Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirao Preto, Brazil.
J Eval Clin Pract. 2010 Oct;16(5):981-2. doi: 10.1111/j.1365-2753.2009.01202.x.
Musculoskeletal system has been found to be involved in genesis and perpetuation of chronic pelvic pain (CPP) and has strong evidences that up to 80% of women with CPP present dysfunction of the musculoskeletal system. In this study, we report a series of women with CPP caused by tenderness of pelvic floor muscles successfully treated with Thiele massage.
Were included in this study six women with CPP caused by tenderness of the levator ani muscle that underwent transvaginal massage using the Thiele technique, over a period of 5 minutes repeated once a week for 4 weeks. After 1 month, the women returned for follow-up.
The median tenderness score for the six women evaluated was 3 at the first evaluation and 0 after 1 month of follow-up (P < 0.01). The mean Visual Analogue Scale and McGill Pain Index scores were 8.1 and 34, respectively, at the first evaluation, and 1.5 and 16.6 at follow-up (P < 0.01).
Thiele massage appears to be very helpful for women with CPP caused by tenderness of the levator ani muscle. However, these results are preliminary and a larger number of women are necessary to obtain more conclusive results.
肌肉骨骼系统被发现与慢性盆腔疼痛（CPP）的发生和持续有关，有强有力的证据表明，高达 80%的 CPP 患者存在肌肉骨骼系统功能障碍。在这项研究中，我们报告了一系列因骨盆底肌肉触痛而导致 CPP 的女性患者，她们成功地接受了 Thiele 按摩治疗。
本研究纳入了 6 名因提肛肌触痛而导致 CPP 的女性患者，采用 Thiele 技术经阴道按摩，每周重复一次，每次 5 分钟，共 4 周。1 个月后，患者返回进行随访。
6 名女性的触压痛中位数评分在第一次评估时为 3，随访 1 个月后为 0（P < 0.01）。第一次评估时，视觉模拟评分和麦吉尔疼痛指数的平均值分别为 8.1 和 34，随访时分别为 1.5 和 16.6（P < 0.01）。
Thiele 按摩似乎对因提肛肌触痛而导致 CPP 的女性非常有帮助。然而，这些结果是初步的，需要更多的女性患者来获得更具结论性的结果。
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