- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05959785
Diaphragmatic Exercises as Treatment of Referred Pain After Total Laparoscopic Hysterectomy: Randomized Clinical Trial.
Diaphragmatic Exercises as Treatment of Referred Pain After Total Laparoscopic Hysterectomy: Randomized Controlled Clinical Trial.
Through a blinded clinical trial, the aim is to evaluate the efficacy of manual therapy in the treatment of pain referred to after laparoscopic hysterectomy.
Control and intervention groups were randomly established. Informed consent will be requested for participation in the study.
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Antonio Luis Partida Márquez
- Phone Number: 652985005
- Email: apmolvera@gmail.com
Study Locations
-
-
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Sevilla, Spain, 41013
- Recruiting
- Hospital Universitario Virgen del Rocio
-
Contact:
- Antonio Luis Partida Márquez
- Phone Number: 652985005
- Email: apmolvera@gmail.com
-
Sevilla, Spain, 41013
- Recruiting
- Quiron Sagrado Corazon
-
Contact:
- Antonio Luis Partida Márquez
- Phone Number: 652985005
- Email: apmolvera@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
• Patients who have given their consent to participate in the project by signing the informed consent.
- Patient between 18 and 65 years of age.
- Patients with a hysterectomy scheduled to be performed in less than 3 months at the Women's Hospital in Seville or at the Quirón Sagrado Corazón Clinic in Seville.
- Who develops pain of intensity greater than 7 points located in the head, neck or upper limbs in the first 24 hours post-hysterectomy.
- Patients who are able to communicate in Spanish or English.
Exclusion Criteria:
- Neurological Pathology.
- Non-cooperative Subject.
- Severe Psychiatric Illness.
- Loss of Cognitive Capacity.
- Evidence that post-hysterectomy pain is not caused by surgery (eg, presence of fracture or infection in the head, neck or upper limbs.
- Localized pain in areas not considered in this study and that may affect the performance and results of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: intervention group
Assignment to the intervention group will be done by simple randomization of the sample.
A random sequence of numbers will be generated using the statistical program SPSS v.28.
Patients will be included in the intervention group of each subcategory if their subject number matches one of the random numbers generated.The intervention groups will receive an explanatory video where a study collaborator performs a series of abdominal or diaphragmatic breathing exercises, which are intended to assess their effectiveness in this clinical trial.
|
The first abdominal or diaphragmatic breathing exercises will be carried out in a lying position, with the back well supported on a comfortable and firm surface, and with hips and knees flexed and feet supported.
The patients take deep breaths, taking air raising the abdomen towards the ceiling, without raising the back from the horizontal plane.
During expiration the navel will lower posteriorly and rise towards the thoracic region.
For the second abdominal or diaphragmatic breathing exercise, the patient is seated on a firm and comfortable surface, with hips and knees flexed and feet supported.
An inspiratory movement will be made in which the patient's navel will be moved outward, away from the spine.
During expiration, the navel will go in the direction of the patient's spine and will rise in the direction of the thorax.
Other Names:
|
Placebo Comparator: control groups
The patients belonging to the control groups of each subcategory will also receive an explanatory video with basic and light cervical mobilization exercises (Annex 12).
This group of exercises will be made up of a series of cervical mobilization exercises that are performed without pain, smooth, controlled by the patients, and without forcing the angulations.
They are performed seated, with the arms extended along the body and forearms and hands resting on the legs.
The chair must be firm and comfortable.
Head movements to the right and left, right and left lateral flexion of the cervical region, cervical flexion and extension will be performed.
This exercise will be performed for 5 minutes 3 times a day and beginning in the first 24 postoperative hours.
|
This group of exercises will be made up of a series of cervical mobilization exercises that are performed without pain, smooth, controlled by the patients, and without forcing the angulations.
They are performed seated, with the arms extended along the body and forearms and hands resting on the legs.
The chair must be firm and comfortable.
Head movements to the right and left, right and left lateral flexion of the cervical region, cervical flexion and extension will be performed.
This exercise will be performed for 5 minutes 3 times a day and beginning in the first 24 postoperative hours.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The McGill Pain Questionnaire
Time Frame: 24 hours after laparoscopy
|
Location of pain: which is usually represented by a schematic figure of the human body, where the patient points out the areas where they feel pain.
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24 hours after laparoscopy
|
The Brief Pain Questionnaire
Time Frame: 24 hours after laparoscopy
|
This questionnaire, in its short version, includes a body map that the patient can use to mark the areas where pain is located.
In addition to providing a useful tool for localizing pain, this questionnaire provides important information about other characteristics of pain, as well as response to prescribed treatments.
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24 hours after laparoscopy
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The Quick Dash quiz
Time Frame: 24 hours after laparoscopy
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Questionnaire containing questions about symptoms and the ability to use instruments of the upper limbs.
Collect data referring to the last week
|
24 hours after laparoscopy
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The HIT-6 scale
Time Frame: 24 hours after laparoscopy
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evaluates the headache through 6 questions
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24 hours after laparoscopy
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The Neck Disability Index questionnaire
Time Frame: 24 hours after laparoscopy
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assesses neck and back pain and its influence on basic activities of daily living
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24 hours after laparoscopy
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ALPM21
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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