Efficacy of RPG Global Postural Rehabilitation Technique Combined with Pelvic Floor Electrical Stimulation, Manual Massage for Myofascial Chronic Pelvic Pain
WU Fei, LUO Jun, LIU Li, et al
Maternal and Child Health Hospital of Hunan Province,Changsha Hunan 410008
Abstract：【Objective】To explore the clinical efficacy of RPG global postural rehabilitation technique combined with pelvic floor electrical stimulation, manual massage in patients with myofascial chronic pelvic pain (MFPP).【Methods】A total of 80 female patients diagnosed as MFPP treated in the pelvic floor diagnosis and treatment center of Hunan Maternal and Child Health Hospital from March 2020 to December 2023 were selected and they were divided into the observation group (40 cases) and the control group (40 cases) through the random number table method. All two groups received 1 course of stimulation therapy + manual massage + pelvic floor muscle exercise therapy, while the observation group was also given the RPG global postural rehabilitation training. Treatment efficiency after treatment, degree of pelvic myofascial pain and abnormal posture recovery before and after treatment were compared between the two groups.【Results】The treatment effective rate was 87.50% in the observation group and 80.00% in the control group, with no significant difference between the two groups(P>0.05).The pain of the left side, right side, obturator, piriformis, and the mixed patten showed no statistically significant difference (P>0.05). After treatment, the proportion of patients with moderate and severe pain in both groups was significantly reduced compared with before treatment (P<0.05), and the proportion of patients without pain in the observation group was significantly higher than that in the control group (P<0.05).The treatment effective rate of abnormal posture improvement was 57.33% in the observation group and 37.5% in the control group. There was no statistically significant difference between the two groups (P>0.05).【Conclusion】RPG global postural rehabilitation technique combined with pelvic floor electrical stimulation, manual massage can significantly relieve the pain of MFPP, which is a safe and effective method for the treatment of MFPP. The long-term efficacy needs to be further observed.
[1] FALL M, BARANOWSKI A P, ELNEIL S, et al. EAU guidelines on chronic pelvic pain[J].Eur Urol,2010,57(1):35-48. [2] AHANGARI A. Prevalence of chronic pelvic pain among women: an updated review[J].Pain Physician,2014,17(2):E141-E147. [3] GRINBERG K, SELA Y, NISSANHOLTZ-GANNOT R.New insights about chronic pelvic pain syndrome (CPPS)[J].Int J Environ Res Public Health,2020,17(9):3005. [4] ABREU-MENDES P, BARANOWSKI A P, BERGHMANS B,et al. Myofascial pelvic pain: best orientation and clinical practice. position of the european association of urology guidelines panel on chronic pelvic pain[J].Eur Urol Focus,2023,9(1):172. [5] 王忠民.女性慢性盆腔痛诊疗精要[M].北京:科学出版社,2020:13. [6] BEDAIWY M A,PATTERSON B,MAHAJAN S.Prevalence of myofascial chronic pelvic pain and the effectiveness of pelvic floor physical therapy[J].J Reprod Med,2013,58(11-12):504-510. [7] 韩丽,高珊,杨晓丹,等.经皮神经电刺激联合内啡肽方案治疗肌筋膜源性慢性盆腔痛初步疗效分析[J].中华妇产科杂志,2017,52(12):844-847. [8] GYANG A,HARTMAN M,LAMVU G.Musculoskeletal causes of chronic pelvic pain: what a gynecologist should know[J].Obstet Gynecol,2013, 121(3):645-650. [9] SHI J Y,PAREDES MOGICA J A,DE E J B.Non-surgical management of chronic pelvic pain in females[J].Curr Urol Rep,2022,23(10):245-254. [10] PARSONS B A,BARANOWSKI A P,BERGHMANS B, et al.Management of chronic primary pelvic pain syndromes[J].BJU Int,2022,129(5):572-581. [11] NATALIE R, BEVIN D, BETTY S, et al.Effects of Yoga on quality of life and pain in women with chronic pelvic pain: systematic review and meta-analysis[J].J Women's Health Phys Ther,2019,43(3):144-154. [12] 吴菲,罗军,龙婷,等.仿生物电刺激联合人工周期治疗中重度宫腔粘连的临床疗效[J].医学临床研究,2019,36(4):672-674. [13] 程芳,谭容容,刘素珊,等.电刺激结合按摩对产后盆腔肌筋膜疼痛的疗效研究[J].中国妇幼健康研究,2014,25(6):1015-1018. [14] GAO L, ZHANG D, WANG S H, et al. Effect of the app-based video guidance on prenatal pelvic floor muscle training combined with global postural re-education for stress urinary incontinence prevention: a protocol for a multicenter, randomized controlled trial[J].Int J Environ Res Public Health,2021,18(24):12929. [15] MENDES-FERNANDES T, PUENTE-GONZÁLEZ A S, MÁRQUEZ-VERA M A, et al.Effects of global postural reeducation versus specific therapeutic neck exercises on pain, disability, postural control, and neuromuscular efficiency in women with chronic nonspecific neck pain: study protocol for a randomized, parallel, clinical trial[J].Int J Environ Res Public Health,2021,18(20):10704. [16] CAVALCANTI I F, ANTONINO G B, MONTE-SILVA K K D,et al. Global Postural Re-education in non-specific neck and low back pain treatment: a pilot study[J].J Back Musculoskelet Rehabil,2020,33(5):823-828.
2024, Vol. 41 
