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Effects of Breathing Exercises in Women With Chronic Pelvic Pain

Not Applicable
Completed
Conditions
Breathing Exercises
Chronic Pelvic Pain Syndrome
Women
Pelvic Floor; Relaxation
Interventions
Other: Breathing Exercises
Other: Pelvic Floor Exercises
Registration Number
NCT05875545
Lead Sponsor
Saglik Bilimleri Universitesi
Brief Summary

The primary cause of the complex interaction of chronic pelvic pain originates from the visceral organs in the pelvic cavity, and it has been observed that musculoskeletal dysfunctions (such as increased muscle activity in the pelvic floor muscles) are often accompanied by visceral painful stimuli in the pelvic region as a result of shared innervation and visceral-somatic convergence.

This study aims to investigate the effect of breathing exercises combined with pelvic floor exercises on pain, pelvic floor muscle activity, psychological factors, and quality of life in women with chronic pelvic pain.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
20
Inclusion Criteria
  • Be diagnosed with chronic pelvic pain (CPA)
  • Having pelvic pain for at least 6 months
  • 18-45 years old
  • Having high resting activity of the pelvic floor (>2 microvolts based on superficial EMG (sEMG) readings)
Exclusion Criteria
  • Having a history of pelvic cancer and/or surgery
  • Receiving radiotherapy and/or chemotherapy
  • Having a neurological and/or psychiatric pathology
  • Have a urinary tract infection
  • Menopause
  • Presence of current pregnancy status
  • History of miscarriage and ectopic pregnancy
  • Presence of prolapse
  • Being >30 kg/cm2 according to body mass index (BMI)
  • Have received treatment for the pelvic area including manual therapy and electrotherapy in the last 6 months
  • Having had botulinum toxin injections in the pelvic region in the last 6 months
  • Having a communication problem

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Breathing Exercise GroupPelvic Floor ExercisesCombined breathing and pelvic floor exercises
Breathing Exercise GroupBreathing ExercisesCombined breathing and pelvic floor exercises
Control GroupPelvic Floor ExercisesPelvic floor exercises
Primary Outcome Measures
NameTimeMethod
Change from Baseline Pelvic Floor Muscle Activity (PFMA) at 8 weeksat the baseline and end of the 8 weeks (16 sessions)

PFMA measurement will be performed with the sEMG NeuroTrac MyoPlus Pro (Verity Medical Ltd, UK) device integrated with computer software for digital analysis and report generation.

Change from Baseline Visual Analogue Scale (VAS) at 8 weeksat the baseline and end of the 8 weeks (16 sessions)

Pain severity will be evaluated with the VAS.

Change from Baseline McGill Pain Scale- Short Form at 8 weeksat the baseline and end of the 8 weeks (16 sessions)

The scale consists of 3 parts. In the first part of the scale, a total of 3 pain scores are obtained: sensory pain score, perceptual pain score and total pain score. In the second part, there were five word groups ranging from "mild pain" to "unbearable pain" to determine the severity of the patient's pain. In the third part, the current pain intensity of the patient was evaluated using a visual comparison scale.

Secondary Outcome Measures
NameTimeMethod
Global Pelvic Floor Disorder Questionnaireat the baseline and end of the 8 weeks

Global pelvic floor disorders will be evaluated at baseline and after 8 weeks

Corbin Postural Rating Scaleat the baseline and end of the 8 weeks

Measuring of posture changes

Pelvic Pain Impact Questionnaireat the baseline and end of the 8 weeks

Clinical evaluation of pelvic pain effect

Short Form-36at the baseline and end of the 8 weeks

Evaluation of quality of life

Depression, Anxiety and Stress Scaleat the baseline and end of the 8 weeks

Evaluation of moods (depression, anxiety and stress)

Trial Locations

Locations (1)

Istanbul Saglık Bilimleri University

🇹🇷

Istanbul, Turkey

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