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Related to urological and gynecological systems, patients with Chronic Pelvic Pain Syndrome (CPPS) often present pain, pressure and chronic discomfort in suprapubic and perineal area associated with low urinary tract symptoms. This condition can generates a negative impact in cognitive, social, behavioral and sexual quality of life.
As Chronic Pelvic Pain Syndrome originates from different causes and includes the genitourinary, gastrointestinal, musculoskeletal and neuropsychological systems, a multidisciplinary approach is needed with doctors,physiotherapists, psychologists and others. Physiotherapeutic interventions are recommended as first line of conservative treatment for patients with CPPS. The physiotherapeutic interventions include the use of Biofeedback to relax the pelvic floor muscles, myofascial trigger points release, transcutaneous electrostimulation to decrease the pain and postural exercises to improve the pelvic mobility. Despite of these recommendations, the evidence of the studies in the literature is weak/moderate. There is no consensus related to physiotherapeutic techniques, i.e., the biofeedback devices,the myofascial trigger points techniques, the electrostimulation parameters,the use of postural exercises and short, medium and long term follow up of these patients. The goal of this study is to verify the effects of physiotherapeutic interventions in the treatment of patients with Chronic Pelvic Pain Syndrome (CPPS) and to compare with control group.
All patients will be assessed by specialized physiotherapists through a medical history data; application of validated questionnaires of pain, urinary symptoms, sexual function and quality of life; postural evaluation; pelvic floor muscles physical and surface electromyographic assessment at baseline. Patients will be randomized to two different treatment groups and control group. One treatment will be consisted by 10 sessions, once a week, usingBiofeedback , myofascial trigger points release and transcutaneous electrostimulation. The other group will be treated by 10 sessions, once a week, using Biofeedback , myofascial trigger points release and postural exercises.The control group willstart treatment 3 months after the assessment. All patients will be re - evaluated after treatment, at 3, 6 and 12 months' post treatment.
E-stim, Postural exercises
Universidade de São Paulo
University of Sao Paulo General Hospital
Published on BioPortfolio: 2018-12-03T00:02:25-0500
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