To assess the effectiveness of an Individualized Comprehensive Rehabilitation Program (ICPR) on impaired postural control, pain, self-perceived health status and functionality in women with CPP.
A randomized controlled trial was carried out.
Women with chronic pelvic pain were recruited from the Gynaecology Department of the “Hospital San Cecilio” in Granada.
38 participants were included in the study and randomly divided into two groups.
The intervention group received an eight-week ICRP and the control group received a leaflet with ergonomic information.
The main outcomes included were postural control (Mini Balance Evaluation Systems, Mini BESTest and Timed Up and Go Test, TUG), pain (Brief Pain Inventory, BPI), self-perceived health status (Euroqol-5dimensions, EQ-5D) and functionality (Oswestry Disability Index, ODI).
Significant differences were found between groups in Mini BESTest and TUG scores with large effect sizes. The BPI, EQ-5D and ODI also presented significant differences in the between groups analysis, with better scores in the intervention group after the treatment. In the follow-up analysis significant differences were found between groups in the Mini BESTest (p<0.001), the cognitive TUG subscale (p=0.032), interference of pain (p<0.001), anxiety/depression (p=0.001) and VAS EQ-5D (p=0.026) subscales and the ODI (p<0.001).
Our results show significant improvements on postural control, pain, self-perceived health status and functionality in women with CPP that received an eight-week ICRP.

Copyright © 2020. Published by Elsevier Inc.

References

PubMed