Manual Lymphatic Drainage vs Marian Clark Drainage in Pcs

Effects of Manual Lymphatic Drainage Versus Marian Clark Drainage on Pain and Disability in Patients With Pelvic Congestion Syndrome

Pelvic congestion syndrome is a debilitating and potentially life threatening disorder of the pelvic region there is a constant hindrance in patient's daily professional and personal life due to the chronic pain. it can provide a definite way to improve pelvic congestion and quality of life. In this way it can benefit a large percentage of community females suffering from pelvic congestion syndrome and disability. This can grow at large length in favour of patients, clinicians and overall women health.

Study Overview

• Status: Recruiting
• Conditions: Pelvic Congestive Syndrome
• Intervention / Treatment: Other: Manual lymphatic drainage versus marian clark drainage

Detailed Description

As per researcher's knowledge there are limited researches in which efficacy of manual lymphatic drainage in pelvic congestion syndrome are analyzed furthermore my comparative intervention i.e Marian Clark drainage is a rarely used osteopathic technique and not much studies have been conducted on it. This study helped to in identifying the effect of manual lymphatic drainage versus Marian Clark drainage on pain and disability in patients with pelvic congestion syndrome.

• Study Type: Interventional
• Enrollment (Estimated): 26
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Imran Amjad, PhD; Phone Number: 03324390125; Email: Imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan
      • Recruiting
      • Jinnah Hospital
      • Contact: Hafiza Neelam Muneeb, PT; Phone Number: +92 320 4097476; Email: hafiza.neelam@riphah.edu.pk
      • Principal Investigator: Maira Imran Butt, MS-WHPT
      • Sub-Investigator: Hafiza Neelam Muneeb

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Multiparous women
• Age ranging 20 to 50
• Ovarian veins >4mm in diameter on Ultrasound Chronic pelvic pain/pressure for more than 6 months.
• Dull, aching or "dragging" pain in the pelvis or lower back, particularly on standing and worse around the time of your menstrual period.
• Pelvic pain that worsens as the day goes on, particularly if much time is spent standing dyspareunia
• Swollen veins in pelvic region, butt, thighs, vulva and vagina.
• Associated Irritable bladder/Irritable bowel present

Exclusion Criteria:

• Pelvic pain due to other organic cause like uterine fibroids, Endometriosis, Ovarian cyst pelvic pain due to neurological or musculoskeletal disorder
• Uterine prolapse
• Pelvic cancer

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Manual lymphatic drainage vs marian clark drainage; Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome	Other: Manual lymphatic drainage versus marian clark drainage; Manual lymphatic drainage versus marian clark drainage
Active Comparator: Manual lymphatic drainage versus marian clark drainage; Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome	Other: Manual lymphatic drainage versus marian clark drainage; Manual lymphatic drainage versus marian clark drainage

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Manual lymphatic drainage	Treatment protocol to group A It consists of 15 patients who will receive manual lymphatic drainage 4 sessions per week for 12 weeks Manual Lymph Drainage Techniques for Pelvic Decongestion Step 1: short neck treatment (supraclavicular fossa or SCF) Step 2: (two parts: visceral, deep) Visceral: Deep: Treatment of the thoracic duct, cisterna Chyli Deep Abdominal Manual lymphatic drainage Step-3. Treatment of right Axillary Lymph nodes Step-4. Establish the Right inguino-Axillary Anastomosis. Step-5. Decongest the right ipsilateral lower abdomen and suprapubic area Step-6 Treatment of Left Axillary Lymph nodes Step-7. Establish the Left inguino-Axillary Anastomosis. Step-8. Decongest the Let ipsilateral lower abdomen and suprapubic area	6 months
Marian clark drainage	It consists of 15 patients who will receive Marian clark drainage 4 sessions per week for 12 weeks each session will continue till therapist feels palpable change in congestion in pelvic area medial to Anterior superior Iliac spine.; Stand to the side of the patient; Patient semiprone on all fours; Hook fingers medial to both Anterior superior Iliac spine; Pull hands cephalad (traction); Patient arches back like a cat; Encourage this movement with cephalad rocking; Repeat for several minutes	6 months

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Hafiza Neelam Muneeb, Ms, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): December 5, 2022
• Primary Completion (Estimated): August 1, 2023
• Study Completion (Estimated): August 1, 2023

Study Registration Dates

• First Submitted: July 31, 2023
• First Submitted That Met QC Criteria: July 31, 2023
• First Posted (Actual): August 7, 2023

Study Record Updates

• Last Update Posted (Actual): August 7, 2023
• Last Update Submitted That Met QC Criteria: July 31, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Syndrome
• Other Study ID Numbers: RiphahIUmib

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No