Effect of Direct Myofascial Release Technique Combined With Exercise on Round Ligament Pain During Pregnancy

Study's objective is to explore effect of combining direct myofascial release technique with therapeutic exercises on decreasing round ligament pain during pregnancy.The main question to be answered by this study: Does a myofascial release technique combined with exercise have effect on round ligament pain during pregnancy? Researchers will compare 2 groups of 70 participants of multi para pregnant women at 24 weeks' of gestation diagnosed with round ligament pain . Group A (study group) included participants who joined a six-week physiotherapy plan of care in the form of sessions composed of direct myofascial release technique combined with specific therapeutic exercise as well as put on a belly band and received advice. While, group B involved control participants who followed the routine care and advice as well as wearing the same belly band as group A participants.

Inclusion Criteria: * 70 multipara pregnant women at 24 weeks' of gestation diagnosed with round ligament pain were included. Their ages ranged from 25-35 years and their body mass index (BMI) did not exceed 30 kg/m2. Exclusion Criteria: * Participants were excluded from the study if round ligament pain was accompanied by cramping, vaginal bleeding, fever, nausea, vomiting, or any changes in vaginal discharge as well as patients diagnosed with preterm labor, placental abruption, urinary tract infections, appendicitis, cardiac diseases, chronic physical or mental disorders, or failed to complete an informed consent.