Department of Physiotherapy, Faculty of Health Science, Ampliacion de Campus de Teatinos, University of Malaga, C/Arquitecto Francisco Peñalosa 3, 29071 Malaga, Spain.
Int J Environ Res Public Health. 2022 May 10;19(10):5824. doi: 10.3390/ijerph19105824.
Chronic pelvic pain (CPP), also known as chronic pelvic pain syndrome (CPPS), is a common and painful condition. However, its treatment is still a challenge. The findings about the beneficial effects of electromagnetic therapy provide a new, potentially valid, therapeutic alternative for the management of patients with CPP. Objectives: to analyze the efficacy of magnetic field therapy in pain reduction in patients with CPP and for other variables, such as urinary symptoms and quality of life, as well as to review the evidence, in order to establish an action protocol. A qualitative systematic review was carried out, based on the PRISMA protocol and registered in PROSPERO (CRD42022285428). A search was performed in the PubMed, Medline, Scopus, Cochrane, PEDro, BVS, and WOS databases, including those articles in which the patients suffered from CPP; the study variable was pain, and the intervention was based on the application of magnetic fields. Results: Among the 81 articles found, five clinical trials were considered (with an average score of 7.2 in the PEDro scale), with a total of 278 participants, most of whom presented improvements in perceived pain (p ≤ 0.05), as well as in quality of life (p < 0.05) and urinary symptoms (p = 0.05), evaluated through the NIH-CPSI and VAS scales. The therapy was conducted as a monotherapy or in combination with a pharmacological treatment. There was no common protocol among the different articles. Conclusions: Intervention programs through electromagnetic therapy, on their own or with other therapies, can be effective in patients with CPP.
慢性盆腔疼痛（CPP），又称慢性盆腔疼痛综合征（CPPS），是一种常见的疼痛病症。然而，其治疗仍然是一个挑战。电磁治疗有益效果的研究结果为 CPP 患者的管理提供了一种新的、潜在有效的治疗选择。目的：分析磁场治疗对 CPP 患者减轻疼痛的疗效，以及对其他变量（如尿症状和生活质量）的影响，并对证据进行综述，以制定行动方案。方法：按照 PRISMA 方案进行定性系统评价，并在 PROSPERO（CRD42022285428）中进行注册。在 PubMed、Medline、Scopus、Cochrane、PEDro、BVS 和 WOS 数据库中进行检索，包括那些患者患有 CPP 的文章；研究变量是疼痛，干预措施基于磁场的应用。结果：在 81 篇文章中，有 5 项临床试验被认为符合标准（PEDro 量表平均评分为 7.2），共有 278 名参与者，大多数参与者的疼痛感知（p≤0.05）、生活质量（p<0.05）和尿症状（p=0.05）均有所改善，通过 NIH-CPSI 和 VAS 量表进行评估。该疗法单独或与药物治疗联合进行。不同文章之间没有共同的方案。结论：单独或联合其他疗法的电磁治疗干预方案对 CPP 患者可能有效。
