NCT05834140

Effects of MET on PPDH, Neck Pain and Disability After Cesarean Section

Effects of Muscle Energy Technique on Post-Dural Puncture Headache, Neck Pain and Disability After Cesarean Section

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (estimated)
• Sponsor: Riphah International University · Academic / Other
• Sex: Female
• Age: 18 Years – 30 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to determine the effect of Muscle Energy Techniques on post dural puncture headache, neck pain and disability after Cesarean Section. .

Detailed description

Caesarean section (CS) is the worldwide process of pregnancy termination that delivers live or dead fetuses with an incision on the abdominal wall and uterine wall. It is performed under neuraxial anesthesia (spinal and epidural anesthesia). Post- dural puncture headache (PDPH) is a major complication of neuraxial anesthesia which presents as a dull throbbing pain in a frontal-occipital distribution, aggravates on sitting or standing, and is reduced by lying down. This study will be a randomized clinical trial. Subjects with PPDH meeting the predetermined inclusion and exclusion criteria will be divided into two groups: i.e. treatment and control group. Both groups will receive baseline treatments i.e. (heating pads \& TENS). In addition, treatment group will receive post-isometric relaxation of METs. Each subject will receive a total of 4 treatment sessions, with 2 treatment sessions per day Pre-treatment will be done at day 1 and post-treatment will be done at day 2, using Headache Disability Index (HDI), Numeric Pain Rating Scale (NPRS) and Neck Disability Index (NDI) as subjective measurements. Recorded values will be analysed for any change using SPSs

Conditions

• Post-Dural Puncture Headache
• Cesarean Section Complications

Interventions

Type	Name	Description
OTHER	Traditional Physical Therapy	TENS (transcutaneous electrical nerve stimulation) on continuous mode at 80-120 Hz for 15-20 min and Heating pads for 10-15 min Total 4 sessions will be given in 2 days
OTHER	Muscle Energy Technique	Muscle energy technique (Post Isometric relaxation) along with TENS and Heating pads. * MET of the scaleni * MET of Sternocleidomastoid * MET of Levator Scapulae * MET of Upper fibers of Trapezius Total 4 sessions will be given in 2 days

Timeline

• Start date: 2023-01-01
• Primary completion: 2023-08-01
• Completion: 2023-08-01
• First posted: 2023-04-28
• Last updated: 2023-04-28

Locations

1 site across 1 country: Pakistan