Aida Lopez-Brull, Borja Perez-Dominguez, Maria Plaza-Carrasco, Cristina Blasco-Ortiz, Blanca Navarro-Ribera, Jose Casaña, Esther Diaz Mohedo, Irmina Nahon
{"title":"在线分级运动想象对诊断为盆腔疼痛的妇女有效：随机对照试验。","authors":"Aida Lopez-Brull, Borja Perez-Dominguez, Maria Plaza-Carrasco, Cristina Blasco-Ortiz, Blanca Navarro-Ribera, Jose Casaña, Esther Diaz Mohedo, Irmina Nahon","doi":"10.1093/ptj/pzae164","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Effective therapeutic strategies are crucial for managing Genito-Pelvic Pain/Penetration Disorder (GPPPD), a condition presenting challenges for both patients and health care providers. This study aims to assess the effectiveness of an online Graded Motor Imagery program in alleviating pain intensity and improving sexual function in women diagnosed with GPPPD.</p><p><strong>Methods: </strong>Eighty-seven women were randomly assigned to either an online Graded Motor Imagery group or a control group. The online Graded Motor Imagery protocol involved engaging participants in 2-week segments of left/right judgment exercises, mental simulation of movements, and gradual exposure therapy. After 6 weeks, we assessed pain intensity and sexual function. The control group gained access to the program upon study completion.</p><p><strong>Results: </strong>The online Graded Motor Imagery group demonstrated a significant reduction in pain intensity, coupled with improvements in sexual function. Notably, participants with enhanced movement imagery abilities experienced greater improvements, while those with negative beliefs and thoughts regarding vaginal penetration showed lower sexual function scores.</p><p><strong>Conclusion: </strong>An online Graded Motor Imagery program is effective in alleviating the pain burden faced by women dealing with GPPPD.</p><p><strong>Impact: </strong>Effectively addressing pelvic pain in patients remains a daunting challenge for physical therapists. Therefore, implementing efficient and easily accessible strategies is crucial. The incorporation of Graded Motor Imagery intervention proves to be an effective approach for improving both pain and sexual functioning in women with GPPPD.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Online Graded Motor Imagery Is Effective in Women Diagnosed with Pelvic Pain: A Randomized Controlled Trial.\",\"authors\":\"Aida Lopez-Brull, Borja Perez-Dominguez, Maria Plaza-Carrasco, Cristina Blasco-Ortiz, Blanca Navarro-Ribera, Jose Casaña, Esther Diaz Mohedo, Irmina Nahon\",\"doi\":\"10.1093/ptj/pzae164\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Effective therapeutic strategies are crucial for managing Genito-Pelvic Pain/Penetration Disorder (GPPPD), a condition presenting challenges for both patients and health care providers. This study aims to assess the effectiveness of an online Graded Motor Imagery program in alleviating pain intensity and improving sexual function in women diagnosed with GPPPD.</p><p><strong>Methods: </strong>Eighty-seven women were randomly assigned to either an online Graded Motor Imagery group or a control group. The online Graded Motor Imagery protocol involved engaging participants in 2-week segments of left/right judgment exercises, mental simulation of movements, and gradual exposure therapy. After 6 weeks, we assessed pain intensity and sexual function. The control group gained access to the program upon study completion.</p><p><strong>Results: </strong>The online Graded Motor Imagery group demonstrated a significant reduction in pain intensity, coupled with improvements in sexual function. Notably, participants with enhanced movement imagery abilities experienced greater improvements, while those with negative beliefs and thoughts regarding vaginal penetration showed lower sexual function scores.</p><p><strong>Conclusion: </strong>An online Graded Motor Imagery program is effective in alleviating the pain burden faced by women dealing with GPPPD.</p><p><strong>Impact: </strong>Effectively addressing pelvic pain in patients remains a daunting challenge for physical therapists. Therefore, implementing efficient and easily accessible strategies is crucial. The incorporation of Graded Motor Imagery intervention proves to be an effective approach for improving both pain and sexual functioning in women with GPPPD.</p>\",\"PeriodicalId\":20093,\"journal\":{\"name\":\"Physical Therapy\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-11-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physical Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/ptj/pzae164\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ptj/pzae164","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Online Graded Motor Imagery Is Effective in Women Diagnosed with Pelvic Pain: A Randomized Controlled Trial.
Objective: Effective therapeutic strategies are crucial for managing Genito-Pelvic Pain/Penetration Disorder (GPPPD), a condition presenting challenges for both patients and health care providers. This study aims to assess the effectiveness of an online Graded Motor Imagery program in alleviating pain intensity and improving sexual function in women diagnosed with GPPPD.
Methods: Eighty-seven women were randomly assigned to either an online Graded Motor Imagery group or a control group. The online Graded Motor Imagery protocol involved engaging participants in 2-week segments of left/right judgment exercises, mental simulation of movements, and gradual exposure therapy. After 6 weeks, we assessed pain intensity and sexual function. The control group gained access to the program upon study completion.
Results: The online Graded Motor Imagery group demonstrated a significant reduction in pain intensity, coupled with improvements in sexual function. Notably, participants with enhanced movement imagery abilities experienced greater improvements, while those with negative beliefs and thoughts regarding vaginal penetration showed lower sexual function scores.
Conclusion: An online Graded Motor Imagery program is effective in alleviating the pain burden faced by women dealing with GPPPD.
Impact: Effectively addressing pelvic pain in patients remains a daunting challenge for physical therapists. Therefore, implementing efficient and easily accessible strategies is crucial. The incorporation of Graded Motor Imagery intervention proves to be an effective approach for improving both pain and sexual functioning in women with GPPPD.
期刊介绍：
Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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