Impact of Physical Activity for Chronic Pelvic Pain

Not Applicable

Completed

Brief Summary: The purpose of this pilot study is to evaluate the impact of an intervention to increase physical activity on pain, function and quality of life in women with chronic pelvic pain.

Detailed Description: The primary aim of this pilot study is to evaluate the impact of moderate-intensity physical activity on pelvic pain in women with chronic pelvic pain. We will develop a moderate-intensity physical activity program for patients with chronic pelvic pain in conjunction with exercise physiologists and physical medicine and rehabilitation (PM\&R) physicians. Based on prior research in fibromyalgia and other centralized pain disorders, we hypothesize that eight weeks of moderate-intensity physical activity will reduce pain intensity and pain interference in women with chronic pelvic pain. We will also evaluate the impact of moderate-intensity physical activity on physical function, fatigue, sexual function, sleep, anxiety, depression, catastrophization and patient global impression of change in women with chronic pelvic pain. We hypothesize that eight weeks of moderate-intensity physical activity will result in improvements in these measures of function and quality of life.

Recruitment & Eligibility

Inclusion Criteria

Female
18-65 years old
≥ 6 months of noncyclic pelvic pain
Pain that is severe enough to cause functional limitations, defined here as an average self-reported daily pain score of 4 on a 10 point scale
Willing to attend activity session in Ann Arbor, MI at least 3 times per week
English speaking

Exclusion Criteria

Pelvic surgery within the previous 3 months or plan for pelvic surgery within the following 3 months
Participation in pelvic floor physical therapy during the 12 week study period
Medical co-morbidities that prohibit participation in an exercise program, such as significant cardiovascular, pulmonary or orthopedic disease
Pregnancy
Documented history of significant dementia

Arm && Interventions

Group	Intervention	Description
Intervention	Physical Activity	This pilot study will enroll 25 women age 18-65 with greater than six months of noncyclic pelvic pain. Subjects will participate in an 8-week physical activity program specifically designed for patients with chronic pain and supervised by personal trainers and exercise physiologists in a rehab-focused, medically-based fitness center. Subjects will complete web-based assessment tools at the start of the program, immediately after completion of the 8-week program and four weeks after the conclusion of the program (at the 12-week time point).

Primary Outcome Measures

Name	Time	Method
Pain	8 weeks	Change in reported pain after physical activity intervention, measured using VAS and Patient Reported Outcomes Measurement Information System (PROMIS) Pain Interference Scale

Secondary Outcome Measures

Name	Time	Method
Physical Function	8 weeks	Change in reported physical function, measured by the PROMIS Physical Function Scale
Fatigue	8 weeks	Change in reported fatigue, measured by the PROMIS Fatigue Scale
Sexual Function	8 weeks	Change in reported sexual function, measured by the Female Sexual Function Index
Sleep	8 weeks	Change in reported sleep, measured by the PROMIS Sleep Disturbance Scale
Anxiety	8 weeks	Change in reported anxiety, measured by the PROMIS Anxiety Scale
Depression	8 weeks	Change in reported depression, measured by the PROMIS Depression Scale
Catastrophization	8 weeks	Change in reported catastrophization, measured by the Pain Catastrophization Scale
Overall symptom improvement	8 weeks	Change in overall symptoms, measured by the Patient Global Impression of Change Scale

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