Effect of core muscles strengthening exercises on pelvic pain caused by copper intrauterine device

Document Type : Original Article

Authors

1 Department of Physical Therapy for Woman’s Health, El- Sheikh Zayed Al- Nahyan Hospital, Cairo, Egypt.

2 Department of Physical Therapy for Woman’s Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

3 Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo, Egypt.

4 Department of Physical Therapy for Woman’s Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

Abstract

Background: Pelvic pain is the most frequently intrauterine device (IUD) associated complications.
Aim of work: The purpose of this study was to investigate the effect of core muscles strengthening exercises on the pelvic pain caused by IUD.
Methods: 30 women complained of pelvic pain after IUD insertion were participated in this study. They were divided into two groups, equal in number. Group (A) received core muscles strengthening exercises and supportive advice (as heating application, hot cinnamon drinks & diaphragmatic breathing) at the painful episodes. Group (B) received the same supportive advice as group (A) at the painful episodes. Both groups were assessed before and after treatment period (10 weeks) for pain degree by visual analogue scale (VAS) and menstrual pain severity by verbal multidimensional scoring scale (VMSS) to assess pain severity experienced through the activities of daily living.
Results: The results of this study revealed that, there was a significant decrease in VAS and VMSS values post treatment in group (A) compared with that pre treatment values, while there was no significant difference between pre and post treatment values in VAS and VMSS in group (B). when comparing both groups there was a significant decrease in the post treatment values of VAS and in the median values of VMSS of group (A) compared with that of group (B).
Conclusion: Core muscles strengthening exercises is considered as an effective modality in reducing pelvic pain caused by IUD.

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