Electrical stimulation combined with manual massage can relieve myofascial pelvic pain
10.3760/cma.j.issn.0254-1424.2020.01.013
- VernacularTitle: 电刺激结合手法按摩治疗盆底肌筋膜疼痛综合征的临床疗效
- Author:
Hanqing GUO
1
;
Tingting FU
1
;
Cunhua ZOU
1
;
Changmei SANG
1
;
Qingyun LIU
1
;
Ying TIAN
2
;
Shuping ZHAO
1
Author Information
1. Department of Gynecology, Qingdao Women′s and Children′s Hospital, Qingdao 266000, China
2. Qingdao University, Qingdao 266071, China
- Publication Type:Clinical Trail
- Keywords:
Myofascial pelvic pain syndrome;
Electrical stimulation;
Manual massage;
Surface electromyography
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2020;42(1):55-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effectiveness of combining electrical stimulation with manual massage in treating women′s myofascial pelvic pain (MPPS).
Methods:A total of 93 MPPS patients were recruited and randomly divided into an infrared irradiation group (n=30), an electrical stimulation group (n=31) and a combination group (n=32). Those in the infrared group and the electrical stimulation group were given 30 minutes of infrared irradiation or electrical stimulation daily for 10 days, while the combined group was given a manual massage with electrical stimulation. The response to treatment was evaluated using a visual analogue scale (VAS) to rate discomfort, plus a physical examination, and surface electromyography results using Glazer′s protocol. The treatments′ efficacy and the recurrence of pain were evaluated 1 month after the treatment.
Results:The average VAS ratings, resting potentials and their variability of the three groups all improved significantly after the treatment. The average VAS scores of the combined and electrical stimulation groups after the treatment were significantly lower than that of the infrared group. Moreover, the total effective rates of the combined group (96.87%) and the electrical stimulation group (80.65%) were significantly higher than that of the infrared group (56.67%), and the resting potential and variability of the former two groups were also significantly better. All of the above measurements among the combined group after the treatment were significantly better, on average, than in the electrical stimulation group. A month later the recurrence rate in the combined group (6.25%) was significantly lower than in the electrical stimulation group (25.81%) and the infrared group (56.67%).
Conclusion:Electrical stimulation combined with manual massage is effective in relieving myofascial pelvic pain.
