A Comparative study to Assess the Effectiveness of Combined Tens and Exercises over Exercise Alone for Sacroiliac Joint Pain in Pregnancy

Abdul Salam, K (2011) A Comparative study to Assess the Effectiveness of Combined Tens and Exercises over Exercise Alone for Sacroiliac Joint Pain in Pregnancy. Masters thesis, College of Physiotherapy, Trinity Mission and Medical Foundation, Madurai.

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Abstract

INTRODUCTION: Pregnancy not only bring the Joy of motherhood to a women but also alteration and change in the normal tone and mechanics of the Musculeskeletal system. Of all the structures the Spine and low bark region experiences major turn over in postural alterations, altered Biomechanics, exaggerated curvature, altered weight shift and strain in the joints and muscles. OSTGAARD and ANDERSON studied 817 women with Sacro-Iliac joint pain. 67% of the mothers experienced pain immediately after delivery. 30% experienced pain 3 months after delivery. Sacro-Iliac Joint pain is therefore very significant and requires early care and treatment to avoid a Chronic pain situation. It is important to regain the strength of their abdominal muscles, after the birth of baby as strong muscles help prevent back strain and injuries. STATEMENT OF THE PROBLEM : A comparative study to assess the effectiveness of combined TENS and EXERCIES OVER EXERCISE ALONE for Sacro-Iliac Joint pain in pregnancy. OBJECTIVES : 1. To evaluate the effectiveness of arrlicanon of TENS combined with structured exercise training program. 2. To improve awareness about Sacro-Iliac Joint pain during pregnancy. 3. To improve Sacro-Iliac Joint stability. METHODOLOGY : Research Design: The research design adapted for this study was a comparative study. Setting of the Study : The study was conducted in Department of obstetrics and gynecology at Meenakshi Mission Hospital, Madurai. Population Sample: Pregnant mothers attending the materning department with Sacro Iliac Joint pain were selected for the study. The sample 10 subjects were divided into 2 groups. 5 in each group. EXPERIMENTAL GROUP - I : This group was exclusively treated with TENS and Exercise programme. EXPERIMENTAL GROUP - II : This group was treated with Exercise programme alone. Criteria For Selection : Inclusion Criteria : 1. Pregnant mothers with Sacro Iliac Joint pain were selected. 2. Primipara mothers. 3. Co-operative mothers. Exclusion Criteria : 1. Pregnant mothers with any other pathological conditions. 2. Multiple Deliveries. 3. Un-Cooperative mothers. RESULTS : The results of Pain Rating Score in Experimental Group I & II is given in Table III. In pre treatment session, Experimental Group I has a Mean of 5.9 and Standard Deviation 0.60, Experimental Group II has a Mean of 6.1 and Standard Deviation of 6.1. The Mean Difference is same for both Group in Pre-treatment session. Whereas in Post Treatment session Experimental Group I has a Mean of 2.9 and Standard Deviation of 0.41. Experimental Group II has a Mean of 5.1 and Standard Deviation of 0.58. This results indicates a significance difference in Pain Score in Experimental Group I (post treatment). The results of Active Straight Leg Raise scores for Experimental Group I is given in Table VI. In Experimental Group I, the calculated “ t ” value is > table value of “ t ” at 0.5 level (1.86). Hence this implies a markable significant difference between pre treatment and post treatment for Experimental Group I with Ultrasound Therapy and Exercises. The Co-efficient of Variance for Post Treatment phase for Experimental Group I & II is given in Table III. The Co-efficient of Variance for Experimental Group I is 41.573 and for Experimental Group is 24.478. These values implies Experimental Group I is better than Experimental Group II i.e. Treatment with Ultra sound Therapy and exercise is better than Treatment with TENS and exercise in management of Posterior Pelvic Pain in Post Partum Mothers. It is essential that all treatment be appropriate to assessment findings. An exercise programme - whether land or water-based may be appropriate to maintain treatment results. Though Tulder et al (2002), when analysing 39 randomly controlled trails, found little evidence to indicate that specific exercises are effective for the treatment of low back pain, when comparing them to inactive treatments they do suggest these may be of benefit to facilitate return to daily activities. CONCLUSION: Based on the results and the limitation of the study the following conclusion were established. The effectiveness of TENS combined with exercise programme in reducing Sacro-Iliac Joint Pain is significant at 4.320 level. The effectiveness of exercise programme alone in reducing Sacro-Iliac Joint Pain is significant at 2.5334 level. From the statistical analysis of the derived data and level of significance it is concluded that TENS with exercise programme is effective.

Item Type: Thesis (Masters)
Additional Information: Reg No: 27091209
Uncontrolled Keywords: Comparative study ; Effectiveness ; Combined Tens and Exercises ; over Exercise Alone ; Sacroiliac Joint Pain ; Pregnancy.
Subjects: PHYSIOTHERAPY > Physiotherapy in Obstetrics and Gynaecology
Depositing User: Kambaraman B
Date Deposited: 18 Mar 2018 06:21
Last Modified: 18 Mar 2018 06:21
URI: http://repository-tnmgrmu.ac.in/id/eprint/6332

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