Effectiveness of a Manual Therapy Protocol on Women With Pelvic Pain Due to Endometriosis
- Conditions
- EndometriosisPelvic Pain
- Interventions
- Other: Placebo treatmentOther: Manual therapy
- Registration Number
- NCT05418751
- Lead Sponsor
- University of Valencia
- Brief Summary
Endometriosis is a debilitating disease with features of chronic inflammation that affects 10-15% of women of reproductive age. Pelvic pain is one of the most common symptoms in women with endometriosis, and many of them report that it affects their quality of life. In addition, women with endometriosis, especially those with pelvic pain, also have an increased vulnerability to various psychiatric disorders, such as depression and anxiety.
In this context, physical therapy can contribute to the multidisciplinary assessment and treatment of pelvic pain. In addition, manual therapy could improve certain variables related to central sensitization, such as inhibitory pain regulation and neuronal excitability in the dorsal horn of the medulla, in patients with chronic pain. Some prospective studies have applied manual therapy in patients with pelvic pain due to endometriosis, and have shown a trend towards improvement of pain and quality of life. Moreover, it is considered a well-tolerated and accepted treatment by patients.
However, to date, it has not been investigated whether the application of a manual therapy protocol improves pelvic pain and other endometriosis-associated symptoms, lumbar mobility, medication intake, depression and anxiety levels, and quality of life in women with endometriosis-associated pelvic pain compared to a placebo treatment.
- Detailed Description
Endometriosis is a debilitating disease with features of chronic inflammation that affects 10-15% of women of reproductive age. Pelvic pain is one of the most common symptoms in women with endometriosis, and many of them report that it affects their quality of life. In addition, women with endometriosis, especially those with pelvic pain, also have an increased vulnerability to various psychiatric disorders, such as depression and anxiety.
In this context, physical therapy can contribute to the multidisciplinary assessment and treatment of pelvic pain. In addition, manual therapy could improve certain variables related to central sensitization, such as inhibitory pain regulation and neuronal excitability in the dorsal horn of the medulla, in patients with chronic pain. Some prospective studies have applied manual therapy in patients with pelvic pain due to endometriosis, and have shown a trend towards improvement of pain and quality of life. Moreover, it is considered a well-tolerated and accepted treatment by patients.
However, to date, it has not been investigated whether the application of a manual therapy protocol improves pelvic pain and other endometriosis-associated symptoms, lumbar mobility, medication intake, depression and anxiety levels, and quality of life in women with endometriosis-associated pelvic pain compared to a placebo treatment.
Therefore, this is a randomized clinical trial in which two groups of twenty people in each group will participate, with different interventions:
* Experimental group: manual therapy protocol.
* Placebo group: placebo treatment. Participants will be evaluated in four moments, at baseline, post-intervention, 1-month follow-up and 6-month follow-up.
Data analysis will be performed with SPSS statistic program (v24). Normality and homoscedasticity will be analyzed by Shapiro-Wilk t-test and Levene test, respectively. Multifactorial ANOVA will be performed with two groups (experimental and placebo group) and four-time assessments. For comparation between groups Bonferroni will be used. When p\<0.05 statistically significant differences will be assumed.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 40
- Pre-menopausal woman aged between 18 and 50 years.
- Diagnosis of endometriosis and associated pelvic pain.
- Being pregnant.
- Having rheumatic or degenerative neurological diseases, as well as any other injury or disease that causes pelvic pain.
- Any pelvic surgery of less than one year of evolution (for example, cesarean sections).
- Having received physical therapy treatment within the last three months.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Placebo group Placebo treatment Patients in this group (n=20) will receive a placebo treatment. Manual therapy group Manual therapy Patients in this group (n=20) will receive a manual therapy protocol.
- Primary Outcome Measures
Name Time Method Endometriosis symptoms. The endometriosis health profile questionnaire (EHP-30Q) 5 minutes 5-point Likert scale, where 0=never, 1=rarely, 2=sometimes, 3=often, and 4=always. Raw scores for the questions within a scale are summed and transformed to a 0-100 scale, with higher scores indicating worse health-related quality of life.
- Secondary Outcome Measures
Name Time Method Impression of change after treatment. Patient global Perception of Change Scale (PGICS) 1 minute From 1 to 7. Scale where 7=very much improved, 6= much improved, 5=minimally improved, 4=no change, 3=minimally worse, 2=much worse, 1=very much worse."
Medication intake. Diary 8 months Name of the drug, dosage and frequency of intake.
Lumbar range of movement. Modified Schober Test 5 minutes Higher scores mean a better outcome.\< 2cm indicates severe restriction in lumbar flexion, 2-4 cm indicates moderate restriction and \>4 cm indicates without restriction.
Depression. Beck Depression Index (BDI-II) 5 minutes From 0 to 21 points. Higher scores mean greater depression.
Health related quality of life. 36-Item Short Form Survey (SF-36) 5 minutes From 0 to 100 points. Higher scores mean a better outcome.
Anxiety. State Trait Anxiety Index (STAI) 5 minutes Scores range from 20 to 80, with higher scores correlating with greater anxiety.
Trial Locations
- Locations (1)
Faculty of Physiotherapy, University of Valencia
🇪🇸Valencia, Spain