2016, Number S1
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Rev Cub de Med Fis y Rehab 2016; 8 (S1)
Chronic pelvic pain in middle aged women. Confrontation and answer to the treatment with physical agents
Ros MA, Martínez TJC, Rodríguez AEM, Alerm GA
Language: Spanish
References: 45
Page: 37-50
PDF size: 145.99 Kb.
ABSTRACT
Introduction: the chronic pelvic pain is perceived in structures related with the
pelvis, without gender distinction, associated to negative consequences in the
environment cognitive, conductible, sexual and emotional. Anatomically, its takes
place in any place between the diaphragm and the knees, and clinically: superior
duration to 6 months, not solved by previous treatments, without relationship with
tissue damage, functional impotence, vegetative signs of depression, altered family
dynamics.
Objective: to describe characteristic of the chronic pelvic pain, confrontation ways,
and psychosocial vulnerability in patient of medium age and the modification of the
pain post treatment with physical agents.
Methods: exploratory-descriptive, observational and longitudinal investigation,
from January 2014 to December 2015. 22 patients were included. The
characteristics of the pain before, one month and two months after the treatment
were evaluated with the short version of the McGill questionnaire. Test of
psychosocial vulnerability and confrontation Ways was used at the beginning of the
study. The treatment consisted on TENS electrotherapy and magnetotherapy. They
were calculated statistical descriptive and frequencies. They were considered
medium for quantitative variables. For the comparisons before and after the
treatment it was used test of Wilcoxon of two lines and significance of 0,05.
Results: The pain was modified significantly in time, intensity and quality
(p=0,0001) indicating the benefits of the treatment with physical agents. Ways of
confrontation predictors of the positive ones prevailed and the negatives prevailed
among the vulnerable ones.
Conclusions: the chronic pelvic pain modified favorably with the methods
therapeutic employees.
REFERENCES
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;111(2 Pt 2):545-7.
González AM. Dolor crónico y psicología: actualización. Rev Med Clin Condes. 2014;25(4):610-7.
Fall M, Baranowski AP, Elneil S, Engeler D, Hughes J, Messelink EJ. Dolor pélvico crónico. Eur Urol. 2010 Mar;57(1):35-48.
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;51(1):3-9.
Espuña M, Salinas J. Tratado de uroginecologia. Incontinencia urinaria. Cap. 25. Medicina. STM; 2004, p. 333-45.
Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP. Pelvic floor muscle trainingfor prevention and treatment of urinary and faecal incontinence in antenatal andpostnatal women. Cochrane Database Syst. Rev. 2008; 8(4):74.
Tu FF, Holt J, Gonzales J, Fitzgerald CM. Physical therapy evaluation of patientswith chronic pelvic pain: a controlled study. Am J Obstet Gynecol. 2008;198(3):272.
Melzack R. The short-form McGill Pain Questionnaire Pain. J Pain. 1987,30:191-7.
Mathias SD, Kuppermann M, Liberman RF. Chronic pelvic pain: Prevalence, health-related quality of life, and economic correlates. Obstet Ginecol. 1996;87:321-7,
Latthe P, Latthe M, Say L, Gülmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: neglected reproductive health morbidity online. J WHO. 2006. DOI: 10,1186/1471-2458-6-177.
Reter RC. A profile of women with chronic pelvic pain. Clin Obstet Gynecol. 1990;33:130-6.
Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Survey. 1993;48:357-87.
Melzack R, Wall P, Pain mechanism: A new theory. Science. 1965;50:971-9.
Melzack R. Phantom limbs, the self and the concept of a neuromatrix. Trends in Neuroscience. 1990;13:88-92.
Grau J, Hernández E. Calidad de vida y psicología de la salud. Editores: Grau J. Psicología de la Salud: Fundamentos y aplicaciones. Parte I. Cap. 5. Guadalajara, Centro Universitario de Ciencias de la Salud; 2005. p. 201-32.
Bordman R. Jackson B. Below the belt. Approach to chronic pelvic pain. Can Fam Physician. 2006; 10;52(12):1556-62.
Stones RW. Mountfield J. Interventions for treating chronic pelvic pain in women. Cochrane Database Syst Rev.2000;(4):387.
Monaco T Dugans PT. Recognizing and trating pelvic. Pain and pelvic floor dysfuction. Phys Med Rehabili Clin N Am. 2007;18:477-96.
Haugstad GK. Haugstad TS. Kirste UM. Leganger S. Wojniusz S. KlemmetsenI.Malt UF. Posture, movement patterns, and body awareness in women with chronicpelvicpain. J Psychosom Res. 2006;61(5):637-44.
Montenegro ML. Vasconcelos EC. Candido FJ, Nogueira AA Poli-Neto OB.Physical therapy in the management of women with chronic pelvic pain. Int J ClinPract. 2008;62(2):263-9.
Albert H.Psychosomatic group treatment helps women with chronic pelvic pain. J Psychosom Obstet Gynecol. 1999;20(4):216-25.
Stuge B, Laerum E, Kirkesola G, Vøllestad N. The efficacy of a treatment program using on specific stabilizing exercises for pelvic girdle pain after pregnancy: arandomized controlled trial. Spine. 2004;29(4):351-9.
Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Wojniusz S, KlemmetsenI, Malt UF. Continuing improvement of chronic pelvic pain in women after shorttermMensendiecksomatocognitive therapy: results of a 1-year follow-up study. Am J Obstet Gynecol. 2008.
Melzack R. The McGill pain questionnaire: Major properties and scoring methods. Pain. 1975;1:277-99.
Lazarus RS, Folkman S. Estrés y procesos cognitivos. Martínez Roca Ed. Barcelona, España; 1986.
Piñera Sofía, González U, Bayarre H. Construcción de un cuestionario de autovaloración de la calidad de vida en pacientes con hipertensión arterial. Trabajo de Terminación de Maestría en psicología de la Salud. Facultad de Salud Pública. Instituto Superior de Ciencias Médicas de la Habana; 1995
Capote MI, Segredo AM, Gómez O. Climaterio y menopausia. Rev Cubana Med Gen Integr. 2011;27(4):543-57
Vasallo VJ, Arjona S, Fernández Y, Rondón J, Quevedo L. Dolor pélvico crónico en la mujer. Rev Cubana Anestesiol Reanimac. 2014;13(1):4,10.
Thomsen T, Jaszczak P, Nordling J. Female chronic pelvic pain is highly prevalent in Denmark. A cross-sectional population-based study with randomly selected participants. Scandinav J Pain. 2014;5:93-101.
García H, Harlow D, Christine A. Pelvic pain and associated characteristics among women in Northern Mexico. Internat Perspect Sex Reprod Health. 2010;36:10.
Sexual Health & Menopause.Causes of sexual problems pain in the vulva or pelvis. (Consultado en Abril 2016). Disponible en: http://www.menopause.org/forwomen/ sexual-health-menopause-online/causes-of-sexual-problems/pain-in-thevulva- or-pelvis
Plata E, Castillo E, Guevara UM. Evaluación de afrontamiento, depresión, ansiedad e incapacidad funcional en pacientes con dolor crónico. Rev Mex Anestesiol. 2004;27:16-23.
Covarrubias A, Guevara U, Lara A, Tamayo AC, Salinas J, Torres R, Características de los enfermos que acuden a clínicas del dolor por primera vez. Rev Med Inst Mex Seguro Soc. 2008;46(5):467-72.
Rosseland LA, Stubhaug A. Gender is a confounding factor in pain trials: women report more pain than men after arthroscopic surgery. Pain. 2004;112:248-53.
Gaumond I, Arsenault P, Marchand S. The role of sex hormones on formalininduced nociceptive responses. Brain Res. 2002;958:139-45.
Martínez R, Martínez JC, Rodríguez EM, García JA, Díaz D, Abreu Y, Fisioterapia en el dolor pélvico crónico. Invest Medicoquir. 2012;4(1):20-30.
Braun K. Chronic pelvic pain. Health J. 2014;1:14-6.
Pagano de Oliveira G.do Nascimento AL, Michelazzo D, FilardiF, GondimM. High prevalence of chronic pelvic pain in women in Ribeirao Preto. Brazil and direct association with abdominal surgery. Clinics. 2011;66(8):1307-12.
Casal MC, Martínez JC. Manifestaciones psicológicas del sujeto portador de disfunción del suelo pélvico. Propuesta de intervención. Invest Medquir. 2010;2(2):30-3.
Rodríguez EM. Calidad de vida y percepción de salud en mujeres de mediana edad. Rev Invest Medicoquir. 2012;4(1):107-21
Jane EK, Wylie KR. Quality of sexual life and menopause. Women's health. 2009;5:385-96.
Cloninger CR, Srakic DM, Pryzbeck T. A psychobiological model of temperament and character. Arch General Psychiatry. 1993;50:975-90.
Soucase B, Monsalve V, Soriano JF. Afrontamiento del dolor crónico: el papel de las variables de valoración y estrategias de afrontamiento en la predicción de la ansiedad y la depresión en una muestra de pacientes con dolor crónico. Rev Soc Esp Dolor. 2005;12:8-16.
Riquelme A, Buendía J, Rodríguez MC. Estrategias de afrontamiento y apoyo social en personas con estrés económico. Departamento de Metodología y Análisis del Comportamiento. Universidad de Murcia. Psicothema; 1993.
Ramirez C, López AE, Esteve R. Personality characteristics as differential variables of the pain experience. J Behav Medic. 2004;27:147-65.