Ashtiani Elaheh Miri, Shokouhi Nasim, Mohseni Mona, Saedi Nafiseh, Haeri-Mehrizi Ali Asghar, Bakhtiyari Mahmood
Emam Khomeini Hospital Pelvic Floor Clinic, Tehran University of Medical Sciences, Tehran, Iran.
Yas University Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Obstet Gynecol Sci. 2023 May;66(3):230-240. doi: 10.5468/ogs.22171. Epub 2023 Jan 20.
The current study aimed to compare the effectiveness of novel radiofrequency modulation (RM) therapy with a tailored physiotherapy course for patients with chronic pelvic pain (CPP) of myofascial origin, also known as myofascial pelvic pain syndrome (MPPS).
We enrolled 46 patients with myofascial CPP to compare the effectiveness of a 10-session routine physiotherapy course versus a 6-session RM with an integrated device (HIGGS) in alleviating MPPS morbidity and pelvic floor muscle (PFM) rehabilitation. The primary outcome was reduction in pelvic pain after the final session and in the follow-up period 3 months after the final intervention session.
The 6-session therapy in the RM group and the manual, biofeedback, and transcutaneous electrical nerve stimulation therapies in the physiotherapy group were similarly effective in reducing pain and improving PFM endurance after the final intervention session in each group, whereas perineometer readings and PFM strength were associated with greater improvements in the physiotherapy group.
The results of this study demonstrated comparable effectiveness of RM in the management of MPPS and improvement of PFM function compared to routine physiotherapy programs with fewer sessions of therapy.
本研究旨在比较新型射频调制（RM）疗法与量身定制的物理治疗课程对肌筋膜源性慢性盆腔疼痛（CPP）患者（也称为肌筋膜盆腔疼痛综合征（MPPS））的疗效。
我们招募了46例肌筋膜性CPP患者，比较10节常规物理治疗课程与6节使用集成设备（HIGGS）的RM疗法在减轻MPPS发病率和盆底肌肉（PFM）康复方面的效果。主要结局是最后一次治疗后以及最后一次干预治疗后3个月随访期内盆腔疼痛的减轻情况。
RM组的6节治疗以及物理治疗组的手动、生物反馈和经皮电刺激神经疗法在每组最后一次干预治疗后减轻疼痛和改善PFM耐力方面同样有效，而物理治疗组的会阴压力计读数和PFM力量改善更大。
本研究结果表明，与疗程较少的常规物理治疗方案相比，RM在MPPS管理和PFM功能改善方面具有相当的疗效。
