Vaginal stretching therapy and class IIIB vaginal laser treatment for pelvic floor myofascial pain: a randomized clinical trial

Frederice, Claudia Pignatti; Brito, Luiz Gustavo Oliveira; Machado, Helymar da Costa; Reis, Amanda Martins; Fernandes, Juliana Oliveira; Juliato, Cássia Raquel Teatin

doi:10.1007/s10103-022-03501-7

Cited by 3 publications

(6 citation statements)

References 45 publications

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“…The laser device emits 1 J every 10 s. A condom will protect the device for application and will be changed for each patient. Condom use causes a 20% loss of potency (assessed and measured by the device manufacturer), but it is necessary for patient security 15…”

Section: Methodsmentioning

confidence: 99%

“…Condom use causes a 20% loss of potency (assessed and measured by the device manufacturer), but it is necessary for patient security. 15 …”

Section: Methodsmentioning

confidence: 99%

“…Condom use causes a 20% loss of potency (assessed and measured by the device manufacturer), but it is necessary for patient security. 15 All participants in the PT arm will be in a gynaecological position on their beds, with a sheet covering their legs, and will wear protective glasses. The application assistant will wear protective glasses, position the laser device perpendicular (90°) to the point that will receive an application, touch the pointer to the skin, cover the region with her hand and apply (or simulate) the PBM.…”

Section: Interventionsmentioning

confidence: 99%

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Effectiveness of photobiomodulation therapy on pain intensity in postpartum women with nipple or perineal trauma: protocol for a multicentre, double-blinded, parallel-group, randomised controlled trial

Gondim,

Nascimento,

Gaitero

et al. 2023

BMJ Open

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IntroductionPhotobiomodulation (PBM) using low-level laser can affect tissue repair mechanisms and seems promising in reducing pain intensity. However, few studies support the effectiveness of PBM on postpartum period complications, such as nipple and/or perineal trauma and pain, probably due to the low doses used. The primary objective of this study is to analyse the effectiveness of PBM on pain intensity in the nipple and perineal trauma in women in the immediate postpartum period. Secondary objectives are to evaluate the effect on tissue healing and the women’s satisfaction.Methods and analysisA double-blind, multicentre, parallel-group, randomised controlled trial will be performed in two public referral maternity hospitals in Brazil with 120 participants, divided into two arms: 60 participants in the nipple trauma arm and 60 participants in the perineal trauma arm. Participants will be women in the immediate postpartum period, who present with nipple trauma or perineal trauma and report pain intensity greater than or equal to 4 points on the Numerical Rating Scale for Pain. Block randomisation will be performed, followed by blinding allocation. In the experimental group, one application of PBM will be performed between 6 hours and 36 hours after birth. For the sham group, the simulation will be carried out without triggering energy. Both participants and the research evaluator will be blinded to the allocation group. Intention-to-treat method and the between-group and within-group outcome measures analysis will be performed.Ethics and disseminationThis research protocol was approved by the Research Ethics Committees of the University of Campinas, Brazil, and of the School Maternity Assis Chateaubriand, Brazil (numbers CAAE: 59400922.1.1001.5404; 59400922.1.3001.5050). Participants will be required to sign the informed consent form to participate. Results will be disseminated to the health science community.Trial registration numberBrazilian Registry of Clinical Trials (RBR-2qm8jrp).

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Section: Methodsmentioning

confidence: 99%

“…Condom use causes a 20% loss of potency (assessed and measured by the device manufacturer), but it is necessary for patient security. 15 …”

Section: Methodsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

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Effectiveness of photobiomodulation therapy on pain intensity in postpartum women with nipple or perineal trauma: protocol for a multicentre, double-blinded, parallel-group, randomised controlled trial

Gondim,

Nascimento,

Gaitero

et al. 2023

BMJ Open

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“…Myofascial pelvic pain (MFPP), also known as myofascial pelvic pain syndrome, is characterized by pain originating from the muscles and fascia of the pelvic floor. The primary diagnostic feature of MFPP is the existence of myofascial trigger points (MTrPs) within the pelvic floor muscles (PFMs) and in distant areas [1]. The development of MFPP involves multiple interconnected mechanisms, making its pathogenesis complex [2].…”

Section: Introductionmentioning

confidence: 99%

“…These holistic effects make MPT a comprehensive therapeutic approach for individuals with chronic pelvic pain syndrome (CPPS) [4]. Various studies have reported the effectiveness of both external and internal MPT in the improvement of MFPP [1,5,6]. Nevertheless, there is significant variation in the approaches used by clinicians and their reporting methods, which poses challenges when comparing studies.…”

Section: Introductionmentioning

confidence: 99%

Manual therapy formyofascial pelvic pain: A case report and narrative review

Abdellatif,

Youssef,

Hamada

et al. 2023

Fiz Pol

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Background. Myofascial pelvic pain (MFPP) is characterized by the presence of tender myofascial trigger points (MTrPs) in the muscles and fascia of the pelvic floor. Pelvic floor manual therapy is frequently suggested as the first line of treatment for MFPP. Main body of the abstract. The existing literature affirms the beneficial outcomes of manual therapy in the treatment of MFPP and offers a concise summary of how these techniques are applied to patients with MFPP. Literature includes ten techniques; (1) myofascial trigger point release, (2) Thiele massage, (3) internal self-massage, (4) perineal massage, (5) combined manual techniques, (6) pelvic myofascial mobilization, (7) manual visceral therapy, (8) connective tissue manipulation, (9) scar release, and (10) internal coccyx manipulation. Methods. A narrative review was carried out to summarize the available evidence on pelvic floor manual therapy techniques for MFPP. Key content and findings. Upon review of the current research landscape, twenty-five studies met the inclusion criteria. Available evidence suggests that pelvic floor manual therapy is effective in the treatment of MFPP. Conclusion. Although current available studies are limited in number with limitations in study design, manual therapy is considered a promising, effective, and safe option for the treatment of MFPP.

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