Author(s): Veena Kirthika. S, Selvaraj Sudhakar, Mohan Kumar. G, Ramachandran. S, Ahalya S. P.

Email(s): veena.physio@drmgrdu.ac.in

DOI: 10.52711/0974-360X.2024.00169   

Address: Veena Kirthika. S1*, Selvaraj Sudhakar2, Mohan Kumar. G3, Ramachandran. S4, Ahalya S. P.5
1-4Faculty of Physiotherapy, Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095.
5SRM College of Pharmacy, SRM Institute of Science and Technology.
*Corresponding Author

Published In:   Volume - 17,      Issue - 3,     Year - 2024


ABSTRACT:
Objective of The Study: To determine the effect of myofascial therapy and pelvic relaxation exercise combined with phonophoresis using Diclofenac sodium gel in subjects with myofascial pelvic pain syndrome (MPPS). Background of The Study: Myofascial pain syndrome is a disease that is characterized by hypersensitive point called trigger points found in one or more muscles and connective tissue. Myofascial Pelvic Pain Syndrome (MPPS) is a source of chronic pelvic pain in women. This pain can be continuous or episodic. This study is designed to compare the effects of interventions namely myofascial therapy and pelvic relaxation exercise combined with phonophoresis using Diclofenac sodium in subjects with MPPS. Methodology: This experimental study was conducted among 20 subjects at Faculty of Physiotherapy, Dr. M.G.R Educational and Research Institute. Study duration was 4 weeks. Subjects were selected by simple random sampling method. The subjects were selected based on Inclusion and exclusion criteria.Outcome measures included were visual analogue scale (VAS), Pelvic pain impact questionnaire (PPIQ), SF-36 questionnaire. Procedure: 20 female subjects with myofascial pelvic pain syndrome were randomly divided into two groups. Group A (n=10) subjects were treated with myofascial therapy. Group B (n=10) subjects were treated with pelvic relaxation exercise. Treatments for both the groups were given for 3 days in a week for 4 weeks. Results: On comparing the pre and post values within experimental group, it shows statistically significant improvement on visual analogue scale score (P = 0.05) andPPI questionnaire score (P = 0.05) and also in pre and post test values of experimental groups, it reveals significant difference on short form survey – 36 score (P = 0.05)


Cite this article:
Veena Kirthika. S, Selvaraj Sudhakar, Mohan Kumar. G, Ramachandran. S, Ahalya S. P.. Effect of Myofascial Therapy and Pelvic Relaxation Exercise Combined with Phonophoresis using Diclofenac Sodium gel in Myofascial Pelvic Pain Syndrome. Research Journal of Pharmacy and Technology. 2024; 17(3):1083-7. doi: 10.52711/0974-360X.2024.00169

Cite(Electronic):
Veena Kirthika. S, Selvaraj Sudhakar, Mohan Kumar. G, Ramachandran. S, Ahalya S. P.. Effect of Myofascial Therapy and Pelvic Relaxation Exercise Combined with Phonophoresis using Diclofenac Sodium gel in Myofascial Pelvic Pain Syndrome. Research Journal of Pharmacy and Technology. 2024; 17(3):1083-7. doi: 10.52711/0974-360X.2024.00169   Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2024-17-3-20


REFERENCES:
1.    Masterson TA, Masterson JM, Azzinaro J, Manderson L, Swain S, Ramasamy R. Comprehensive pelvic floor physical therapy program for men with idiopathic chronic pelvic pain syndrome: a prospective study. Translational Andrology and Urology. 2017; 6(5): 910.
2.    Cheong Y, Stones RW. Chronic pelvic pain: aetiology and therapy. Best Practice and Research Clinical Obstetrics and Gynaecology. 2006; 20(5): 695-711.
3.    Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies. 2015; 19(1): 102-12.
4.    Elkadry E, Mynihan LK. Clinical manifestations and diagnosis of myofascial pelvic pain syndrome in women.
5.    Raheem AA, Zoaier A, El-Sherbiny A. Childbirth Trauma 1st ed., 2017.
6.    Pastore EA, Katzman WB. Recognizing myofascial pelvic pain in the female patient with chronic pelvic pain. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2012; 41(5): 680-91.
7.    Itza F, Zarza D, Salinas J, Teba F, Ximenez C. Turn-amplitude analysis as a diagnostic test for myofascial syndrome in patients with chronic pelvic pain. Pain Research and Management. 2015 ; 20(2): 96-100.
8.    Rosenbaum TY, Owens A. Continuing medical education: the role of pelvic floor physical therapy in the treatment of pelvic and genital pain-related sexual dysfunction (CME). The Journal of Sexual Medicine. 2008; 5(3): 513-23.
9.    Cohen D, Gonzalez J, Goldstein I. The role of pelvic floor muscles in male sexual dysfunction and pelvic pain. Sexual Medicine Reviews. 2016; 4(1): 53-62.
10.    Renan-Ordine R, Alburquerque-SendÍn F, Rodrigues De Souza DP, Cleland JA, Fernández-De-Las-Penas C. Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain: a randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy. 2011; 41(2): 43-50.
11.    Skootsky SA, Jaeger B, Oye RK. Prevalence of myofascial pain in general internal medicine practice. Western Journal of Medicine. 1989; 151(2): 157.
12.    Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. The Journal of Urology. 2005; 174(1): 155-60.
13.    Itza F, Zarza D, Serra L, Gomez-Sancha F, Salinas J, Allona-Almagro A. Myofascial pain syndrome in the pelvic floor: a common urological condition. ActasUrológicas Españolas (English Edition). 2010; 34(4): 318-26.
14.    McKenney K, Elder AS, Elder C, Hutchins A. Myofascial release as a treatment for orthopaedic conditions: a systematic review. Journal of Athletic Training. 2013; 48(4): 522-7.
15.    Szumilewicz A, Dornowski M, Piernicka M, Worska A, Kuchta A, Kortas J, Błudnicka M, Radzimiński Ł, Jastrzębski Z. High-low impact exercise program including pelvic floor muscle exercises improves pelvic floor muscle function in healthy pregnant women–a randomized control trial. Frontiers in Physiology. 2019; 9: 1867.
16.    Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies. 2015; 19(1): 102-12.
17.    C. Kumaresan. Thumb arthritis treatment with diclofenac sodium Gel Formulation. Asian J. Res. Pharm. Sci. 2020; 10(4):239-240.
18.    Remi. S. L, Joyamma Varkey, R. K. Maheshwari, A. Jayakumaran Nair. A Novel Ecofriendly, Cost effective mobile phase for HPLC- Simultaneous estimation and Validation of Paracetamol and Diclofenac sodium in Bulk and Pharmaceutical Formulation by RP-HPLC using Hydrotropic Solution as Mobile phase. Asian J. Pharm. Res. 2020; 10(3):163-170.
19.    nayathulla, Prakash Goudanavar, Ankit Acharya. Development and Evaluation of In-situ gel containing Linezolid and Diclofenac Sodium in the treatment of Periodontitis. Asian J. Pharm. Tech. 2020; 10(1): 20-26.
20.    Smita J Pawar, Amol P Kale, Manoj P Amrutkar, Jyotsna J Jagade, Nikhil S Pore, Ashok V Bhosale. HPTLC estimation of Paracetamol, Diclofenac Sodium and Chlorzoxazone in Tablet dosage form. Asian J. Research Chem. 2009; 2(3): 306-309.
21.    D.J. Vanparia, S.A. Shah, B.P. Marolia, K.B. Bodiwala, R.K. Patadia. Spectrophotometric Methods for Simultaneous Estimation of Thiocolchicoside and Diclofenac Sodium in Their Combined Dosage Form. Asian J. Research Chem. 2011; 4(1): 123-127.
22.    Sagar B. Wankhede, Vishal N. Borole, Sohan S. Chitlange. Simultaneous Spectrophotometric Estimation of Diclofenac Sodium and Omeprazole in Capsules. Asian J. Research Chem. 2011; 4(7): 1172-1175.
23.    Rajesh K. Patel, Ravi N. Patel, Hitesh B. Patel, Vinas A. Patel, Ashok L. Ganure, Laxmanbhai. J. Patel. Simultaneous Estimation of Pantoprazole and Diclofenac sodium in Combined Pharmaceutical Dosage Form by Derivative Spectrophotometric Method. Asian J. Research Chem.  2012; 5(7): 893-895.
24.    Satish A. Patel, Nilesh B. Chaudhari, Pruthviraj K. Chaudhari . Development and Validation of RP-HPLC Method for Simultaneous Estimation of Tramadol Hydrochloride and Diclofenac Sodium in Synthetic Mixture. Asian J. Research Chem. 2013; 6(4): 384-388.
25.    K. Maniteja, Purvil Chovatia, Jaya Naimisha, Ch Pavani, Prathima Patil. Simultaneous Estimation of Eperisone Hydrochloride and Diclofenac Sodium in Pharmaceutical Dosage Form by RP- HPLC. Asian J. Research Chem. 2014; 7(9): 783-786.
26.    Hajahan Abdul, Mangesh E Bhad, Anil V Chandewar, Jayesh M Jain, Sunil B Jaiswal,. Formulation of Diclofenac Sodium Delayed-Release Disintegrating Tablets. Research J. Pharma. Dosage Forms and Tech. 2010; 2(1):77-89.

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