Continuing improvement of chronic pelvic pain in women after short-term Mensendieck somatocognitive therapy: results of a 1-year follow-up study - 21/08/11
, Tor S. Haugstad, MD, PhD c, Unni M. Kirste, MD b, Siv Leganger, PsD a, Slawomir Wojniusz, MHS a, d, Inger Klemmetsen, BHS d, Ulrik F. Malt, MD, PhD a
Reprints: Gro Killi Haugstad, Department of Neuropsychiatry and Psychosomatic Medicine, University of Oslo and Oslo University College, Faculty of Health Sciences, Rikshospitalet, 0027 Oslo, NorwayRésumé |
Objectives |
Chronic pelvic pain is a common source of disability among women in the western world. Here we report that 3 months of Mensendieck somatocognitive intervention in chronic pelvic pain patients was followed by continued improvements of outcomes at 1-year follow-up in a randomized, controlled study design.
Methods |
Forty women with chronic pelvic pain unexplained by pelvic pathology were randomly assigned to 2 groups: (1) standard gynecologic treatment and (2) gynecologic treatment plus somatocognitive therapy aimed at reducing physical pain by changing posture, movement, and respiration patterns. A standardized Mensendieck test (SMT) of motor function (assessing posture, movement, gait, sitting posture, and respiration), a self-rating questionnaire assessing psychologic distress and general well-being (GHQ-30) and a visual analog score of pain (VAS) were obtained before, after 90 days of treatment and 1 year after inclusion.
Results |
Patients treated by standard gynecologic treatment/supervision did not improve significantly at 1-year follow-up in any of the test modalities. By contrast, those who in addition received somatocognitive therapy had improved scores for all motor functions and pain, as well as GHQ-30 scores for coping, and anxiety-insomnia-distress.
Conclusion |
Mensendieck somatocognitive therapy combined with standard gynecologic care improves psychologic distress, pain experience, and motor functions of women with chronic pelvic pain better than gynecologic treatment alone. The effect lasted and even further improvement occurred 9 months after treatment.
Le texte complet de cet article est disponible en PDF.Key words : chronic pelvic pain, general health questionnaire-30, Mensendieck somatocognitive therapy, motor function, visual analog score of pain
Plan
| Cite this article as: Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Wojniusz S, Klemmetsen I, et al. Continuing improvement of chronic pelvic pain in women after short-term Mensendieck somatocognitive therapy: results of a 1-year follow-up study. Am J Obstet Gynecol 2008;199:615.e1-615.e8. |
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| This study was supported by the Norwegian Women's Public Health Association and Oslo University College. |
Vol 199 - N° 6
P. null - décembre 2008 Retour au numéro
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