Gökçe Can, Isabel Pinto Amorim das Virgens, Boglárka Fehér, Enikő Pálma Orbán, Péter Fehérvári, Ferenc Bánhidy, Péter Hegyi, Ágnes Andrea Mayer, Nándor Ács
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引用次数: 0
Abstract
Background: Endometriosis is a disease often associated with chronic pelvic pain (CPP). It affects around 190 million females of reproductive age globally.
Objectives: To investigate the effect of physiotherapy techniques (PTs) in relieving endometriosis-associated pain.
Methods: This systematic review and meta-analysis followed the PRISMA 2020 and Cochrane Handbook guidelines. The study protocol was followed and registered on PROSPERO (CRD42023474231).
Search strategy: A systematic search was conducted in three databases: PubMed, Embase, and Cochrane.
Selection criteria: We used the following PICO strategy: Population, women with endometriosis-associated pelvic pain (EAPP); intervention, physiotherapy techniques; comparator, non-physiotherapy techniques; outcome, pelvic pain changes. The article selection was conducted by two independent reviewers.
Data collection and analysis: Two authors extracted data independently from the eligible articles. For continuous outcomes, the mean difference (MD) in change scores between intervention and control groups was used as an effect size with a 95% confidence interval (CI). Within-group correlation of before- and after-treatment was assumed to be equal across groups and studies.
Results: Out of eight eligible studies identified in our selection, seven were included in the quantitative analysis. PTs were effective in reducing pain compared to non-PTs (MD -1.97, CI -2.99 to -0.95), and physiotherapy modalities (electrotherapy and laser devices) had the greatest reduction in pain levels (MD -2.03, CI -3.9 to -0.14) among all studies. Additionally, locally applied techniques resulted in greater pain reduction than the generally applied techniques.
Conclusion: Physiotherapy techniques are effective in reducing pain in women with endometriosis, especially when applied locally.
背景:子宫内膜异位症是一种常见于慢性盆腔疼痛(CPP)的疾病。它影响着全球约1.9亿育龄女性。目的:探讨物理治疗技术(PTs)在缓解子宫内膜异位症相关疼痛中的作用。方法:本系统综述和荟萃分析遵循PRISMA 2020和Cochrane手册指南。遵循研究方案并在PROSPERO (CRD42023474231)上注册。检索策略:系统检索三个数据库:PubMed、Embase和Cochrane。选择标准:我们采用以下PICO策略:人群,患有子宫内膜异位症相关盆腔疼痛(EAPP)的女性;干预、理疗技术;比较者,非物理治疗技术;结果,骨盆疼痛改变。文章的选择是由两位独立的审稿人进行的。数据收集和分析:两位作者独立地从符合条件的文章中提取数据。对于连续结果,使用干预组和对照组之间变化评分的平均差异(MD)作为效应量,95%置信区间(CI)。假设治疗前后的组内相关性在各组和研究中是相等的。结果:在我们选择的8个符合条件的研究中,有7个被纳入定量分析。与非PTs相比,PTs在减轻疼痛方面有效(MD -1.97, CI -2.99至-0.95),在所有研究中,物理治疗方式(电疗和激光设备)在减轻疼痛水平方面效果最大(MD -2.03, CI -3.9至-0.14)。此外,局部应用的技术比一般应用的技术更能减轻疼痛。结论:物理治疗技术可有效减轻子宫内膜异位症患者的疼痛,特别是局部应用。
期刊介绍:
Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.