Physiotherapy management of patients with chronic pelvic pain (CPP): A systematic review
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Physiotherapy management of patients with chronic pelvic pain (CPP): A systematic review. / Klotz, Susanne G R; Schön, Mila; Ketels, Gesche; Löwe, Bernd; Brünahl, Christian A.
In: PHYSIOTHER THEOR PR, Vol. 35, No. 6, 06.2019, p. 516-532.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Physiotherapy management of patients with chronic pelvic pain (CPP): A systematic review
AU - Klotz, Susanne G R
AU - Schön, Mila
AU - Ketels, Gesche
AU - Löwe, Bernd
AU - Brünahl, Christian A
PY - 2019/6
Y1 - 2019/6
N2 - INTRODUCTION: Chronic pelvic pain (CPP) is a common pain condition. However, treatment remains challenging. Musculoskeletal findings are frequent; therefore physiotherapy might be helpful. The purpose of this review was to evaluate the current evidence on physiotherapy in patients with CPP (PROSPERO registration number CRD42016037516).METHODS: Six databases were searched and additional hand searches were performed. Two reviewers independently conducted the database search and selected studies using a two-step approach. The methodological quality was assessed applying the Critical Review Form - Quantitative Studies.RESULTS: A total of eight studies were included. Trigger point therapy was examined in four studies; two of which were randomized controlled trials. All studies indicate a significant change in pain measurement. The other four studies evaluated the effect of biofeedback, Thiele massage, Mensendieck somatocognitive therapy and aerobic exercises, whereas the last two were tested in controlled trials. All studies showed significant improvements in pain assessment.CONCLUSIONS: The evidence currently available is sparse with methodological flaws, making it difficult to recommend a specific physiotherapy option. There is an urgent need for high-quality randomized controlled trials to identify the most effective physiotherapy management strategy for patients with CPP.
AB - INTRODUCTION: Chronic pelvic pain (CPP) is a common pain condition. However, treatment remains challenging. Musculoskeletal findings are frequent; therefore physiotherapy might be helpful. The purpose of this review was to evaluate the current evidence on physiotherapy in patients with CPP (PROSPERO registration number CRD42016037516).METHODS: Six databases were searched and additional hand searches were performed. Two reviewers independently conducted the database search and selected studies using a two-step approach. The methodological quality was assessed applying the Critical Review Form - Quantitative Studies.RESULTS: A total of eight studies were included. Trigger point therapy was examined in four studies; two of which were randomized controlled trials. All studies indicate a significant change in pain measurement. The other four studies evaluated the effect of biofeedback, Thiele massage, Mensendieck somatocognitive therapy and aerobic exercises, whereas the last two were tested in controlled trials. All studies showed significant improvements in pain assessment.CONCLUSIONS: The evidence currently available is sparse with methodological flaws, making it difficult to recommend a specific physiotherapy option. There is an urgent need for high-quality randomized controlled trials to identify the most effective physiotherapy management strategy for patients with CPP.
KW - Journal Article
U2 - 10.1080/09593985.2018.1455251
DO - 10.1080/09593985.2018.1455251
M3 - SCORING: Journal article
C2 - 29589778
VL - 35
SP - 516
EP - 532
JO - PHYSIOTHER THEOR PR
JF - PHYSIOTHER THEOR PR
SN - 0959-3985
IS - 6
ER -
