Program to Overcome Pelvic Pain Study (POPPY)
Status
Completed
Conditions
Recurrent Pelvic Pain
Chronic Pelvic Pain
Pelvic Pain
Treatments
Other: Yoga Program
Other: Physical Conditioning Program
Study type
Interventional
Funder types
Other
NIH
Identifiers
Details and patient eligibility
About
To refine and evaluate the feasibility of procedures for a future full-scale efficacy trial of a group-based therapeutic yoga intervention versus physical conditioning (stretching and strengthening) intervention for women with chronic pelvic pain.
Enrollment
36 patients
Sex
Female
Ages
18+ years old
Volunteers
No Healthy Volunteers
Inclusion criteria
- Women aged 18 years or older who report chronic or recurrent pelvic pain for at least 6 months
- Report an average daily pain intensity score of at least 4 (on a 0 to 10 scale) on a screening 7-day pain log
- Report prior clinical evaluation of pain by a healthcare professional including at least a superficial pelvic exam
- Willing to refrain from initiating new clinical treatments that may affect their pain during the study period
Exclusion criteria
- Report pelvic pain occurring exclusively with menses or exclusively during sexual intercourse (note that women with at least some pain between menses or intercourse are still eligible)
- Participation in organized yoga classes or muscle strengthening programs (e.g., Pilates) in the past month, or prior yoga therapy specifically directed a pelvic pain
- Currently pregnant (by self-report or screening test), pregnant within the past 6 months, or planning pregnancy
- Diagnosed with an alternate, reversible cause of pain that is unlikely to respond to yoga and requires another treatment modality (e.g., current pelvic infection or a gynecologic dermatosis)
- Initiation, dose escalation, or weaning of pharmacologic agents that may affect pelvic pain severity in the past 1 month (e.g., pain medications, antidepressants, anticonvulsants)-note that women on stable doses will be eligible
- Surgery to the genital or pelvic structures within 3 months, or prior cancer or irradiation to these structures
- Use of formal psychological therapies specifically for pelvic pain (e.g., systematic desensitization, sex therapy, cognitive therapy, relaxation therapy) within 1 month of screening
- Use of formal behavioral therapies for pelvic or genital pain (e.g., pelvic floor rehabilitation or biofeedback performed by a certified healthcare practitioner) within 1 month of screening
- Unable to walk up a flight of stairs or at least 2 blocks on level ground (i.e., functional capacity < 4 METs), or unable to get up from a supine to a standing position without assistance
- Participation in another interventional study that might interfere with or confound study procedures
- Known conflict with multiple available intervention class dates
- Inability to sign an informed consent or fill out questionnaires or complete study interviews in English, or lacking technical requirements to complete intervention classes or study visits by video
Trial design
Primary purpose
Treatment
Allocation
Randomized
Interventional model
Parallel Assignment
Masking
Double Blind
36 participants in 2 patient groups
Yoga Program
Experimental group
Description:
The study yoga intervention is designed to provide instruction and practice in selected yoga postures and techniques chosen by an expert panel for their potential to improve pelvic pain in women.
Treatment:
Other: Yoga Program
Physical Conditioning Program
Active Comparator group
Description:
A low-impact, muscle stretching and strengthening program.
Treatment:
Other: Physical Conditioning Program
Trial contacts and locations
3
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Data sourced from clinicaltrials.gov
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