Pelvic floor physical therapy and mindfulness: approaches for chronic pelvic pain in women-a systematic review and meta-analysis.
Study Goal
The researchers aimed to evaluate the role of mindfulness and pelvic floor physical therapy (PFPT) in treating or managing chronic pelvic pain (CPP) in women.
Results Summary
The study found that mindfulness combined with PFPT significantly reduced pain catastrophizing and improved sexual function during follow-up, suggesting a multidisciplinary approach may be beneficial for CPP management.
Population
Women with chronic pelvic pain (CPP).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness and pelvic floor physical therapy (PFPT) | decrease | Pain Catastrophizing Scale | women with chronic pelvic pain (CPP) | MD = - 3.82 [- 6.97, - 0.68], p = 0.01 | there was a statistical difference for the Pain Catastrophizing Scale after treatment | #1 |
mindfulness and pelvic floor physical therapy (PFPT) | decrease | Pain Catastrophizing Scale | women with chronic pelvic pain (CPP) | MD = - 4.49 [- 7.61, - 1.37], p = 0.00 | there was a statistical difference for the Pain Catastrophizing Scale during follow-up | #2 |
pelvic floor physical therapy (PFPT) and mindfulness | decrease | sexual function | women with chronic pelvic pain (CPP) | MD = - 0.72 [- 1.38, - 0.05], p = 0.03 | sexual function differed significantly during follow-up between | #3 |
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.