Effect of Manipulation on Coccydynia

KTO Karatay University46 enrolled

Overview

The aim of this study was to investigate the efficacy of manipulation combined with exercise as a treatment for patients with coccydynia.

Subject: Coccydynia is a painful condition characterized by inflammation and discomfort in the coccyx region, commonly known as the tailbone. It can significantly affect an individual's quality of life by impairing their ability to sit, stand, or engage in daily activities. Various treatment approaches have been explored to alleviate the symptoms of coccydynia, including manipulation techniques and exercise interventions. However, to date, there is a scarcity of research investigating the combined effects of manipulation and exercise for patients with coccydynia. Purpose: The purpose of this study is to evaluate the efficacy of combining manipulation techniques with exercise interventions for patients diagnosed with coccydynia, a painful condition affecting the coccyx region. Despite the debilitating impact of coccydynia on daily activities and quality of life, there is a limited understanding of the optimal treatment approach for this condition. This study aims to address this knowledge gap by investigating the potential benefits of combining manipulation and exercise in managing coccydynia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Coccyx Disorder Pelvic Floor; Weak Stretch

Interventions

ExercisesOTHER

Stretching exercise for the piriformis and iliopsoas muscles. strengthening exercises for pelvic floor muscles

Coccyx ManipulationOTHER

Application of manipulation to relax the levetor ani muscle

Eligibility

Sex: ALLMin age: 25 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * chronic (3 months) coccydynia * age over 25 and under 60 years * no ongoing antidepressant treatment * no medicolegal litigation or occupational-accident etiology Exclusion Criteria: * undergoing an operation aimed at the anal area * those with additional diseases such as radiculopathy etc.

Locations (1)

KTO Karatay University

Konya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Change from baseline in Pain at 4 weeks and 6 months

A visual analog scale (VAS) numbered 0-10 will be used in the assessment of pain.

Time frame: Baseline measurement before the treatment programs begin (pre-intervention), post-intervention at week 4, and 6 months follow-up

Change from baseline in Paris questionnaire at 4 weeks and 6 months

Coccydynia-related symptoms were recorded using the Paris questionnaire, ranging from 0 (no symptoms) to 10 (maximum symptoms). The Paris questionnaire is a specific assessment tool designed to evaluate symptoms and functional limitations related to coccydynia, a condition characterized by pain in the coccyx region. The questionnaire consists of a series of questions that inquire about the severity and impact of coccyx pain on various activities and daily life.

Time frame: Baseline measurement before the treatment programs begin (pre-intervention), post-intervention at week 4, and 6 months follow-up

Change from baseline in The Oswestry Disability Index at 4 weeks and 6 months

The Oswestry Disability Index consists of ten sections, each addressing a different aspect of functional ability, including pain intensity, lifting, ability to walk, ability to sit, ability to stand, sleep quality, ability to socialize, ability to travel, ability to perform self-care tasks, and ability to perform household tasks. Each section contains multiple statements, and the individual rates their level of disability on a scale of 0 to 5, with higher scores indicating greater disability.

Time frame: Baseline measurement before the treatment programs begin (pre-intervention), post-intervention at week 4, and 6 months follow-up

Data from ClinicalTrials.gov

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