Effect of myofascial release in treatment of primary vaginismus / Aml Mohamed Abdelkareem Shatla ; Supervised Khadiga Said Abdelaziz , Hasan Omar Gharib , Ghada Ebrahim Elrefaye

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

Background: Vaginismus is a condition that affects a woman's ability to engage in vaginal penetration. In this study the efficacy of stretching exercise and myofascial release were investigated as a therapeutic intervention. Purpose of the study: This study was aimed to determine the effect of myofascial release in the treatment of primary vaginisum. Subjects and methods: Fifty volunteer, married females having primary vaginismus were selected randomly from outpatient clinic of obstetrics and gynecology in Kasr Al Ainy University Hospitals to participate in this study, their ages were ranged from 25 to 35 years old and their body mass index (BMI) did not exceed 30kg/m2. The patients were divided randomly into two equal groups (A&B). Group A received a home exercise program by kegle exercise for 8 weeks. Group B received myofacial release therapy for half an hour three times per week for 8 weeks in addition to home exercise program by kegle exercise for 8 weeks. Evaluations of all patients in both groups (A&B) were done before and after the treatment program (8 weeks) through the visual analogue scale (VAS) for pain, Female Sexual Function Index and perniometer. Results: The results of the present study revealed that there was statistically significant improvement in pain, sexual function and tone of pelvic floor muscles in both groups but there was more improvement in group (B) than in group (A)

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