Thesis (M.Sc.)-Cairo University, 2024.

Bibliography: pages 104-120.

Back ground: Symphysis pubis dysfunction (SPD) is a painful and
debilitating condition that mostly happens during pregnancy. TENS is an
effective physical therapy modality for relieve pain in symphysis pubis
dysfunction during pregnancy.
Aim of the study: This study was conducted to investigate the effect of
TENS on symphysis pubis dysfunction during pregnancy.
Patients and methods: This study was carried out on forty primiparous
pregnant women suffering from symphysis pubis pain. Their ages were
ranged from (25-35) years old. Their body mass index didn’t exceed 30
kg/m². All patients were divided randomly into 2 groups equal in number,
study group (A) & Control group (B). Study group (A) This group was
consisted of 20 patients. Each patient in this group had received TENS on
her symphysis pubis joint for 30 minutes, 3 times/week for 4 weeks. Also,
each patient in this group was asked to perform strengthening exercises for
abdominal & pelvic floor muscles, posture correction and posterior pelvic
tilting exercisers for 30 minutes, 3 times /week for 4 weeks. Additionally,
to this, each patient was asked to wear a pelvic brace all the day except
during sleep or taking a shower throughout the treatment course .While
control group (group B): This group was consisted of 20 patients. Each
Patient in this group was asked to perform strengthening exercises for
abdominal& pelvic floor muscles, posture corrections and posterior pelvic
tilting exercises for 30 minutes, 3 times/week for 4 weeks as in group (A).
Also, each patient was asked to wear pelvic brace all the day except during
sleep or taking a shower throughout the treatment course. Symphyseal pain
was evaluated by Visual analogue scale (VAS) and cortisol level in blood
plasma before and after treatment.
Results: the result of this study revealed that, both groups study group (A)
& control group (B) showed statically (p value <0.001) significant decrease
in VAS scores and decrease in serum cortisol level in blood plasma after
treatment, but the percent of decrease in VAS scores and decrease in serum
cortisol level in blood plasma were more pronounced and more noticeable
in study group (group A) when compared to control group (group B).
Conclusion: It was concluded that, (TENS) is an effective modality for
relieve pain in symphysis pubis dysfunction during pregnancy.

الخلل الوظيفي في للارتفاق العاني هو حالة مؤلمة ومنهكة تحدث غالبًا أثناء الحمل. التنبيه العصبي الكهربي هو وسيلة فعالة من وسائل العلاج الطبيعي لتخفيف الألم في خلل الارتفاق العاني أثناء الحمل. أجريت هذه الدراسة لمعرفة تأثير التنبيه العصبي الكهربي على خلل الارتفاق العاني أثناء الحمل.

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Text in English and abstract in Arabic & English.