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Manual Lymphatic Drainage vs Marian Clark Drainage in Pcs

Primary Purpose

Pelvic Congestive Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Manual lymphatic drainage versus marian clark drainage
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pelvic Congestive Syndrome

Eligibility Criteria

20 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Multiparous women Age ranging 20 to 50 Ovarian veins >4mm in diameter on Ultrasound Chronic pelvic pain/pressure for more than 6 months. Dull, aching or "dragging" pain in the pelvis or lower back, particularly on standing and worse around the time of your menstrual period. Pelvic pain that worsens as the day goes on, particularly if much time is spent standing dyspareunia Swollen veins in pelvic region, butt, thighs, vulva and vagina. Associated Irritable bladder/Irritable bowel present Exclusion Criteria: Pelvic pain due to other organic cause like uterine fibroids, Endometriosis, Ovarian cyst pelvic pain due to neurological or musculoskeletal disorder Uterine prolapse Pelvic cancer

Sites / Locations

  • Jinnah hospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Manual lymphatic drainage vs marian clark drainage

Manual lymphatic drainage versus marian clark drainage

Arm Description

Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome

Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome

Outcomes

Primary Outcome Measures

Manual lymphatic drainage
Treatment protocol to group A It consists of 15 patients who will receive manual lymphatic drainage 4 sessions per week for 12 weeks Manual Lymph Drainage Techniques for Pelvic Decongestion Step 1: short neck treatment (supraclavicular fossa or SCF) Step 2: (two parts: visceral, deep) Visceral: Deep: Treatment of the thoracic duct, cisterna Chyli Deep Abdominal Manual lymphatic drainage Step-3. Treatment of right Axillary Lymph nodes Step-4. Establish the Right inguino-Axillary Anastomosis. Step-5. Decongest the right ipsilateral lower abdomen and suprapubic area Step-6 Treatment of Left Axillary Lymph nodes Step-7. Establish the Left inguino-Axillary Anastomosis. Step-8. Decongest the Let ipsilateral lower abdomen and suprapubic area
Marian clark drainage
It consists of 15 patients who will receive Marian clark drainage 4 sessions per week for 12 weeks each session will continue till therapist feels palpable change in congestion in pelvic area medial to Anterior superior Iliac spine. Stand to the side of the patient Patient semiprone on all fours Hook fingers medial to both Anterior superior Iliac spine Pull hands cephalad (traction) Patient arches back like a cat Encourage this movement with cephalad rocking Repeat for several minutes

Secondary Outcome Measures

Full Information

First Posted
July 31, 2023
Last Updated
July 31, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05979766
Brief Title
Manual Lymphatic Drainage vs Marian Clark Drainage in Pcs
Official Title
Effects of Manual Lymphatic Drainage Versus Marian Clark Drainage on Pain and Disability in Patients With Pelvic Congestion Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 5, 2022 (Actual)
Primary Completion Date
August 2023 (Anticipated)
Study Completion Date
August 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Pelvic congestion syndrome is a debilitating and potentially life threatening disorder of the pelvic region there is a constant hindrance in patient's daily professional and personal life due to the chronic pain. it can provide a definite way to improve pelvic congestion and quality of life. In this way it can benefit a large percentage of community females suffering from pelvic congestion syndrome and disability. This can grow at large length in favour of patients, clinicians and overall women health.
Detailed Description
As per researcher's knowledge there are limited researches in which efficacy of manual lymphatic drainage in pelvic congestion syndrome are analyzed furthermore my comparative intervention i.e Marian Clark drainage is a rarely used osteopathic technique and not much studies have been conducted on it. This study helped to in identifying the effect of manual lymphatic drainage versus Marian Clark drainage on pain and disability in patients with pelvic congestion syndrome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pelvic Congestive Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
26 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Manual lymphatic drainage vs marian clark drainage
Arm Type
Active Comparator
Arm Description
Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome
Arm Title
Manual lymphatic drainage versus marian clark drainage
Arm Type
Active Comparator
Arm Description
Effect of Marian Clark drainage and manual lymphatic drainage in women suffering from pelvic congestion syndrome
Intervention Type
Other
Intervention Name(s)
Manual lymphatic drainage versus marian clark drainage
Intervention Description
Manual lymphatic drainage versus marian clark drainage
Primary Outcome Measure Information:
Title
Manual lymphatic drainage
Description
Treatment protocol to group A It consists of 15 patients who will receive manual lymphatic drainage 4 sessions per week for 12 weeks Manual Lymph Drainage Techniques for Pelvic Decongestion Step 1: short neck treatment (supraclavicular fossa or SCF) Step 2: (two parts: visceral, deep) Visceral: Deep: Treatment of the thoracic duct, cisterna Chyli Deep Abdominal Manual lymphatic drainage Step-3. Treatment of right Axillary Lymph nodes Step-4. Establish the Right inguino-Axillary Anastomosis. Step-5. Decongest the right ipsilateral lower abdomen and suprapubic area Step-6 Treatment of Left Axillary Lymph nodes Step-7. Establish the Left inguino-Axillary Anastomosis. Step-8. Decongest the Let ipsilateral lower abdomen and suprapubic area
Time Frame
6 months
Title
Marian clark drainage
Description
It consists of 15 patients who will receive Marian clark drainage 4 sessions per week for 12 weeks each session will continue till therapist feels palpable change in congestion in pelvic area medial to Anterior superior Iliac spine. Stand to the side of the patient Patient semiprone on all fours Hook fingers medial to both Anterior superior Iliac spine Pull hands cephalad (traction) Patient arches back like a cat Encourage this movement with cephalad rocking Repeat for several minutes
Time Frame
6 months

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Multiparous women Age ranging 20 to 50 Ovarian veins >4mm in diameter on Ultrasound Chronic pelvic pain/pressure for more than 6 months. Dull, aching or "dragging" pain in the pelvis or lower back, particularly on standing and worse around the time of your menstrual period. Pelvic pain that worsens as the day goes on, particularly if much time is spent standing dyspareunia Swollen veins in pelvic region, butt, thighs, vulva and vagina. Associated Irritable bladder/Irritable bowel present Exclusion Criteria: Pelvic pain due to other organic cause like uterine fibroids, Endometriosis, Ovarian cyst pelvic pain due to neurological or musculoskeletal disorder Uterine prolapse Pelvic cancer
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Imran Amjad, Phd
Phone
03324390125
Email
imran.amjad@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hafiza Neelam Muneeb, Ms
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jinnah hospital
City
Lahore
State/Province
Punjab
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hafiza Neelam Muneeb, PT
Phone
+92 320 4097476
Email
hafiza.neelam@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
Maira Imran Butt, MS-WHPT
First Name & Middle Initial & Last Name & Degree
Hafiza Neelam Muneeb

12. IPD Sharing Statement

Plan to Share IPD
No

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Manual Lymphatic Drainage vs Marian Clark Drainage in Pcs

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