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Effect of Pelvic Floor Muscles Down Training on Postpartum Coccydynia

19. juni 2026 opdateret af: Alyaa Ragab, Cairo University
This study will be conducted to investigate the effect of pelvic floor muscle down training on postpartum coccydynia.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

One complication of coccydynia is that it may become a chronic pain syndrome. Early and thorough medical attention may help patients avoid delays in diagnosis and treatment. The hope is that this will help decrease the chances of the pain becoming persistent and disabling. Many patients with coccydynia experience relief of symptoms within weeks or months of onset, whether or not they receive medical treatment. The success of conservative treatment has been reported to be 90% .

The significance of musculoskeletal and myofascial pain in chronic pelvic pain is becoming increasingly established. the findings suggest a direct link between impairments in coccyx mobility, pain, and muscle spasm and dysfunction of the pelvic floor muscles. Therefore, pelvic floor muscle impairments related to the coccyx may need to be addressed in treatment considerations .

There is a risk of pelvic floor dysfunction (PFD) from baby delivery. Many clinical guidelines recommend pelvic floor muscle training (PFMT) as the conservative treatment for PFD because pelvic floor muscles (PFMs) play a crucial role in development of PFD. PFM training is the most popular conservative intervention for PFD. Its role in PFM improvement is becoming more and more important along with the rapid development of rehabilitation medicine and it is more and more acceptable by women as their requirements for improvement of quality of life are getting stronger.

PFM function requires activation and relaxation at appropriate times and amounts to maintain pelvic organ support and closure, and enable passage. PFM tone that is greater than that required for a specific context (referred to as "increased" tone by the International Continence Society) could affect function and explain some features of pelvic health conditions, such as compromised relaxation or lengthening of PFM (eg, functional obstruction or interference with intercourse) and muscle ischemia (as implicated in some pain conditions). PFM tone could be increased by many factors, including stress, fear, anxiety, psychological trauma, injury, surgery or radiation, and hormonal, lifestyle, and occupational factors. Although plausible, evidence for increased PFM tone remains unclear

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

52

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Egypten
      • Cairo, Egypten
        • Alyaa Ragab Abdelmoity

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Their ages will range from 18 to 30 years.
  • Suffering from moderate coccyx pain which assessed by VAS.
  • Their body mass index will be equal or less than 30 kg/m².
  • Primipara and multipara -2:3 times‖ women.
  • Six months to one year after childbirth.

Exclusion Criteria:

  • Neurological disorders.
  • Musculoskeletal disorders as Abnormal coccygeal morphology or abnormal scoliotic deformity
  • Infection or malignancy.
  • Fibromyalgia or myopathy.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Pelvic floor muscle down training and stretching exercise group
The participants will receive pelvic floor down training and stretching exercises, 3 sessions per week for 4 weeks.
Andet: Pelvic floor down training exercise

Patient will be asked to breathe deeply and bring her awareness to her pelvic floor. Feel her muscles relax as she inhales and maintain position for 5 seconds and then release for the same amount of time. Do two to three sets of 10 throughout the day. Once she masters this, she can try holding and releasing for longer periods of time.

Make sure she is breathing while doing these exercises. It 's important to breathe all the way into her stomach (instead of only breathing into her chest). Keeping her belly relaxed. This is known as diaphragmatic breathing.

Andet: Stretching exercises
stretching exercises for piriform and iliopsoas muscles with 5 second stretch hold, 5 repetitions/session for 5 sessions/week for four weeks.
Aktiv komparator: Stretching exercise group
The participants will receive stretching exercises, 3 sessions per week for 4 weeks.
Andet: Stretching exercises
stretching exercises for piriform and iliopsoas muscles with 5 second stretch hold, 5 repetitions/session for 5 sessions/week for four weeks.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain intensity
Tidsramme: 4 weeks
Visual analogue scale will be used to measure the pain intensity before and after the treatment program. The VAS is a 10-point scale comprising a number from 0 through 10; 0 indicates "no pain", and 10 indicates the "worst imaginable pain". VAS is a valid & reliable pain rating scale
4 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Function disability
Tidsramme: 4 weeks
Oswestry Disability Index will be used to assess the function disability for all patients before and after the treatment program. It measures functional recovery and severity of pain, self-care, lifting, walking, sitting, standing, social life, sleep, travel, and pain level across 10 items. As the total score increases, so does the level of disability. The maximum score is 50 points, with 31-50 classified as severe, 11-30 as moderate, and 1-10 as mild disability. The total score obtained from the patient is converted into percentage values to evaluate the disability percentage.
4 weeks
Pelvic floor muscle tone
Tidsramme: 4 weeks

Perineometer will be performed with the patient in the right lateral position. The perianal area will be cleaned with alcohol. Pressure- probe should be different for each individual. Probe sensor should be placed 3.5 cm inside the rectum where it coincides with PFM bulk. Patients will be asked to:

  • Breathe deeply and bring her awareness to her pelvic floor. Feel her muscles relax and drop down as she inhales.
  • Hold the position for 5 seconds and then release for the same amount of time. Do two to three sets of 10 throughout the day. Once she masters this, she can try holding and releasing for longer periods of time.
  • Make sure she is breathing while doing these exercises. It's important to breathe all the way into her stomach as she inhales (instead of only breathing into her chest). Keeping her belly relaxed helps. This is known as diaphragmatic breathing
4 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Cairo University

Efterforskere

  • Studieleder: Hossam Kamel, Professor, Al-Azhar University
  • Studiestol: Afaf Botla, Professor, Cairo University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juli 2026

Primær færdiggørelse (Anslået)

15. oktober 2026

Studieafslutning (Anslået)

31. oktober 2026

Datoer for studieregistrering

Først indsendt

9. juni 2026

Først indsendt, der opfyldte QC-kriterier

19. juni 2026

Først opslået (Faktiske)

25. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

25. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

19. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 012/005734

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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