Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial
Introduction: Chronic pelvic pain in women is a complex condition, and physical therapy is recommended as part of a broader treatment approach. The objective of this study was to compare structured group-based multimodal physical therapy in a hospital setting (intervention group) with primary-care p...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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Online Access: | https://hdl.handle.net/10642/9699 https://doi.org/10.1111/aogs.13896 |
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fthsosloakersoda:oai:oda.oslomet.no:10642/9699 2023-05-15T17:43:42+02:00 Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial Nygaard, Ane Sigrid Rydningen, Mona Birgitte Stedenfeldt, Mona Wojniusz, Slawomir Larsen, Marthe Lindsetmo, Rolv-Ole Haugstad, Gro Killi Øian, Pål 2021-01-11T08:53:55Z application/pdf https://hdl.handle.net/10642/9699 https://doi.org/10.1111/aogs.13896 en eng Wiley Acta Obstetricia et Gynecologica Scandinavica;Volume 99, Issue 10 Nygaard, Rydningen, Stedenfeldt, Wojniusz, Larsen M, Lindsetmo, Haugstad GK, Øian. Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica. 2020;99(10):1320-1329 urn:issn:0001-6349 urn:issn:1600-0412 https://hdl.handle.net/10642/9699 https://doi.org/10.1111/aogs.13896 cristin:1826074 Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License https://creativecommons.org/licenses/by-nc/4.0/ CC-BY-NC Acta Obstetricia et Gynecologica Scandinavica Body awareness Chronic pelvic pains Group-based physical therapy Patient education Physical therapies Randomized trials Women Journal article Peer reviewed 2021 fthsosloakersoda https://doi.org/10.1111/aogs.13896 2021-10-27T22:33:21Z Introduction: Chronic pelvic pain in women is a complex condition, and physical therapy is recommended as part of a broader treatment approach. The objective of this study was to compare structured group-based multimodal physical therapy in a hospital setting (intervention group) with primary-care physical therapy (comparator group) for women with chronic pelvic pain. Material and methods: Women aged 20-65 years with pelvic pain ≥6 months and referred for physical therapy were eligible. The primary outcome measure was change in the mean pelvic pain intensity from baseline to 12 months, measured using the numeric rating scale (0-10). Secondary outcomes were changes in scores of “worst” and “least” pain intensity, health-related quality of life, movement patterns, pain- related fear of movements, anxiety and depression, subjective health complaints, sexual function, incontinence, and obstructed defecation. The differences between the groups regarding change in scores were analyzed using the independent t test and Mann-Whitney U test. Sensitivity analysis of the primary outcome was performed with a linear regression model adjusted for the baseline value. A P value <.05 was considered statistically significant. Results: Of the 62 women included, 26 in the intervention group and 25 in the comparator group were available after 12 months for data collection and analysis. The difference between the groups for change in the mean pain intensity score was −1.2 (95% CI −2.3 to −0.2; P = .027), favoring the intervention group. The intervention group showed greater improvements in respiratory patterns (mean difference 0.9; 95% CI 0.2-1.6; P = .015) and pain-related fear of movements (mean difference 2.9; 95% CI −5.5 to −0.3; P = .032), and no significant differences were observed between the groups for the other secondary outcomes. Conclusions: Although the reduction in the mean pelvic pain intensity with group- based multimodal physical therapy was significantly more than with primary-care physical therapy, the difference in the change between the groups was less than ex- pected and the clinical relevance is uncertain. The Norwegian Fund for Post‐Graduate Training in Physical Therapy and Northern Norway Regional Health Authority funded this study. The funding sources had no involvement in any stages of the study. publishedVersion Article in Journal/Newspaper Northern Norway OsloMet (Oslo Metropolitan University): ODA (Open Digital Archive) Norway Acta Obstetricia et Gynecologica Scandinavica 99 10 1320 1329 |
institution |
Open Polar |
collection |
OsloMet (Oslo Metropolitan University): ODA (Open Digital Archive) |
op_collection_id |
fthsosloakersoda |
language |
English |
topic |
Body awareness Chronic pelvic pains Group-based physical therapy Patient education Physical therapies Randomized trials Women |
spellingShingle |
Body awareness Chronic pelvic pains Group-based physical therapy Patient education Physical therapies Randomized trials Women Nygaard, Ane Sigrid Rydningen, Mona Birgitte Stedenfeldt, Mona Wojniusz, Slawomir Larsen, Marthe Lindsetmo, Rolv-Ole Haugstad, Gro Killi Øian, Pål Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial |
topic_facet |
Body awareness Chronic pelvic pains Group-based physical therapy Patient education Physical therapies Randomized trials Women |
description |
Introduction: Chronic pelvic pain in women is a complex condition, and physical therapy is recommended as part of a broader treatment approach. The objective of this study was to compare structured group-based multimodal physical therapy in a hospital setting (intervention group) with primary-care physical therapy (comparator group) for women with chronic pelvic pain. Material and methods: Women aged 20-65 years with pelvic pain ≥6 months and referred for physical therapy were eligible. The primary outcome measure was change in the mean pelvic pain intensity from baseline to 12 months, measured using the numeric rating scale (0-10). Secondary outcomes were changes in scores of “worst” and “least” pain intensity, health-related quality of life, movement patterns, pain- related fear of movements, anxiety and depression, subjective health complaints, sexual function, incontinence, and obstructed defecation. The differences between the groups regarding change in scores were analyzed using the independent t test and Mann-Whitney U test. Sensitivity analysis of the primary outcome was performed with a linear regression model adjusted for the baseline value. A P value <.05 was considered statistically significant. Results: Of the 62 women included, 26 in the intervention group and 25 in the comparator group were available after 12 months for data collection and analysis. The difference between the groups for change in the mean pain intensity score was −1.2 (95% CI −2.3 to −0.2; P = .027), favoring the intervention group. The intervention group showed greater improvements in respiratory patterns (mean difference 0.9; 95% CI 0.2-1.6; P = .015) and pain-related fear of movements (mean difference 2.9; 95% CI −5.5 to −0.3; P = .032), and no significant differences were observed between the groups for the other secondary outcomes. Conclusions: Although the reduction in the mean pelvic pain intensity with group- based multimodal physical therapy was significantly more than with primary-care physical therapy, the difference in the change between the groups was less than ex- pected and the clinical relevance is uncertain. The Norwegian Fund for Post‐Graduate Training in Physical Therapy and Northern Norway Regional Health Authority funded this study. The funding sources had no involvement in any stages of the study. publishedVersion |
format |
Article in Journal/Newspaper |
author |
Nygaard, Ane Sigrid Rydningen, Mona Birgitte Stedenfeldt, Mona Wojniusz, Slawomir Larsen, Marthe Lindsetmo, Rolv-Ole Haugstad, Gro Killi Øian, Pål |
author_facet |
Nygaard, Ane Sigrid Rydningen, Mona Birgitte Stedenfeldt, Mona Wojniusz, Slawomir Larsen, Marthe Lindsetmo, Rolv-Ole Haugstad, Gro Killi Øian, Pål |
author_sort |
Nygaard, Ane Sigrid |
title |
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial |
title_short |
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial |
title_full |
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial |
title_fullStr |
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial |
title_full_unstemmed |
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial |
title_sort |
group-based multimodal physical therapy in women with chronic pelvic pain: a randomized controlled trial |
publisher |
Wiley |
publishDate |
2021 |
url |
https://hdl.handle.net/10642/9699 https://doi.org/10.1111/aogs.13896 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
Acta Obstetricia et Gynecologica Scandinavica |
op_relation |
Acta Obstetricia et Gynecologica Scandinavica;Volume 99, Issue 10 Nygaard, Rydningen, Stedenfeldt, Wojniusz, Larsen M, Lindsetmo, Haugstad GK, Øian. Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica. 2020;99(10):1320-1329 urn:issn:0001-6349 urn:issn:1600-0412 https://hdl.handle.net/10642/9699 https://doi.org/10.1111/aogs.13896 cristin:1826074 |
op_rights |
Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License https://creativecommons.org/licenses/by-nc/4.0/ |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1111/aogs.13896 |
container_title |
Acta Obstetricia et Gynecologica Scandinavica |
container_volume |
99 |
container_issue |
10 |
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1320 |
op_container_end_page |
1329 |
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