Physical Therapy and Rehabilitation

Physical Therapy and Rehabilitation

ISSN 2055-2386
Original Research

Effect of muscle energy technique in treating post-partum coccydynia: A randomized control trial

Heba Embaby1, Salwa Elgendy2 and Marwa Esmael Hasanin1*

*Correspondence: Marwa Esmael Hasanin

1. Lecturer in the department of Physical Therapy for Obstetrics and Gynecology, Faculty of Physical Therapy, Cairo University, Egypt.

Author Affiliations

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

ISSN 2055-2386
Volume 4
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