Effect of Myofascial Therapy and Pelvic Relaxation Exercise Combined with Phonophoresis using Diclofenac Sodium gel in Myofascial Pelvic Pain Syndrome

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)