Recruitment of patients who have suffered third- and fourth-degree perineal tear during childbirth, and who have given birth at the Hospital Universitario Marqués de Valdecilla (Santander, Spain). They are distributed randomly in two groups an experimental group who apply techniques of physiotherapy and a control group, receiving medical treatment. At the same time is recruited the same number of patients who have not suffered tear and whose birth has been instrumental, dividing into two groups, control and experimental. And the same number of patients who have given birth but have not suffered tear or instrumental delivery, divided also into control group and experimental.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
90
manual therapy techniques, postural re-education and muscle strengthening
hygienic-dietary recommendations, Kegel exercises and pain relievers
Hospital Sierrallana
Torrelavega, Cantabria, Spain
RECRUITINGchange in VAS from the start to the end
Pain
Time frame: in the begining, at thirth month, at sixth month and at the finish (one year later)
Change in SF36 from de start to the end
quality of life sorth form
Time frame: in the begining, at thirth month, at sixth month and at the finish (one year later)
Change in EPIQ from de start to the end
Epidemiology of Prolapse and Incontinence Questionnaire
Time frame: in the begining, at thirth month, at sixth month and at the finish (one year later)
Change in OXFORD from the start to the end
muscle strength
Time frame: in the begining, at thirth month, at sixth month and at the finish (one year later)
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