Evaluating The Impact Of TENS, Myofascial Release, And Antenatal Exercises On Pelvic Girdle Pain In Pregnant Women

Abstract

Background: Pelvic girdle pain (PGP) is a common condition affecting pregnant women, significantly impacting their quality of life and mobility. Current treatment options vary in effectiveness, highlighting the need for a comprehensive approach to managing PGP. This study evaluates the impact of Transcutaneous Electrical Nerve Stimulation (TENS), Myofascial Release (MFR), and antenatal exercises on alleviating pelvic girdle pain in pregnant women.
Objective: The primary aim of this study is to assess the effectiveness of TENS, MFR, and antenatal exercises individually and in combination in reducing pelvic girdle pain and improving functionality among pregnant women.
Methods: A total of 150 pregnant women with diagnosed pelvic girdle pain were randomly assigned to one of four intervention groups: 
(1) TENS therapy, (2) MFR therapy, (3) antenatal exercises, and (4) a combined treatment group receiving TENS, MFR, and antenatal exercises. The intervention period lasted for 8 weeks, with participants attending bi-weekly sessions. Pain levels were measured using the Visual Analog Scale (VAS), while functional outcomes were assessed with the Pelvic Girdle Questionnaire (PGQ) before and after the intervention.
Results: All treatment groups demonstrated significant reductions in pain levels post-intervention (p < 0.05). The combined treatment group showed the most substantial improvement, with an average pain reduction of 60% on the VAS. Functional improvements, as measured by the PGQ, were also greatest in the combined treatment group, indicating enhanced mobility and daily functioning. Participants in the TENS and MFR groups experienced similar improvements in pain reduction, while the antenatal exercise group reported moderate gains.
Conclusion: The findings suggest that a multi-modal approach combining TENS, Myofascial Release, and antenatal exercises is highly effective in managing pelvic girdle pain during pregnancy. This integrated treatment approach offers significant benefits over individual therapies, promoting both pain relief and improved functional outcomes. Further research is warranted to explore long-term benefits and optimize treatment protocols for pregnant women suffering from pelvic girdle pain.