Mieritz Rune Mygind, Thorhauge Kirsten, Forman Axel, Mieritz Hanne Beck, Hartvigsen Jan, Christensen Henrik Wulff
Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Department of Orthopedic Surgery and Traumatology, Institute of Clinical Research, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Private Practice, Randers, Denmark.
J Manipulative Physiol Ther. 2016 Nov-Dec;39(9):616-622. doi: 10.1016/j.jmpt.2016.09.003. Epub 2016 Oct 21.
The purpose of this study was to determine the prevalence of musculoskeletal dysfunctions based on a standardized clinical examination of patients with chronic pelvic pain (CPP) who were referred to a specialized tertiary care center for laparoscopic examination. In addition, we stratified levels of self-reported pelvic pain, self-rated health, education, and work status based on musculoskeletal dysfunction status.
This study used a cross-sectional design to determine the prevalence of musculoskeletal dysfunctions in women with CPP who were referred to a tertiary care center specializing in care of women with CPP. The women completed a questionnaire and underwent a blinded systematic objective clinical examination of the musculoskeletal system by a doctor of chiropractic who then categorized the patients as having or not having musculoskeletal dysfunction.
Ninety-four patients returned the questionnaire, completed the clinical examination, and fulfilled the inclusion criteria. More than half of the referred patients with CPP (48 out of 94) had musculoskeletal dysfunctions in the lumbar/pelvic region. No statistically significant differences were found between the groups with respect to self-rated health, education, work status, and pain level. Pain location was significantly different after Bonferroni correction in 1 out of the 36 aspects.
In this sample of CPP patients, 51% were categorized as having a musculoskeletal dysfunction. Overall, CPP patients were similar with respect to certain characteristics, such as age, body mass index, and pain level, regardless of their classification; however, patients with musculoskeletal dysfunction tended to report more pain in the front and back of the lower limbs.
本研究旨在通过对转诊至专门的三级护理中心进行腹腔镜检查的慢性盆腔疼痛（CPP）患者进行标准化临床检查，来确定肌肉骨骼功能障碍的患病率。此外，我们根据肌肉骨骼功能障碍状况对自我报告的盆腔疼痛程度、自我健康评分、教育程度和工作状态进行了分层。
本研究采用横断面设计，以确定转诊至专门治疗CPP女性患者的三级护理中心的CPP女性患者中肌肉骨骼功能障碍的患病率。这些女性完成了一份问卷，并由一名整脊医生对其肌肉骨骼系统进行了盲法系统性客观临床检查，然后将患者分类为有或没有肌肉骨骼功能障碍。
94名患者返回了问卷，完成了临床检查，并符合纳入标准。超过一半的转诊CPP患者（94名中的48名）在腰椎/骨盆区域存在肌肉骨骼功能障碍。在自我健康评分、教育程度、工作状态和疼痛程度方面，两组之间未发现统计学上的显著差异。在36个方面中的1个方面经Bonferroni校正后，疼痛部位存在显著差异。
在这个CPP患者样本中，51%被分类为患有肌肉骨骼功能障碍。总体而言，无论分类如何，CPP患者在某些特征方面相似，如年龄、体重指数和疼痛程度；然而，患有肌肉骨骼功能障碍的患者往往报告下肢前后疼痛更严重。
