Effect of positional release and muscle energy technique on chronic pain post inguinal hernia repair / Sara Mohsen Abdrabo Mohamed ; Supervised Mohamed Mahmoud Abdelkhalek Khalaf , Ayman Abdallah Abdrabo , Eman Mohamed Othman

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Purpose: The current study was conducted to detect the therapeutic efficacy of positional release and muscle energy technique as a method of treatment to reduce chronic postoperative pain after inguinal hernia repair. Methods: Thirty patients had inguinal hernia repair with synthetic mesh repair (anterior approach) divided randomly into two equal groups, their ages ranged from 20-50 years. Procedures: Group (A): received positional release and muscle energy technique on the affected side in addition to standard medication, two times per week for three weeks. The session last for about 10-15 minutes. Group (B): received the standard medication only. Assessment: Pressure pain threshold (PPT) was assessed by Pressure algometry on trigger point and hip extension ROM was assessed by universal goniometer. Assessment was carried out before treatment and after three weeks of treatment in both groups. Results: There was great improvement in form of increasing pressure pain threshold and hip extension range of motion in patients treated by muscle energy technique and positional release than those who took standard medication only. Conclusion: The combination of muscle energy technique and positional release could be considered as an effective method to decrease pain and increasing hip extension range of motion after inguinal hernia repair

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