2. Associate professor in the department of Physical Therapy, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah.
Background: Coccydynia is a pain in the coccyx. It mainly affects females. Approximately 14% of coccydynia occurs due to delivery trauma. Muscle Energy Technique (MET) is mainly used to treat the musculoskeletal disorders. The effect of MET in gynecological disorders is not clear yet.
Objective: This study was an attempt to determine effect of MET in treating post-partum coccydynia.
Participants and method: Forty multi-parus females, suffering from coccydynia after 6 weeks postpartum participated in this study. Their ages ranged from (25-35) years, parity (3-5) and their body mass index did not exceed 35 Kg/m2. They were randomly divided into two equal groups. The study group (A) received MET with phonophoresis (PP) and home programme based on MET for four weeks, 3 sessions per week. The control group (B) received PP only. Assessment of all participants in both groups A and B was carried out before and after the treatment program using numeric rating scale (NRS), The Oswestry Disability Index (ODI) and plasma cortisol level.
Results: There was a significant improvement in pain level, functional ability and plasma cortisol levels after treatment in each group and there was a significant difference between the two groups for the benefit to group (A).
Conclusion: “MET combined with PP demonstrate a significant difference in pain reduction and improvement of functional mobility in patients with post-partum coccydynia.”
Keywords: Muscle Energy Technique (MET), phonophoresis, plasma cortisol level, post-partum, coccydynia