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The aim of this study is to evaluate the effectiveness of ESWT (Extracorporeal Shock Wave Therapy) and TENS (Transcutaneous Electrical Nerve Stimulation) in individuals diagnosed with chronic pelvic pain syndrome and treated with medication. The study was organized as a randomized controlled trial. The sample size is 30 patients suffering from chronic pelvic pain syndrome.
Volunteers who are between the ages of 20-40, diagnosed with chronic pelvic pain syndrome, and who meet the inclusion criteria will be included in the study and will be randomized into 2 groups: Group I (TENS) and Group II (ESWT).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP I: TENS | Experimental | PHYSIOTHERAPY PROGRAM PLUS TENS |
|
| GROUP II: ESWT | Active Comparator | PHYSIOTHERAPY PROGRAM PLUS ESWT |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EXERCISE | Other | All participants included in this group will receive Exercises |
|
| Measure | Description | Time Frame |
|---|---|---|
| VISUAL ANALOUGE SCALE | It evaluates pain intensity grading between 0-10. Higher score shows severe pain. | baseline and immediately after the intervention |
| National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) | This assesses the quality of life. The index has sub dimensions(pain, urinary symptoms, quality of life impact). The score evaluation of the pain scale is between 1 and 21 points, the score evaluation of the urination scale is between 0 and 10 points, and the score evaluation of the quality of life scale is between 0 and 12 points. | baseline and immediately after the intervention |
| ALGOMETER | This evaluates pain tolerance threshold of the patients.The less score shows pain intolerance. | baseline and immediately after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital Anxiety and Depression Scale- HAD | This evaluates depresive symtoms of the patients.This scale is a self-rating scale. The scale is a 4-point Likert type scale consisting of 14 items in total, including anxiety and depression subscales (Aydemir, Güvenir, Küey, & Kültür, 1997). 7 items in the scale are for anxiety and 7 items are for depression. Participants will be asked to mark each item considering the situation they have experienced in the last week. Each item contains four options. Options will be scored between 0-3 points. The lowest score for the anxiety and depression subscales is 0 and the highest score is 21 points. |
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Inclusion Criteria:
Exclusion Criteria:
2. Receiving drug treatment
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Health Sciences in Biruni University | Istanbul | Zeytinburnu | 34010 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23433012 | Background | Schneider MP, Tellenbach M, Mordasini L, Thalmann GN, Kessler TM. Refractory chronic pelvic pain syndrome in men: can transcutaneous electrical nerve stimulation help? BJU Int. 2013 Jul;112(2):E159-63. doi: 10.1111/bju.12005. Epub 2013 Feb 22. |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Randomized Controled Trial
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| TENS | Other | All participants included in this group will receive TENS |
|
| ESWT | Other | All participants included in this group will receive ESWT |
|
| baseline and immediately after the intervention |
| Nottingham Health Profile-NHP | This evaluates quality of life of the patients. The survey consists of 6 sections. These sections are pain, emotional reactions, social isolation, physical activity, energy and sleep. It consists of 38 items in total. Each section is scored between 0-100 points. 0 will be considered the best score and 100 will be considered the worst score. | baseline and immediately after the intervention |
| Digital Muscle Testing | To evaluate muscles's strenght using by Power Track. Higher cosre shows good strneght. | baseline and immediately after the intervention |
| Flexibility Measurements | To measure flexibility of the muscles, manually. The amount of elasticity is measured and the result is recorded in cm. | baseline and immediately after the intervention |
| ROM Assessments | To measure range of motion of the joints by using goniometer. | baseline and immediately after the intervention |
| Lasegue Test | To measure flexibility of the sciatic nerve, manually. | baseline and immediately after the intervention |
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |