Cleima Coltri Bittelbrunn1, Rogerio de Fraga2, Camilli Martins3, Ricardo Romano4, Thomaz Massaneiro5, Glauco Vinicius Pauka Mello6, Matheus Canciglieri7. 1. Department of Clinical Surgery, Universidade Federal do Paraná (UFPR), Rua José Naves da Cunha, 51, Curitiba, PR, 80310080, Brazil. cleima@me.com. 2. Department of Clinical Surgery, UFPR, R. Angelo Durigan, 1199/01, Curitiba, PR, 82025100, Brazil. 3. UFPR, Rua Marechal Deodoro, 1650/51, Curitiba, PR, 80045090, Brazil. 4. Department of Clinical Surgery, UFPR, Alameda Augusto Stellfeld 1274/23, Curitiba, PR, 80430-140, Brazil. 5. Department of Clinical Surgery, UFPR, Rua Diogo Pinto de Azevedo Portugal 115, Curitiba, PR, 82130460, Brazil. 6. Pontifícia Universidade Católica do Paraná (PUCPR), Rua Benedito Cotolengo, 710/9, Curitiba, PR, 81220310, Brazil. 7. Systems and Production Engineering Department (PPGEPS), PUCPR, R. Amazonas, 642/34, Curitiba, PR, 80610-030, Brazil.
Abstract
PURPOSE: Chronic pelvic pain (CPP) in women is a complex syndrome and symptoms are associated with sexual dysfunction, musculoskeletal and myofascial disorders, and comorbid psychiatric disorders. Its widespread prevalence results in substantial expense due to therapy and lost productivity, and it is perhaps one of the most urgent and neglected medical needs. This systematic review and meta-analysis aimed to estimate the role of mindfulness and pelvic floor physical therapy (PFPT) in the treatment or management of women with CPP. METHODS: This systematic review (CRD42020204987) searched for relevant publications between January 2000 and November 2020 on MEDLINE/PubMed, Web of Science, One File GALE, and Technology Research databases using the following search terms: chronic pelvic pain, pelvic floor physical therapy/physiotherapy, mindfulness, and their variants. Risk of bias and quality of evidence were evaluated. RESULTS: Seven clinical trials (n = 279) were included in the review, and five in the meta-analysis (n = 225). For the pain outcome and its catastrophizing, there was a statistical difference for the Pain Catastrophizing Scale after treatment and during follow-up with mindfulness and PFPT (MD = - 3.82 [- 6.97, - 0.68], p = 0.01, and MD = - 4.49 [- 7.61, - 1.37], p = 0.00, respectively). Sexual function, assessed by the female sexual function index, differed significantly during follow-up between PFPT and mindfulness (MD = - 0.72 [- 1.38, - 0.05], p = 0.03). CONCLUSION: The small number of studies applying both PFPT and mindfulness to CPP suggests that a multidisciplinary approach is required to treat women with CPP, and further studies involving these therapeutic techniques throughout the CPP cycle are needed.
PURPOSE: Chronic pelvic pain (CPP) in women is a complex syndrome and symptoms are associated with sexual dysfunction, musculoskeletal and myofascial disorders, and comorbid psychiatric disorders. Its widespread prevalence results in substantial expense due to therapy and lost productivity, and it is perhaps one of the most urgent and neglected medical needs. This systematic review and meta-analysis aimed to estimate the role of mindfulness and pelvic floor physical therapy (PFPT) in the treatment or management of women with CPP. METHODS: This systematic review (CRD42020204987) searched for relevant publications between January 2000 and November 2020 on MEDLINE/PubMed, Web of Science, One File GALE, and Technology Research databases using the following search terms: chronic pelvic pain, pelvic floor physical therapy/physiotherapy, mindfulness, and their variants. Risk of bias and quality of evidence were evaluated. RESULTS: Seven clinical trials (n = 279) were included in the review, and five in the meta-analysis (n = 225). For the pain outcome and its catastrophizing, there was a statistical difference for the Pain Catastrophizing Scale after treatment and during follow-up with mindfulness and PFPT (MD = - 3.82 [- 6.97, - 0.68], p = 0.01, and MD = - 4.49 [- 7.61, - 1.37], p = 0.00, respectively). Sexual function, assessed by the female sexual function index, differed significantly during follow-up between PFPT and mindfulness (MD = - 0.72 [- 1.38, - 0.05], p = 0.03). CONCLUSION: The small number of studies applying both PFPT and mindfulness to CPP suggests that a multidisciplinary approach is required to treat women with CPP, and further studies involving these therapeutic techniques throughout the CPP cycle are needed.
Authors: Mary Lourdes Lima de Souza Montenegro; Elaine Cristine Mateus-Vasconcelos; Francisco José Candido dos Reis; Júlio César Rosa e Silva; Antonio Alberto Nogueira; Omero Benedicto Poli Neto Journal: J Eval Clin Pract Date: 2010-10 Impact factor: 2.431
Authors: Lara Hilton; Susanne Hempel; Brett A Ewing; Eric Apaydin; Lea Xenakis; Sydne Newberry; Ben Colaiaco; Alicia Ruelaz Maher; Roberta M Shanman; Melony E Sorbero; Margaret A Maglione Journal: Ann Behav Med Date: 2017-04