Management of pelvic floor muscle pain with pelvic floor physiotherapy incorporating neuroscience-based pain education: a prospective case-series report.
The aim was to present a prospective case series describing the management and outcomes of physiotherapy, incorporating neuroscience-based education for women with persistent pelvic pain and with diagnosed pelvic floor muscle pain. Participants were women who attended a multidisciplinary pelvic pain...
| Publicado en: | Australian & New Zealand Continence Journal Vol. 25; no. 2; pp. 30 - 39 |
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| Autores principales: | , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
CSIRO Publishing
Winter2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137144919&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137144919 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14480131 15LU jtl: Australian & New Zealand Continence Journal issn: 14480131 maglogo: N pubinfo: dt: Winter2019 vid: 25 iid: 2 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 137144919 137144919 137144919 137144919 ppf: 30 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Management of pelvic floor muscle pain with pelvic floor physiotherapy incorporating neuroscience-based pain education: a prospective case-series report. aug: au: Locke, Lauren Neumann, Patricia Thompson, Judith Briffa, Kathy affil: Clinical Master of Physiotherapy, Continence and Women's Health, Curtin University, Perth, WA, Australia sug: subj: Pelvic Floor Muscles Physiopathology Pelvic Pain Therapy Neurosciences Education Physical Therapy Methods Pain Management Human Prospective Studies Female Scales Questionnaires Catastrophization Coping Outcomes (Health Care) South Australia Wilcoxon Signed Rank Test Women's Health Adult Descriptive Statistics Pain Measurement Adult: 19-44 years Female ab: The aim was to present a prospective case series describing the management and outcomes of physiotherapy, incorporating neuroscience-based education for women with persistent pelvic pain and with diagnosed pelvic floor muscle pain. Participants were women who attended a multidisciplinary pelvic pain clinic and who were assessed, diagnosed and referred to physiotherapy by a gynaecologist with a special interest in pelvic pain. All participants received individualised physiotherapy treatment, underpinned by a biopsychosocial approach to assessment and management. The psychosocial component used was a psychologically informed treatment approach and neuroscience-based education. Of the 26 participants who completed a course of physiotherapy, 11 provided complete data at discharge from treatment. Following treatment: Numerical Rating Scores for pain decreased by a mean of ≥ 2/10 points, in eight of 10 questions. Scores for the Pelvic Health Screening Questionnaire improved by a mean of 23% (p=0.01), indicating improved coping and reduced catastrophising. Scores for the Pelvic Floor Bother Questionnaire improved by 11% (p=0.01), indicating a significant reduction in co-existing pelvic floor symptoms. The Female Sexual Function Index did not change significantly following treatment (p=0.72). At follow-up, all participants reported some improvement on the Patient Global Impression of Improvement, with 8/11 reporting to be 'very much better' or 'much better'. The results suggest that a psychologically informed approach to the physiotherapy management of women with persistent pelvic pain, which has a pelvic floor muscle pain component, may be an effective management option, deserving further research. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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