Department of Gynecology, Wenzhou Third Clinical Institute Affiliated to Wen Zhou Medical University, Wenzhou People's Hospital, No. 57 of Canghou Street, Lucheng, Wenzhou, 325000, Zhejiang, China.
Int Urol Nephrol. 2021 Jul;53(7):1339-1343. doi: 10.1007/s11255-021-02840-8. Epub 2021 Apr 2.
To evaluate the effect of myofascial manipulation by observing the changes in pelvic floor myofascial scores and electromyography (EMG) data before and after treatment.
A total of 106 patients with myofascial pelvic pain (MFPP) were enrolled in a treatment group, and 50 healthy women were enrolled in a control group. The changes in the pelvic floor EMG data in the two groups were monitored by using Myo Trac before and after treatment. Pelvic trigger points and their distribution in the MFPP patients were examined using a finger pressure test. The visual analogue scale was used to assess the severity of pain in both groups. After one course of manipulation (twice per week for a total of 10 times), the effectiveness of the manipulation was analyzed by comparing the changes in pain scores before and after treatment.
The main symptoms of MFPP in the study sample consisted of lower abdominal pain, lumbosacral pain, or mixed pain, which together accounted for 67% of all symptoms. Patients often had multiple trigger points, covering 47.17% of the body. The differences between the treatment group and control group in the changes in pelvic floor muscle strength, number of pain points, pain scores, resting EMG of pelvic floor muscles, and relaxation time after muscle contraction were all statistically significant (P < 0.05). The differences between the pre-treatment and post-treatment groups in the changes in pelvic floor muscle strength, number of pain points, pain scores, resting EMG of pelvic floor muscles, and relaxation time after muscle contraction were all statistically significant (P < 0.05) CONCLUSION: Manipulation is an effective treatment for MFPP and is worthy of further clinical promotion.
通过观察治疗前后盆底肌筋膜评分和肌电图（EMG）数据的变化，评估肌筋膜手法的疗效。
将 106 例肌筋膜盆底痛（MFPP）患者纳入治疗组，将 50 例健康女性纳入对照组。治疗前后，两组患者均采用 MyoTrac 监测盆底 EMG 数据的变化。采用手指压力试验检查 MFPP 患者的盆底触发点及其分布。采用视觉模拟评分法评估两组患者的疼痛严重程度。经过一疗程（每周 2 次，共 10 次）手法治疗后，比较治疗前后疼痛评分的变化，分析手法治疗的效果。
研究样本中 MFPP 的主要症状为下腹痛、腰骶痛或混合痛，共占所有症状的 67%。患者常伴有多个触发点，占全身的 47.17%。治疗组与对照组在盆底肌肉力量、疼痛点数、疼痛评分、盆底肌肉静息 EMG 和肌肉收缩后松弛时间的变化方面差异均有统计学意义（P<0.05）。治疗组治疗前后在盆底肌肉力量、疼痛点数、疼痛评分、盆底肌肉静息 EMG 和肌肉收缩后松弛时间的变化方面差异均有统计学意义（P<0.05）。
手法治疗 MFPP 有效，值得进一步临床推广。
