Role of Rehabilitation for the Repair of Pelvic Floor Injuries Associated to Vaginal Delivery Identified by 3/4D Transperineal Ultrasound
Pelvic Floor Disorders, Ultrasound Therapy; Complications, Physical Disorder
About this trial
This is an interventional treatment trial for Pelvic Floor Disorders
Eligibility Criteria
Inclusion Criteria:
- Vaginal delivery
- Cephalic presentation
- Primiparity
- At term gestation (37-42 weeks)
- No prior pelvic floor corrective surgery
- Written informed consent
Exclusion Criteria:
- Pregnancies with severe maternal or fetal pathology
Sites / Locations
- Hospital Nuestra Señora de Valme
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Experimental group
Control group
The therapy lasted two months, at a rate of two sessions per week, with a duration of 45 minutes per session. The program consisted of pelvic floor exercises assisted by manometric biofeedback, which were performed in supine position for 20 minutes. In addition, active lumbopelvic stabilization exercises, including the contraction of pelvic floor muscles was performed in supine, plank and quadruped position. Together with the treatment at the clinic, patients were asked to perform a series of exercises at home, consisting in: 8-12 sustained contractions of 6 seconds, with a subsequent rest period of double the work-time, followed by 3-5 fast contractions of 2 seconds with maximum intensity, resting double the work-time. Domiciliary exercises were performed in supine, siting and standing position.
The control group received an information brochure with recommendations, including the same program of pelvic floor exercises taught to the patients in the experimental group, but without carrying out any kind of supervision by the physiotherapist.