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2014, Number 2

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Rev Cub de Med Fis y Rehab 2014; 6 (2)

Integral rehabilitative manage of the chronic pelvic pain. Preliminary study

Ros MA, Rodríguez AEM, Martínez TJ, Martínez PR, Díaz AD, Abreu PY

Language: Spanish
References: 34
Page: 94-112
PDF size: 547.75 Kb.


ABSTRACT

Introduction: chronic pelvic pain takes place in any place understood between the diaphragm and the knees, of superior duration to 6 months, not solved by previous treatments, without relationship with the damage, functional impotence, vegetative signs of depression, family dynamics damage. Is a complex condition, of difficult handling; with diagnosis little evidenced and that it is treat symptomatically with behaviours conservative y/o surgical.
Methods: Study of intervention, quasi-experimental, where physical agents were used (magnetic therapy, local electrotherapy of low frequency (analgesic TENS), for the relief y/o the cure of the chronic pelvic pain, being carried out the evaluation for the subjective references of the patients, the evaluation functional doctor and physical therapy when concluding the treatment. The instruments of mensuration of the pain applied: test Short Form McGill, test of vulnerability psychosocial, test in Ways of confrontation of Folkman and Lazaruz.
Results: 19,65 % of the patients assisted in specialized consultation of pelvic floor carries chronic pelvic pain, 51 women (74%), 18 men (26 %), age average for both sexes of 47,3 ± 4,5 years. Of them 11 cured (15,9 %), 25 better (36 %), 18 patients in treatment (26 %) to seven patients was applied them the test Short Form Mcgill to measure pain, test of vulnerability psicosocial and of ways of confrontation of Folkman and Lazaruz.
Conclusions: all the patients treaties with therapeutic physique agents evolved toward the improvement or the elimination of the symptoms, not being evidenced worsening in any case. The applied pain test constitutes a useful tool in the evaluation of the patients.


REFERENCES

  1. International Association for study of pain classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms (2a. Ed.). Seattle: IASP Press, 1994, pp. 210.

  2. Bachmann GA, Rosen R, Arnold LD, Burd I, Rhoads GG, Leiblum SR, Avis N. Chronic vulvar and other gynecologic pain: prevalence and characteristics in a selfreported survey. J Reprod Med 2006 Jan;51(1):3-9.

  3. Espuña M. Salinas J. Tratado de Uroginecología. Incontinencia urinaria. Cap 25. SL Medicina STM Ed, 2004.:333-45.

  4. Arnold LD, Bachmann GA, Rosen R, Kelly S, Rhoads GG. Vulvodynia: characteristics and associations with comorbidities and quality of life. Obstet Gynecol 2006 Mar; 107(3):617-24.

  5. Heim LJ. Evaluation and differential diagnosis of dyspareunia. Am Fam Physician. 2001; 63(8):1535-44.

  6. Ventolini G, Sheela M. Barhan Vulvodynia. Dermatol Online J. 2008;14(1):2.

  7. Bordman Risa and Bethany Jackson, below the belt. Approach to chronic pelvic pain. Can Fam Physician. 2006 December 10; 52(12): 1556-62.

  8. Shannon TMT. El dolor privado de la vulvodinia URAC's Health Web Site Accreditation. EBSCO Publishing's Medical Review Board 2008 HealthLibrary.htm

  9. Mathias SD, Kuppermann M, Liberman RF, et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Ginecol. 1996; 87:321-7.

  10. Latthe P, Latthe M, Say L, Gülmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity online 2006 July 6. DOI: 10.1186/1471-2458-6-177.

  11. Melzack R, Wal P. Pain Mechanisms: a new theory. Science 1965., 150, 971- 979. Retractado de Soriano J., Monsalve V. El afrontamiento del dolor crónico. Boletín de Psicología2005, 84, Julio, 91-107.

  12. Melzack, R. Del umbral a la neuromatriz. Revista de la Sociedad Española del Dolor, 2000; 7: 149-56.

  13. Nair AR, Klapper A, Kushnerik V, Margulis I, Del Priore G. Spinal cord stimulator for the treatment of a woman with vulvovaginal burning and deep pelvic pain. Obstet Gynecol. 2008 Feb; 111(2 Pt 2):545-7.

  14. Stones RW,Mountfield J. Interventions for treating chronic pelvic pain in women.Cochrane Database Syst Rev. 2000:(4);CD000387. Update of: Cochrane Database Syst Rev. 2000:( 2):CD000387.

  15. Monaco Spitzagle Theresa, PT, DPT, Dugans. Recognizing and trating pelvic pain and pelvic floor dysfunction. Phys Med Rehab Clin N Am 2007; 18: 477-96.

  16. Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Wojniusz S, Klemmetsen I, Malt UF. Posture, movement patterns, and body awareness in women with chronic pelvic pain. J Psychosom Res. 2006 Nov;61(5):637-44.

  17. Montenegro ML, Vasconcelos EC, Candido Dos Reis FJ, Nogueira AA, Poli-Neto OB. Physical therapy in the management of women with chronic pelvic pain. Int J Clin Pract. 2008 Feb; 62(2):263-9.

  18. Albert H.Psychosomatic group treatment helps women with chronic pelvic pain. J Psychosom Obstet Gynaecol. 1999 Dec; 20(4):216-25.

  19. Stuge B, Laerum E, Kirkesola G, Vøllestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine. 2004: Feb 15:29(4)351-9.

  20. Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Wojniusz S, Klemmetsen I, Malt UF.Continuing improvement of chronic pelvic pain in women after short-term Mensendieck somatocognitive therapy: results of a 1-year follow-up study. Am J Obstet Gynecol. 2008 Oct 7.

  21. Di Benedetto P, Coidessa A, Floris S . Rationale of pelvic floor muscles training in women with urinary incontinence. Minerva Ginecol. 2008 Dec; 60 (6):529-41.

  22. Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2008 Oct 8 :( 4):CD007471).

  23. Tu FF, Holt J, Gonzales J, Fitzgerald CM. Physical therapy evaluation of patients with chronic pelvic pain: a controlled study. Am J Obstetric Gynecol. 2008 Mar; 198(3):272; 1-7.

  24. Gokyildiz S, Kizilkaya Beji N, Yalcin O, Istek A. Effects of Percutaneous Tibial NerveStimulation Therapy on chronic pelvicpain. Gynecol Obstet Invest. 2012;73:99-105.

  25. Fenton B, Durner C, Fanning J. Frequency and distribution of multiple diagnoses in chronic pelvic pain related to previous abuse or drug-seeking behavior. Gynecol Obstet Invest. 2008;65:247-51.

  26. Pitts MK, Ferris JA, Smith AM, Shelley JM, Richters J: Prevalence and correlates of threetypes of pelvic pain in a nationally representative sample of Australian women. Med J Aust. 2008; 189: 138-43.

  27. Zondervan KT, Yudkin PL, Vessey MP, Dawes MG, Barlow DH, Kennedy SH: The prevalence of chronic pelvic pain in women in the United Kingdom: a systematic review. Br J Obstet Gynecol. 1998; 105: 93-9.

  28. Grace VM, Zondervan KT: Chronic pelvic pain in New Zealand: prevalence, pain severity, diagnoses and uses of the health services. Aust NZ J Publ Health. 2004; 28:369-75.

  29. Fenton BW, Brobeck L, Witten E, Von Gruen igen V: Chronic pelvic pain syndrome-related diagnoses in an outpatient office setting. Gynecol Obstet Invest 2012; 74:64-7.

  30. Vercellini P, Somigliana E, Viganò P, Abbiati A, Barbara G, Fedele L: Chronic pelvic pain in women: etiology, pathogenesis and diagnostic approach. Gynecol Endocrinol 2009; 25: 149-58.

  31. Latthe P, Mignini L, Gray R, Hills R, Khan K: Factors predisposing women to chronic pelvic pain: a systematic review. BMJ 2006; 332: 749-55.

  32. Barcelos PR, Conde DM, Deus JM, Martinez EZ: Quality of life of women with chronic pelvic pain: a cross-sectional analytical study. Rev Bras Gynecol Obstet. 2010; 32: 247-53.

  33. Romão AP, Gorayeb R, Romão GS, Poli-Neto OB, dos Reis FJ, Rosa-e-Silva JC, Nogueira AA: High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain. Int J ClinPract. 2009; 63: 707-11.

  34. Grandi G, Xholli A, Ferrari S, Cannoletta M, Volpe A, Cagnacci A. Intermenstrual Pelvic Pain, Quality of Life and Mood. Gynecol Obstet Invest. 2013;75:97-100.




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