Pelvic floor rehabilitation in the treatment of dyspareunia in women - 25/05/09
Summary |
Findings from recent studies suggest that the pelvic floor musculature may play a role in the pathophysiology of dyspareunia, particularly provoked vestibulodynia.
Objective |
The main purpose of this paper is to present the different components of pelvic floor rehabilitation (education, biofeedback, manual and insertion techniques, in addition to electrotherapeutic modalities) and to discuss their effectiveness in the treatment of dyspareunia in women.
Method |
The manuscript was based on a literature search performed in Pubmed.
Results |
The present state of knowledge concerning the use of pelvic floor rehabilitation in the treatment of dyspareunia is based on three randomized outcome studies demonstrating the effectiveness of biofeedback and transcutaneus electrical stimulation. Evidence regarding the effectiveness of other modalities stems from studies with either observational or retrospective designs.
Discussion |
Findings suggest that pelvic floor rehabilitation is a promising treatment for vestibulodynia. However, randomized controlled-trials are required in order to document the efficacy of the combined modalities included in pelvic floor rehabilitation and to examine its usefulness as a treatment for other types of sexual pain, such as vaginismus.
Le texte complet de cet article est disponible en PDF.Keywords : Dyspareunia, Vestibulodynia, Pelvic floor, Physical therapy, Physiotherapy, Biofeedback
Plan
Également en version française dans ce numéro : Morin M, Bergeron S. La rééducation périnéale dans le traitement de la dyspareunie chez la femme. |
Vol 18 - N° 2
P. 91-94 - avril 2009 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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