Association of physical therapy techniques can improve pain and urinary symptoms outcomes in women with bladder pain syndrome. A randomized controlled trial

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6
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article
Data de publicação
2022
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BRAZILIAN SOC UROL
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INTERNATIONAL BRAZ J UROL, v.48, n.5, p.807-816, 2022
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Purpose: to verify the effects of biofeedback (BF) and manual therapy (MT) associated with transcutaneous electrical nerve stimulation (TENS) or postural exercises (PE) in the treatment of bladder pain syndrome (BPS) in women regarding pain and urinary symptoms. Materials and Methods: a parallel-randomized controlled trial was conducted in BPS patients diagnosed according to NIH clinical criteria. Two specialized physiotherapists applied demographic and validated questionnaires of perineal and suprapubic pain (VAS), urinary symptoms and problems (ICSI and ICPI) and sexual function (FSFI) and a physical assessment was made to identify myofascial trigger points. Thirty-one women, mean age 51.8 +/- 10.9 were randomized in three groups of treatment consisting of ten weekly sessions of BF and MT (Conventional group); BF, MT, and TENS (TENS group); and BF, MT, and PE (Postural group). Results: Postural group improved perineal and suprapubic pain after treatment (p<0.001 and p=0.001, respectively), and the suprapubic pain improvement remained persistent at 3 months of follow up (p=0.001). Postural group improved urinary symptoms and problems after treatment (p<0.001 and p=0.005, respectively) and during follow up (p<0.001 and p=0.001). Conclusions: Biofeedback and manual therapy associated with postural exercises showed a significant improvement in perineal and suprapubic pain and urinary symptoms after treatment and during follow-up. Both results suggest a possible role for the use of this physiotherapy technique to treat BPS patients. Longer follow-up and a larger number of patients are necessary to confirm these conclusions.
Palavras-chave
Cystitis, Interstitial, Physical Therapy Modalities, Postural Balance
Referências
  1. Bensalah K, 2010, EUR UROL, V57, P466, DOI 10.1016/j.eururo.2009.03.048
  2. Butrick CW, 2003, CLIN OBSTET GYNECOL, V46, P811, DOI 10.1097/00003081-200312000-00011
  3. Cohen J., 1988, STAT POWER ANAL BEHA, DOI 10.4324/9780203771587
  4. DeSantana Josimari M, 2008, Curr Rheumatol Rep, V10, P492
  5. Engeler D, 2018, EAU GUIDELINES CHRON
  6. FitzGerald MP, 2012, J UROLOGY, V187, P2113, DOI 10.1016/j.juro.2012.01.123
  7. Fuentes-Marquez P, 2019, PAIN MED, V20, P5, DOI 10.1093/pm/pnx206
  8. Giggins OM, 2013, J NEUROENG REHABIL, V10, DOI 10.1186/1743-0003-10-60
  9. GILLENWATER JY, 1988, J UROLOGY, V140, P203, DOI 10.1016/S0022-5347(17)41529-1
  10. Hanno P, 2010, NEUROUROL URODYNAM, V29, P191, DOI 10.1002/nau.20847
  11. Haugstad GK, 2006, J PSYCHOSOM RES, V61, P637, DOI 10.1016/j.jpsychores.2006.05.003
  12. Hekman MCH, 2018, EUR UROL FOCUS, V4, P960, DOI 10.1016/j.euf.2017.04.008
  13. Hodges PW, 2007, NEUROUROL URODYNAM, V26, P362, DOI 10.1002/nau.20232
  14. Maurice MJ, 2016, J ENDOUROL, V30, P698, DOI 10.1089/end.2016.0031
  15. MELZACK R, 1965, SCIENCE, V150, P971, DOI 10.1126/science.150.3699.971
  16. Mieritz RM, 2016, J MANIP PHYSIOL THER, V39, P616, DOI 10.1016/j.jmpt.2016.09.003
  17. Neville CE, 2012, J BODYW MOV THER, V16, P50, DOI 10.1016/j.jbmt.2011.06.002
  18. Nickel JC, 2014, UROLOGY, V84, P176, DOI 10.1016/j.urology.2014.03.001
  19. OLeary MP, 1997, UROLOGY, V49, P58, DOI 10.1016/S0090-4295(99)80333-1
  20. Peters KM, 2007, UROLOGY, V70, P16, DOI 10.1016/j.urology.2007.02.067
  21. PRICE DD, 1983, PAIN, V17, P45, DOI 10.1016/0304-3959(83)90126-4
  22. Sapsford R, 2004, MANUAL THER, V9, P3, DOI 10.1016/S1356-689X(03)00131-0
  23. Seth A, 2008, J UROLOGY, V180, P2029, DOI 10.1016/j.juro.2008.07.053
  24. Sharma Nidhi, 2017, J Midlife Health, V8, P36, DOI 10.4103/jmh.JMH_60_16
  25. Spitznagle TM, 2014, OBSTET GYN CLIN N AM, V41, P409, DOI 10.1016/j.ogc.2014.04.003
  26. Sultan AH, 2017, INT UROGYNECOL J, V28, P5, DOI 10.1007/s00192-016-3140-3
  27. Tu FF, 2008, AM J OBSTET GYNECOL, V198, DOI 10.1016/j.ajog.2007.09.002
  28. Vandyken B, 2021, BRAZ J PHYS THER, V25, P256, DOI 10.1016/j.bjpt.2020.05.013
  29. Wiegel M, 2005, J SEX MARITAL THER, V31, P1, DOI 10.1080/00926230590475206