Postoperative pain
Conditions
Interventions
The sample will include women with a cesarean scar one year or more after the procedure and chronic low back pain complaints, who may be primiparous or multiparous. Participants who sign up to partici
E02.760.169.063.500.387
Sponsors
Universidade do Estado de Minas Gerais
Universidade do Estado de Minas Gerais
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: From one year after the cesarean section; sedentary women; over 18 years of age; have consented to the Informed Consent Form; without cognitive deficits that hinder their understanding when performing the exercises, score 7 on the Roland Moris questionnaire; score greater than or equal to 3 on the visual analogue scale (VAS)
Exclusion criteria
Exclusion criteria: Failure to consent to the Informed Consent Form; less than one year since the cesarean section; performing some type of physical exercise; having already performed some procedure on the scar
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measuring the pain felt by the patient through the use of instruments such as the EVA Scale, which has good responsiveness and a change of 2 points on the numerical pain assessment scale represents a clinically significant change, which exceeds the limits of measurement error. Electronic pressure algometry will also be used and is a repeatable and statistically stable measurement of spinal pressure pain threshold, both between days and within the same day. The results provide evidence that use of this device may be valuable as an outcome measure for primary spinal complaints such as low back pain. The points evaluated will be 2 centimeters to the left and right of the spinal process at the height of L2 and L4. A Roland Morris questionnaire will be applied to assess pain and disability, with a score of 14 as the cutoff point, assessed as the individual's severe disability. It is expected that with the application of manual therapy for 4 weeks and guided exercises, the participants will have attenuation of the pain assessed through the instruments used. | — |
Secondary
| Measure | Time frame |
|---|---|
| Using the IdentoPro measurement method, assess the stiffness of the paravertebral scar 2 cm to the left and right of the spinal process at the height between L2 and L4. In addition, the compliance and stiffness of the tissue and the center of the cesarean scar will be assessed. The measurement will be taken 3 times in each region and the average value between them will be calculated. The QUEBEC Questionnaire will also be applied to assess how low back pain affects the quality of daily life. In this way, it associates the performance of some activities with the difficulty in performing them. A reduction in pain is expected with these methods. | — |
Countries
Brazil
Contacts
Public ContactJulia Diniz
Universidade do Estado de Minas Gerais
Outcome results
None listed