scholarly journals Physiotherapeutic approach in genito-pelvic pain/penetration disorder

2020 ◽  
pp. 1-5
Author(s):  
Ana Carla da Silva Nunes ◽  
Carla Iasmin Lima Lemos ◽  
Nazete dos Santos Araújo ◽  
Erica Feio Carneiro Nunes ◽  
Cibele Nazaré Câmara Rodrigues
Keyword(s):  
Physical Therapy ◽  
Sexual Function ◽  
Pelvic Pain ◽  
Low Cost ◽  
Public Health Problem ◽  
Physical And Mental Health ◽  
Therapy Program ◽  
Vaginal Dilators ◽  
Perineal Massage

Background: Sexual dysfunctions constitute a public health problem that affects many women during all stages of life, being able to influence physical and mental health, interfering with quality of life. Physical therapy plays a fundamental role in addressing these dysfunctions, with simple and low cost resources, promoting significant results in these cases. Objective: To analyze the effectiveness of a physical therapy protocol on the sexual function of women with genital-pelvic pain/penetration disorder. Methods: Uncontrolled clinical trial, in which participated 15 women with a mean age of 28 ± 4.2 years, who had 16 physical therapy sessions twice a week. The pelvic physiotherapy protocol consisted of the application of electroanalgesia, perineal massage, kinesiotherapy and vaginal dilators. Sexual function was assessed by the Female Sexual Function Index (FSFI) and pain by the Visual Analog Scale (VAS). Results: Given the proposed treatment, the FSFI responded significantly (p=0.0003) with a median improvement that was 19.70 initially and increased to 28.40 later. The VAS also obtained significant improvement (p=0.0003), from the initial median of 8.00 to final 0.00. Conclusion: It is suggested that the physical therapy program has brought significant results in sexual function and pain in women with genital-pelvic pain/penetration disorder.

scholarly journals Effects of long-term treatment with Dienogest on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain

2019 ◽  
Vol Volume 12 ◽  
pp. 2371-2378 ◽  
Author(s):  
Salvatore Caruso ◽  
Marco Iraci ◽  
Stefano Cianci ◽  
Salvatore Giovanni Vitale ◽  
Valentina Fava ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Function ◽  
Pelvic Pain ◽  
Term Treatment ◽  
Long Term Treatment

The Obesity Epidemic and Sexual Health (DRAFT)

2018 ◽  
Author(s):  
Steven Lamm ◽  
Jonathan Bekisz
Keyword(s):  
Quality Of Life ◽  
Sexual Function ◽  
Self Esteem ◽  
Physical And Mental Health ◽  
Complex Interplay ◽  
Obesity Epidemic ◽  
Attitudes And Behaviors ◽  
Males And Females ◽  
Meaningful Relationships

There are few conditions that have such wide-ranging effects on sexual function as obesity. Though many of the exact mechanisms are yet to be elucidated, its impacts on the cardiovascular, endocrine, and nervous systems, among others, bestow upon obesity an almost unrivaled ability to devastate the human sexual response. Further, the effects of obesity extend beyond the purely physiologic into the psychologic and have the ability to impair both males and females alike. The downstream sequelae of sexual dysfunction secondary to obesity can significantly impair an individual’s quality of life, affecting his or her self-esteem, opportunity to form and maintain meaningful relationships, and ability to reproduce if desired, all of which can further promote pro-obesogenic attitudes and behaviors. Thus there is tremendous incentive for appreciation and understanding of the complex interplay between obesity and sexual function, as well as their relation to an individual’s overall physical and mental health.

Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest

2015 ◽  
Vol 38 (11) ◽  
pp. 1211-1218 ◽  
Author(s):  
S. Caruso ◽  
M. Iraci ◽  
S. Cianci ◽  
E. Casella ◽  
V. Fava ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Function ◽  
Pelvic Pain

scholarly journals Improving the quality of life using physical therapy to correct excess weight in women

2020 ◽  
pp. 76-79
Author(s):  
L. Odiyaka ◽  
T. Baryshok
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Therapy ◽  
Young Women ◽  
Main Group ◽  
Excess Weight ◽  
Control Group ◽  
Physical And Mental Health ◽  
Overweight Women

The article deals with the problem of overweight women and the measures that can influence it. The actual problem of reducing the quality of life of overweight women and the need to take this indicator into consideration when selecting the measures of physical therapy and assessing the quality of their use are raised. The results of the study of changes in quality of life after using of programs of physical therapy for the correction of excess weight are presented. The quality of life of young overweight women was evaluated using the SF-36 survey (physical and mental health). Experimental sample size: 10 females in the main group and 10 females in the control group. Weight loss program and improving the quality of life of young women through physical therapy lasted for 6 months. Programs of physical therapy in the main group was included elements of different directions of aerobics (classical aerobics, power aerobics, aerobics using different tools, aerobics with psycho-regulatory orientation) and nutrition correction. Programs of physical therapy in the control group was also included nutrition correction and fitness workouts with the use of simulators with a focus on strength and cycling. According to recent estimates, at least one in three adults in the world is overweight and almost one in 10 is obese. Being overweight is not only an aesthetic problem, it is a health threat that entails a number of illnesses and complications, reducing the quality of life. Not everyone knows that the risk of health problems manifests itself even with a slight overweight, and increases as you gain weight. For greater results in overweight correction, it is best to use aerobic and anaerobic fitness programs. A comprehensive physical therapy program has significantly improved the health of young women and has had a positive effect on physical and mental health. We have reason to believe that the overweight correction technique of the main group has proven to be more effective in improving the quality of life of women than the control group program.

The effectiveness of therapy for endometriosis-associated pelvic pain resistant to surgical treatment

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. 314-323
Author(s):  
Mekan R. Orazov ◽  
Viktor E. Radzinsky ◽  
Roman E. Orekhov
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Sexual Function ◽  
Pelvic Pain ◽  
Rating Scale ◽  
Pain Syndrome ◽  
International Classification Of Diseases ◽  
Morphological Examination ◽  
Icd 10

Aim. To assess the efficacy and safety of 24-week therapy with dienogest in patients with endometriosis-associated pelvic pain resistant to surgical treatment. Materials and methods. The study included 126 patients aged 3340 years with external genital endometriosis (EGE) confirmed by laparoscopy and morphological examination (International classification of diseases, 10th revision [ICD-10] N80.1, 80.2, 80.3, 80.4) and with pelvic pain that occurred in 36 months after surgical treatment of EGE (ICD-10 N94.8 "Pain and other conditions associated with female genital organs and menstrual cycle"). The participants were stratified into 3 groups by pain syndrome severity according to the Verbal Analog Scale (VAS). The group-1 included patients with 1040 mm, the group-2 with 4170 mm, and the group-3 with more than 71 mm pain score according to VAS. Patients of all 3 groups were prescribed the denogest (Zafrilla, Gedeon Richter, 2 mg/day) for 24 weeks (according to the current pack insert). Follow-up and assessment of treatment outcomes were carried out over 6 months. Study design: prospective, observational, comparative study. Results. In 3 and 6 months after the start of therapy, there was a stable statistically significant decrease in pain syndrome severity by all scales (Biberoglu Behrman Scale, Numeral Rating Scale, VAS) in each of the groups (p0.01). In all 3 groups, treatment led to an improvement in sexual function, assessed with the Female Sexual Function Index scale, in 3 and 6 months after the start of therapy (p0.01). According to the quality of life in endometriosis (Endometriosis Health Profile) questionnaire, the analyzed indicators significantly improved in all study participants (p0.01). Conclusion. Dienogest is an effective and safe method for the treatment of endometriosis-associated pelvic pain resistant to surgical treatment. Treatment with dienogest for 24 weeks effectively relieves pain, improves symptoms, and improves quality of life and sexual functioning.

Quality of Life in Hospitalized Patients for Exacerbation of COPD Included in a Physical Therapy Program

CHEST Journal ◽  
2014 ◽  
Vol 145 (3) ◽  
pp. 372A ◽  
Author(s):  
Irene Torres-Sánchez ◽  
Marie Carmen Valenza ◽  
Gerald Valenza-Demet ◽  
Irene Cabrera-Martos ◽  
María José Flores-Barba ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Hospitalized Patients ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
Exacerbation Of Copd

scholarly journals Effects of a physical therapy program on quality of life among community-dwelling elderly women: randomized-controlled trial

2013 ◽  
Vol 26 (3) ◽  
pp. 503-513 ◽  
Author(s):  
Mariana Chaves Aveiro ◽  
Patricia Driusso ◽  
Julia Gianjoppe dos Santos ◽  
Viviane Dassi Kiyoto ◽  
Jorge Oishi
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Elderly Women ◽  
Exercise Group ◽  
Community Dwelling ◽  
Control Group ◽  
Reliable Change ◽  
Therapy Program ◽  
Physical Therapy Program

INTRODUCTION: Health promotion policies for encouraging elderly to remain active, independent and, effectively have a positive effect on their quality of life. OBJECTIVE: To verify the effects of a low-intensity group-based physical therapy program on quality of life among community-dwelling elderly women. MATERIALS AND METHODS: It was carried out a randomized controlled trial. Seventeen women (67.8 ± 4.9 years old) that completed 12-week training program and 10 women (68.9 ± 5.7 years old) that were included in control group answered the abbreviated version for World Health Organization Quality of life Questionnaire - WHOQOL-bref at baseline and after 12 weeks. Exercise group performed stretching, resistance and balance training. Intragroup and intergroup analysis was made using Wilcoxon and Mann-Whitney U tests, respectively. The level of significance used for all comparisons was 5%. Furthermore, it was determined the Reliable Change Index (RCI) as part of JT Method. RESULTS: Exercise group presented a significant improvement for Psychological domain (p = 0.047) after 12-week physical therapy program. Otherwise, control group presented a significant worsening for overall (p = 0.01), physical (p = 0.01) and psychological (p = 0.008) domains. Exercise group presented two participants with positive reliable change (PRC) for social domain, two participants with PRC for Environment domain. Overall and Physical domain presented three participants with PRC. Psychological domain presented four participants with PRC and one with negative reliable change. CONCLUSION: A low-intensity group-based physical therapy program may contribute in order to maintain quality of life and improve some psychological aspects among community-dwelling elderly women.

scholarly journals Long Term Findings Concerning the Mental and Physical Condition, Quality of Life and Sexuality after Laparoscopically Assisted Creation of a Neovagina (Modified Vecchietti Technique) in Young MRKHS (Mayer-Rokitansky-Küster-Hauser-Syndrome) Patients

2021 ◽  
Vol 10 (6) ◽  
pp. 1269
Author(s):  
Katharina Rall ◽  
Bernadette Schenk ◽  
Norbert Schäffeler ◽  
Dorit Schöller ◽  
Andrina Kölle ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Function ◽  
Large Body ◽  
Interdisciplinary Approach ◽  
Psychosocial Adaptation ◽  
Physical And Mental Health ◽  
Vaginal Aplasia ◽  
Patient Reported ◽  
Before And After

The Mayer-Rokitansky-Küster-Hauser-syndrome (MRKHS) is characterized by a congenital uterine and vaginal aplasia. A large body of literature reports that a diagnosis of MRKHS has a variety of psychological effects on patients and doubts about female identity. The aim of the underlying study was to detect the patient-reported physical and mental health and sexual function before and after laparoscopically assisted creation of a neovagina. 160 women with MRKHS who underwent this type of surgery between September 2009 and December 2015 were invited to complete the questionnaires. Packages consisting of six questionnaires were handed out before surgery, six and 12 months after surgery. Data from 82 patients could be included in the study. Patients had a mean age of 19.9 years at inclusion in the study. We detected an impairment of the health-related mental quality of life. There was no higher risk for psychological disorders. MRKHS patients show similar self-acceptance and normal body image compared to the general population. The sexual function is limited before surgery and normalizes after surgery. Useful factors for coping with the disease are an interdisciplinary approach in diagnostics and treatment, psychosocial adaptation as well as a supportive social environment.

scholarly journals ANALYSIS OF THE QUALITY OF LIFE DYNAMICS OF WOMEN AFTER ABDOMINAL ACCOUCHEMENT IN THE POSTPARTUM PERIOD UNDER THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM

2021 ◽  
pp. 52-60
Author(s):  
Yu. S. Kuravska
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Postpartum Period ◽  
Therapy Program ◽  
Sf 36 ◽  
Physical Therapy Program

Резюме. Мета: визначення впливу розробленої програми фізичної терапії на динаміку якості життя жінок після абдомінального родорозрішення (кесарів розтин – КР) у післяпологовому періоді Методи. Обстежено 112 жінок після пологів. Групу порівняння склали 47 жінок, у яких пологи відбулись природним шляхом. Основну групу 1 склали 32 жінки після КР, які відновлювались самостійно. Основну групу 2 склали 33 жінки після КР, які проходили післяпологову реабілітацію впродовж 12 місяців. Розроблена програма включала: кінезітерапію, бандаж черевної порожнини, кінезіологічне тейпування, масаж живота та загальний; оздоровче харчування, психологічну релаксацію, освіту жінок. Визначення якості життя проводили за опитувальником SF-36 4 рази: у ранньому та пізньому післяпологовому періодах; через 6 та 12 місяців після пологів. Результати дослідження. Визначено, що у жінок після пологів знизились показники фізичних та психічних компонентів якості життя. У ранньому післяпологовому періоді жінки після КР мали гірші показники фізичного та рольового функціонування, загального здоров’я, життєздатності за SF-36 порівняно із жінками після родорозрішення природним шляхом (р<0,05). Застосування засобів фізичної терапії дозволило до кінця пізнього пологового періоду жінкам після КР за всіма досліджуваними параметрами досягнути якості життя жінок групи порівняння (р>0,05). Жінки, які перенесли КР, але відновлювались самостійно, за більшістю критеріїв якості життя (крім соціального функціонування), змогли досягнути рівнів жінок, що народжували природним шляхом, тільки через рік. Висновки. Засоби фізичної терапії доцільно призначати з першого дня післяпологового періоду з метою покращення якості життя і, відповідно, післяпологового відновлення жінок та швидкого повернення їх до повноцінного функціонування.

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