Hormonal treatment isolated versus hormonal treatment associated with electrotherapy for pelvic pain control in deep endometriosis: Randomized clinical trial

Mira, Ticiana Aparecida Alves de; Yela, Daniela Angerame; Podgaec, Sérgio; Baracat, Edmund Chada; Benetti‐Pinto, Cristina Laguna

doi:10.1016/j.ejogrb.2020.10.018

Cited by 26 publications

(76 citation statements)

References 30 publications

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“…The kinds of physical therapy used in women with endometriosis are mainly light therapy, laser therapy, electrotherapy and magnetotherapy [ 35 , 36 , 37 , 38 , 39 , 40 ] ( Table 1 ). Physical therapy treatments complement the comprehensive therapy of endometriosis treatment.…”

Section: Physiotherapy In Endometriosismentioning

confidence: 99%

“…The physiotherapeutic management of patients with endometriosis also includes electrotherapy, which has an analgesic and hyperemic effect. Medium- and low-frequency currents are used [ 36 , 37 ]. Both interference currents and Transcutaneous Electrical Nerve Stimulation (TENS) have the effect of reducing pain in the pelvic area.…”

Section: Physiotherapy In Endometriosismentioning

confidence: 99%

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Physiotherapy Management in Endometriosis

Wójcik¹,

Szczepaniak

Placek

2022

IJERPH

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Endometriosis is a disease whose underlying cause is the growth of the endometrium outside the uterine cavity. The disease is characterised by unpleasant pain in the pelvic region, irrespective of the phase of the woman’s cycle. Physiotherapy in its various forms can be an excellent complement to the gynaecological treatment of endometriosis, by virtue of reducing inflammation, alleviating pain and thus significantly improving women’s quality of life. Physiotherapy in endometriosis should include kinesiotherapy, manual therapy including visceral therapy, physical therapy, spa treatment including balneotherapy, and hydrotherapy. The aim of this study is to present the use of physiotherapy as an adjunct therapy in the treatment of endometriosis. A review of the available literature in the Medline, PubMed and Google Scholar databases was performed without being limited by the time frame of available publications on the forms of physiotherapy used in the treatment of endometriosis.

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Section: Physiotherapy In Endometriosismentioning

confidence: 99%

Section: Physiotherapy In Endometriosismentioning

confidence: 99%

Physiotherapy Management in Endometriosis

Wójcik¹,

Szczepaniak

Placek

2022

IJERPH

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“…Of the controlled clinical trials found Mikocka, A et al [25] states that cognitive behavioral therapy and yoga may have benefits in alleviating the general well-being of patients with pain caused by endometriosis. Similarly, Mira, T et al [26] in their trial that included 101 patients showed improvement in chronic pelvic pain p < 0.001 with a decrease of 36% in the intervention group, through transcutaneous electrical stimulation. This reduction in pain was observed from the third week to the end of treatment, as well as improvements in dyspareunia, sexual function, and quality of life of the participants.…”

Section: Experimental Studies (Table 1 and 2)mentioning

confidence: 81%

“…These include physical therapy, acupuncture, M a n u s c r i p t a c c e p t e d f o r p u b l i c a t i o n massage, Pilates, diet, and cognitive behavioral therapy. The few publications that are found in this regard on complementary therapies show positive and promising results over this topic [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Complementary pain management in endometriosis: a narrative review

Vera¹,

Castro²,

Zornosa³

et al. 2023

Ital J Gynaecol Obstet

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Endometriosis is a gynecological disease characterized mainly by infertility, chronic pelvic as well by the disability that generates. In 2020, the WHO established that it affects approximately 10% of women and girls of reproductive age worldwide. Multiple surgical and pharmacological treatments have been recommended by different clinical practice guidelines for pain relief. Complementary therapies such as acupuncture, electrotherapy, massage, physical exercise, or diet have not been established as strong recommendation Nevertheless studies demostrated significant decrease in pain that support its use as an adjunct pain managment.Objective. To understand and expose the contribution of complementary therapies to pain relief in patients with endometriosis.Methodology. For the study, a search was carried out in: PubMed, Web of Science, Scopus, and Ovid databases with controlled descriptors in health, filtering 994 articles and including 12.Results. It was found that medical management for pain relief in patients with endometriosis is the basis of the treatment of this health condition. However, with complementary therapies a decrease in pain was demonstrated. This include: Transcutaneous electrical stimulation, neuromuscular pelvic floor manipulation, complementary alternative medical therapy, acupuncture technique on Ah Shi points, cognitive behavioral therapy, physical activity, diet and physioterapy. Information was found in 16 articles of experimental, observational studies and narrative reviews which support the use of complementary therapy as an adjunct in the management of pelvic pain.Conclusions. The use of complementary therapies are effective interventions for pain control in patients with endometriosis and should be recommended for pain improvements and quality of life.

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“…Therapeutic exercise based on aerobic exercise has shown some positive effects on pain intensity and inflammation 5 . Manual therapy or electrotherapy interventions focused on the muscular tissues have demonstrated improvements in sexual function in women with endometriosis 7,8 …”

Section: Introductionmentioning

confidence: 99%

Benefits of physical therapy in improving quality of life and pain associated with endometriosis: A systematic review and meta‐analysis

Abril-Coello

Correyero-León

Ceballos‐Laita

et al. 2023

Intl J Gynecology & Obste

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Objective: To assess whether non-pharmacologic conservative therapeutic interventions are beneficial in improving pain intensity and quality of life in women with endometriosis compared with placebo. Methods:A systematic review with meta-analysis was designed. A literature search was performed in the following databases: PubMed, PEDro, Embase, CINAHL, Isi Web of Science, Enfispo, and Cochrane. Randomized controlled trials included women with endometriosis treated with conservative treatment versus placebo. The quality of the studies was assessed using the PEDro scale, and the risk of bias of the individual studies was assessed using the Cochrane Risk of Bias tool. For the overall quality of the studies, the GRADE guidelines were used.Results: Meta-analysis included six studies. Significant results were obtained for pain intensity (standardized mean difference [SMD] -0.89; 95% confidence interval [CI] -1.21 to −0.57; I 2 69%) and concerning quality of life, significant results were only obtained for the sub-variable physical function (SMD -1.49; 95% CI -2.88 to −0.10; I 2 95%). No statistically significant differences were found for the rest of the variables analyzed. Conclusion:Non-pharmacologic conservative therapies are a therapeutic option for women with endometriosis for improving pain intensity and physical function.

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Hormonal treatment isolated versus hormonal treatment associated with electrotherapy for pelvic pain control in deep endometriosis: Randomized clinical trial

Cited by 26 publications

References 30 publications

Physiotherapy Management in Endometriosis

Physiotherapy Management in Endometriosis

Complementary pain management in endometriosis: a narrative review

Benefits of physical therapy in improving quality of life and pain associated with endometriosis: A systematic review and meta‐analysis

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