Department of Medicine.
Women's Health Clinical Research Center.
Pain Med. 2017 Oct 1;18(10):1864-1872. doi: 10.1093/pm/pnw306.
To develop a group-based therapeutic yoga program for women with chronic pelvic pain (CPP) and explore the effects of this program on pain severity, sexual function, and well-being.
A yoga therapy program for CPP was developed by a multidisciplinary panel of clinicians, researchers, and yoga consultants. Women reporting moderate to severe pelvic pain for at least six months were recruited into a single-arm trial. Participants attended twice weekly group classes focusing on Iyengar-based yoga techniques and were instructed to practice yoga at home an hour a week for six weeks. Participants self-rated the severity of their pelvic pain using daily logs. The impact of participants' pain on everyday activities, emotional well-being, and sexual function was assessed using an Impact of Pelvic Pain (IPP) questionnaire. Sexual function was further assessed using the Sexual Health Outcomes in Women Questionnaire (SHOW-Q).
Among the 16 participants (age range = 31-64 years), average ratings of the severity of pain "at its worst," "at its best," and "on average" decreased by 29%, 32%, and 34%, respectively, from start to six weeks (P < 0.05 for all). Women demonstrated improvements in scores on IPP subscales for daily activities (1.8 ± 0.7 to 0.9 ± 0.7, P < 0.001), emotional well-being (1.7 ± 0.9 to 0.9 ± 0.7, P = 0.005), and sexual function (1.9 ± 1.1 to 1.0 ± 0.9, P = 0.04). Scores on the SHOW-Q "pelvic problem interference" scale also improved over six weeks (53 ± 23 to 27 ± 23, P = 0.002).
Findings provide preliminary evidence of the feasibility of teaching women with CPP to practice yoga to self-manage pain and improve quality of life and sexual function.
为慢性盆腔疼痛（CPP）女性开发一种基于小组的治疗性瑜伽方案，并探讨该方案对疼痛严重程度、性功能和幸福感的影响。
由一组多学科的临床医生、研究人员和瑜伽顾问组成的小组制定了 CPP 的瑜伽治疗方案。招募了至少有六个月中度至重度盆腔疼痛的女性参加单臂试验。参与者每周参加两次小组课程，重点是基于 Iyengar 的瑜伽技术，并被要求在六周内每周在家练习瑜伽一小时。参与者使用每日记录自我评估盆腔疼痛的严重程度。使用盆腔疼痛影响问卷（IPP）评估参与者疼痛对日常活动、情绪健康和性功能的影响。性功能进一步通过女性性功能问卷（SHOW-Q）进行评估。
在 16 名参与者（年龄范围为 31-64 岁）中，疼痛“最严重”、“最佳”和“平均”的平均评分分别从开始时下降了 29%、32%和 34%，至第六周时（所有 P 值均<0.05）。女性在 IPP 子量表的日常生活活动（1.8±0.7 至 0.9±0.7，P<0.001）、情绪健康（1.7±0.9 至 0.9±0.7，P=0.005）和性功能（1.9±1.1 至 1.0±0.9，P=0.04）方面的评分均有所提高。在六周内，SHOW-Q“盆腔问题干扰”量表的评分也有所改善（53±23 至 27±23，P=0.002）。
研究结果初步证明了教授 CPP 女性练习瑜伽以自我管理疼痛并提高生活质量和性功能的可行性。
