Haugstad Gro Killi, Haugstad Tor S, Kirste Unni M, Leganger Siv, Wojniusz Slawomir, Klemmetsen Inger, Malt Ulrik F
Department of Psychosomatic and Behavioral Medicine, Rikshospitalet, University of Oslo, Oslo, Norway.
J Psychosom Res. 2006 Nov;61(5):637-44. doi: 10.1016/j.jpsychores.2006.05.003.
Chronic pelvic pain (CPP) is a common cause of infirmity but is still poorly understood. We studied the clinical characteristics, including body awareness, of 60 women with this diagnosis compared to those of healthy controls in an effort to understand its pathophysiology and to develop a more efficient treatment protocol.
After prior gynecologic and psychometric evaluation, the women were examined with the Standardized Mensendieck Test to evaluate posture and movement patterns. Pain history and pain score were obtained, and patterns of muscular density, elasticity, and tenderness were determined by palpation. The body awareness of patients was assessed through clinical evaluation.
Seventy percent of the patients had a history of trauma or infection of the genitourinary region. The average pain score (+/-S.D.) on a scale from 0 to 10 was 6.01+/-1.60. Nearly all patients had a dissociative pattern, with a lack of contact and control of large body regions. All scores for posture and movement patterns were significantly worse in patients than in healthy women.
A specific pattern of pain, posture, movement, muscle pathology, and reduced awareness of one's own body was found in women with CPP. These findings may increase our understanding of, and may point toward new treatment strategies for, this disease.
慢性盆腔疼痛（CPP）是导致身体虚弱的常见原因，但人们对其仍知之甚少。我们研究了60例被诊断为此病的女性的临床特征，包括身体感知，与健康对照组进行比较，以了解其病理生理学并制定更有效的治疗方案。
在进行先前的妇科和心理测量评估后，对这些女性进行标准化门森迪克测试，以评估姿势和运动模式。获取疼痛病史和疼痛评分，并通过触诊确定肌肉密度、弹性和压痛模式。通过临床评估来评估患者的身体感知。
70%的患者有泌尿生殖区域创伤或感染史。在0至10分的评分量表上，平均疼痛评分为6.01±1.60。几乎所有患者都有分离模式，对身体大部分区域缺乏联系和控制。患者的所有姿势和运动模式评分均显著低于健康女性。
在患有慢性盆腔疼痛的女性中发现了一种特定的疼痛、姿势、运动、肌肉病理模式以及身体自我感知降低的情况。这些发现可能会增进我们对这种疾病的理解，并可能指向新的治疗策略。
