scholarly journals Motor cortical treatment targets for chronic pelvic pain: Big data, small data, and clinical trials

2021 ◽  
Vol 14 (6) ◽  
pp. 1730
Author(s):  
Jason Kutch
Keyword(s):  
Clinical Trials ◽  
Big Data ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Small Data ◽  
Treatment Targets ◽  
Motor Cortical

Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review

2012 ◽  
Vol 3 (2) ◽  
pp. 70-81 ◽  
Author(s):  
S. Loving ◽  
J. Nordling ◽  
P. Jaszczak ◽  
T. Thomsen
Keyword(s):  
Clinical Trials ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Intervention Studies ◽  
Clinical Intervention ◽  
Evidence Base ◽  
Risk Of Bias ◽  
Randomised Clinical Trials ◽  
Multidisciplinary Intervention

AbstractBackground and purposeChronic pelvic pain (CPP) is a debilitating condition among women with a major impact on health-related quality of life, work productivity and health care utilisation. The exact prevalence of chronic pelvic pain is not known, but 3.8% is commonly suggested. Musculoskeletal dysfunction is frequently cited as a possible aetiology. Physiotherapy is therefore recommended as one treatment modality. The aim of this systematic review was to source and critically evaluate the evidence for an effect of physiotherapy on pain, physical activity and quality of life in the treatment of female CPP.MethodsElectronic databases, conference proceedings, text books and clinical guidelines were searched for quantitative, observational, and prospective clinical intervention studies of female chronic pelvic pain where physiotherapy was a sole or significant component of the intervention. Trial inclusion, data extraction according to predefined criteria and risk of bias assessment were performed by two independent authors. Methodological quality of the included clinical intervention studies was assessed using The Cochrane Collaboration’s tool for assessing risk of bias. Review Manager (RevMan) version 5.0 was used for data analysis. Effect estimates (relative risk, mean difference and mean change) with 95% confidence intervals were calculated for the above outcomes. For significant outcomes the numbers needed to treat were calculated.ResultsThe search strategy identified 3469 potential articles. Of these, 11 articles, representing 10 studies, met the inclusion criteria. There were 6 randomised clinical trials, 1 cohort study and 3 case series. Methodological quality was dependent on study type. Accordingly, level of evidence was judged higher in randomised clinical trials than in the other study types. Physiotherapy treatments varied between studies and were provided in combination with psychotherapeutic modalities and medical management. This did not allow for the ‘stand-alone’ value of physiotherapy to be determined. Heterogeneity across the studies, with respect to participants, interventions, outcome measures and times of follow-up, prevented meta-analysis. Narrative synthesis of the results, based on effect estimates and clinically relevant pain improvement, disclosed some evidence to support an effect of multidisciplinary intervention and Mensendieck somatocognitive therapy on female chronic pelvic pain.ConclusionChronic pelvic pain in women is a major health care problem with no specific therapies and poor prognosis. There seems to be some evidence to support the use of a multidisciplinary intervention in the management of female chronic pelvic pain. Somatocognitive therapy is a new approach that appears to be promising and randomised clinical trials are underway in order to establish its evidence base.ImplicationsBased on the findings of this review, recommendations for physiotherapy in chronic pelvic pain clinical guidelines, textbooks and narrative reviews should be interpreted with caution due to the lack of a sufficient evidence base. Only small and largely non-randomised studies have been undertaken of physiotherapeutic interventions and this greatly limits the available evidence on which to base clinical practice. High quality randomised clinical trials are therefore urgently needed.

Measures Used to Assess Chronic Pelvic Pain in Randomized Controlled Clinical Trials: A Systematic Review

2015 ◽  
Vol 21 (4) ◽  
pp. 749-756 ◽  
Author(s):  
Maria Beatriz F. Gurian ◽  
Andréia M. d. S. Mitidieri ◽  
Júlio C. Rosa e Silva ◽  
Omero B. Poli Neto ◽  
Antônio A. Nogueira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Controlled Clinical Trials ◽  
Randomized Controlled Clinical Trials ◽  
Randomized Controlled

95: Incidence and Significance of Prostatic Stones in Men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

2007 ◽  
Vol 177 (4S) ◽  
pp. 33-34
Author(s):  
Daniel A. Shoskes ◽  
Chun-Te Lee ◽  
Donel Murphy ◽  
John C. Kefer ◽  
Hadley M. Wood
Keyword(s):  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome

87: Biopsychosocial Factors in Quality of Life in men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

2007 ◽  
Vol 177 (4S) ◽  
pp. 31-31
Author(s):  
J. Curtis Nickel ◽  
Dean Tripp ◽  
Shannon Chuai ◽  
Mark S. Litwin ◽  
Mary McNaughton-Collins
Keyword(s):  
Quality Of Life ◽  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome

113: Coping with Depression in Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Key to Treatment of the Pain?

2005 ◽  
Vol 173 (4S) ◽  
pp. 31-31 ◽  
Author(s):  
Dean Tripp ◽  
J. Curtis Nickel ◽  
Mary McNaughton-Collins ◽  
Yanlin Wang ◽  
J. Richard Landis ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome
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