Investigation on the significance of pressure pain thresholds before and after treatment in female with myofascial chronic pelvic pain
10.3760/cma.j.issn.1673-4904.2018.10.016
- VernacularTitle:压力疼痛阈值测定在女性肌筋膜源性慢性盆腔疼痛患者治疗前后意义探讨
- Author:
Shan GAO
1
;
Jun BIAN
;
Haiying TAN
;
Jinyan LI
;
Wenhui GAO
;
Xiaodan YANG
;
Liping YU
;
Caixia SUN
;
Zhongmin WANG
Author Information
1. 116035,大连市妇女儿童医疗中心女性盆底泌尿整复中心
- Keywords:
Myofascial chronic pelvic pain;
Pressure pain thresholds;
Pain score;
Comparative study
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(10):926-931,934
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect and clinical significance of pelvic floor rehabilitation technique in female with myofascial chronic pelvic pain (MCPP) by detecting the pressure pain thresholds (PPTs). Methods One hundred healthy female (control group) and 324 female MCPP patients (observation group) from January 2009 to December 2016 were selected. Automatic body surface and vaginal pressure pain detector was applied to detect two groups′PPTs of the 34 spots. The difference of PPTs at each spot was analyzed in two groups. In addition, 51 patients with moderate and severe MCPP were selected to record the changes of PPTs and pain scores before and after the treatment of pelvic floor rehabilitation technique. Results The average PPTs of the abdomen, vulva, pelvic floor and vaginal front and back fornix, bilateral adnexa uteri and sacrouterine ligament in the observation group were significantly lower than those in the control group (P<0.01 or<0.05). The average PPTs of the abdomen, vulva, pelvic floor muscles and vaginal front and back fornix, bilateral adnexa uteri and sacrouterine ligament of 51 MCPP patients after treatment were significantly higher than those before treatment (P<0.01). After treatment, PPTs and pain scores of the pelvic floor muscles, bilateral adnexa uteri, bilateral sacrouterine ligament, bilateral sacral spine ligament and vaginal front and back fornix were negatively correlated (r =- 0.78 to- 0.19, P = 0.01 to 0.04); there was a negative correlation between the PPTs and pain scores of the left and right latissimus dorsi (r=-0.28, P=0.04;r=-0.32, P=0.02). The complete remission rate with the pelvic floor rehabilitation technique in 51 patients with MCPP was 9.8％(5/51), the significant remission rate was 90.2％(46/51), and the total remission rate was 100.0％ (51/51). Conclusions Compared with the normal healthy ones, female with MCPP has lower PPTs in the abdomen, perineum, vagina and pelvic floor. The effect of pelvic floor rehabilitation technique on MCPP is well, which can increase patients′PPTs to reduce pain scores. It is a worthwhile method to treat these diseases.
