Physiotherapy Intervention in Climacteric Women With Dyspareunia

Hospital de Clinicas de Porto Alegre

Status

Completed

Conditions

Dyspareunia

Treatments

Other: Manual therapy in iliopsoas, diaphragm and piriformis

Other: Pelvic Floor Muscle Training

Other: Intra Vaginal Manual therapy

Other: superficial heat low back

Other: Electromyographic biofeedback

Other: superficial heat pelvic floor muscle

Study type

Interventional

Funder types

Other

Identifiers

NCT02804048

13-0307

Details and patient eligibility

About

Aim: To evaluate the effectiveness of physical therapy intervention techniques in the improvement of dyspareunia in climacteric women.

Study design: This is a randomized controlled trial.

Full description

Search location: Menopause and Sexuality Clinic of the department of obstetrics and Gynecology and Clinical Research Center, Hospital de Clínicas de Porto Alegre (HCPA).

Patients or participants: The recruited patients may not be vaginal atrophy (cytology-hormone test) and must provide the diagnosis of dyspareunia for more than six months being confirmed by one of the investigators through the pain score above grade 3 (visual analog pain scale) visual inspection, palpation and a questionnaire about the duration and location of pain.

Intervention and measures: consist of evaluation of the pelvic floor muscles (Oxford Scale and Perfect), myoelectric assessment (Electromyography), quality of life (Cervantes Scale), sexual function (FSFI), level of depression (Beck Scale) and pain (visual analog pain scale) before and after physical therapy intervention.

Expected results: To estimate the effectiveness of pelvic floor training techniques with physical therapy in women with dyspareunia.

Enrollment

42 patients

Sex

Female

Ages

40 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

dyspareunia complaint for at least six months
visual analog scale of pain above 3
trophic vagina

Exclusion criteria

vaginal atrophy
neurological disorders
lack of cognition and understanding
urinary tract infection and / or genital infections
prolapse grade 2 and 3
severe systemic disease
performing physical therapy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

42 participants in 2 patient groups, including a placebo group

Pelvic Floor Muscle Training

Experimental group

Description:

superficial heat pelvic floor muscle intra vaginal manual therapy. PERFECT scale is applied in 5 sessions and based on the result of each assessment is performed the treatment plan with exercises of the pelvic floor muscles. It is performed manual therapy in iliopsoas, diaphragm and piriformis. From the fourth session, initiate treatment with electromyographic biofeedback based on the result of PERFECT scale.

Treatment: