Mohamed Elsayed Farhat Ali, <br/><br/>
Effect of Transcutaneous Electrical Nerve Stimulation on Symphysis  Pubis Dysfunction During Pregnancy / 
 تاثير التنبية العصبي الكهربائي عبر الجلد على اختلال الاداء الوظيفي للارتفاق العانى اثناء الحمل / 
By Mohamed Elsayed Farhat Ali; Under the Supervision of Prof. Dr. Magda Sayed Morsy, Prof. Dr. Mohamed Fawzy 
 - 122 pages :   illustrations ;  25 cm. +   CD. 
<br/><br/>Thesis (M.Sc.)-Cairo University, 2024. 
<br/><br/>Bibliography: pages 104-120. 
<br/><br/> Back ground: Symphysis pubis dysfunction (SPD) is a painful and <br/>debilitating condition that mostly happens during pregnancy. TENS is an <br/>effective physical therapy modality for relieve pain in symphysis pubis <br/>dysfunction during pregnancy. <br/>Aim of the study: This study was conducted to investigate the effect of <br/>TENS on symphysis pubis dysfunction during pregnancy. <br/>Patients and methods: This study was carried out on forty primiparous <br/>pregnant women suffering from symphysis pubis pain. Their ages were <br/>ranged from (25-35) years old. Their body mass index didn’t exceed 30 <br/>kg/m². All patients were divided randomly into 2 groups equal in number, <br/>study group (A) & Control group (B). Study group (A) This group was <br/>consisted of 20 patients. Each patient in this group had received TENS on <br/>her symphysis pubis joint for 30 minutes, 3 times/week for 4 weeks. Also, <br/>each patient in this group was asked to perform strengthening exercises for <br/>abdominal & pelvic floor muscles, posture correction and posterior pelvic <br/>tilting exercisers for 30 minutes, 3 times /week for 4 weeks. Additionally, <br/>to this, each patient was asked to wear a pelvic brace all the day except <br/>during sleep or taking a shower throughout the treatment course .While <br/>control group (group B): This group was consisted of 20 patients. Each <br/>Patient in this group was asked to perform strengthening exercises for <br/>abdominal& pelvic floor muscles, posture corrections and posterior pelvic <br/>tilting exercises for 30 minutes, 3 times/week for 4 weeks as in group (A). <br/>Also, each patient was asked to wear pelvic brace all the day except during <br/>sleep or taking a shower throughout the treatment course. Symphyseal pain <br/>was evaluated by Visual analogue scale (VAS) and cortisol level in blood <br/>plasma before and after treatment. <br/>Results: the result of this study revealed that, both groups study group (A) <br/>& control group (B) showed statically (p value <0.001) significant decrease <br/>in VAS scores and decrease in serum cortisol level in blood plasma after <br/>treatment, but the percent of decrease in VAS scores and decrease in serum <br/>cortisol level in blood plasma were more pronounced and more noticeable <br/>in study group (group A) when compared to control group (group B). <br/>Conclusion: It was concluded that, (TENS) is an effective modality for <br/>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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<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Physical therapy
<br/><br/><label>Subjects--Index Terms: </label>Symphysis pubis dysfunction  visual analogue scale  and cortisol level in blood plasma  TENS 
<br/><br/><label>Dewey Class. No.: </label>615.82