TY  - BOOK
AU  - Mohamed Elsayed Farhat Ali,
AU  - Magda Sayed Morsy
AU  - Mohamed Fawzy
TI  - Effect of Transcutaneous Electrical Nerve Stimulation on Symphysis  Pubis Dysfunction During Pregnancy
U1  - 615.82 
PY  - 2024///
KW  - Physical therapy
KW  - qrmak
KW  - Symphysis pubis dysfunction
KW  - visual analogue scale  and cortisol level in blood plasma
KW  - TENS
N1  - Thesis (M.Sc.)-Cairo University, 2024; Bibliography: pages 104-120; Issued also as CD
N2  - 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
ER  -