderate prolapse.
Detailed description
This is a randomized control trial to see the effects of pelvic floor training on pelvic floor dysfunction and quality of life in patient undergoing gynecological surgery. Females meeting the inclusion and exclusion criteria will be divided into three groups by convenient sampling technique. A sample size of 48 females with 16 females in each group. Group A will be treated four weeks pre and 8 weeks post op pelvic floor training exercises, group B will be treated only 8 weeks post op pelvic floor training exercises and group C will receive basic post op nursing care. Group A and B will have three treatment sessions per week Assessment will be done at 0 week (1month prior to surgery), 1 day before surgery, 2nd , 4th, 6th and 8th week after surgery. Females will be screened by Pelvic organ distress inventory (PFDI-20) and Pelvic floor impact questionnaire (PFIQ-7).
Interventions
OTHERPre and Post op pelvic floor muscle training
pre op exercises: Breathing exercise ,Kegel exercise ,Abdominals exercise include pelvic tilt ,knee rolling with abdominal contraction post op exercise :breathing exercise, circulatory exercise i.e ankle pump and heel slides, and bed mobility along with pre op exercise
OTHEROnly post op pelvic floor muscle training
post op exercise :breathing exercise, circulatory exercise i.e ankle pump and heel slides, and bed mobility along with pre op protocol
OTHERRoutine medical care
Circulatory exercise Breathing exercise Administrating analgesic Nursing care
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
The Principal investigator or the researcher will be kept blind about the group allocation and intervention or assessment of patients.
Intervention model description
There will be comparison between 3 groups.Two intervention group and 1 control group
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Women age:40 -60yrs * undergoing vaginal or laparoscopic-assisted vaginal surgery for either POP repair (primary or recurrent), and/or hysterectomy
Exclusion criteria
* Emergency Surgery * Chronic Illness * Unstable Mental State
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic organ distress inventory (PFDI-20) | From Baseline to 1 day prior to surgery, 2nd,4th,6th and 8th week of intervention | Pelvic floor Distress inventory questionnaire is comprised of 3 Sections, including pelvic organ prolapse distress inventory (POPDI-6) from question 1 to 6, urinary distress inventory (UDI-6) from questions 7-12 and colorectal anal distress inventory (CRADI-8) from questions 13-20. The total score ranges from 0 to 300, with higher scores indicating greater distress.the ICC value of the tool is 0.93 |
| Pelvic floor impact questionnaire (PFIQ-7) | From Baseline to 1 day prior to surgery, 2nd,4th,6th and 8th week of intervention | The pelvic floor impact questionnaire is used for quality of life assessment. it has 3 sections, including Urinary impact questions, Colorectal anal impact questions, and Pelvic organ prolapse impact questionnaire. The total score ranges from 0-300. The ICC value of PFIQ is 0.77 |
Countries
Pakistan
Outcome results
None listed