Department of Physiotherapy, Federal University of Pernambuco-UFPE, Av Prof. Moraes Rego, 1235. Cidade Universitária, Recife, Pernambuco, CEP: 50670-901, Brazil.
Department of Statistic, Federal University of Pernambuco-UFPE, Recife, Brazil.
Arch Gynecol Obstet. 2023 Jul;308(1):163-170. doi: 10.1007/s00404-023-07037-1. Epub 2023 Apr 12.
The aim of this study was to analyze the sensory and muscle functions of the pelvic floor in women with endometriosis, trying to improve overall knowledge/findings regarding pelvic floor muscle functions in patients with endometriosis.
Sample size calculated as 92 patients with endometriosis, aged between 18 and 45 years, not virgin, without other causes of pain and could not be pregnant. Patients underwent the Pelvic Floor Sensorial and Muscle Function Exam (EFSMAP). Descriptive data were recorded with mean and standard deviation, median (range), and absolute and relative frequency. The Kolmogorov-Smirnov test was used to observe the normality of quantitative variables. The significance level adopted for this study was 5%.
Of 92 women assessed, 93.3% had pain and 75% had increased tone in the levator ani muscle; 50.4% had impaired pelvic floor relaxation with median strength of 3 by the Oxford scale and endurance of 2 s.
The patients had a high prevalence of pain and dysfunction of the pelvic floor muscles, such as low muscle endurance and difficulty to relax. It shows that these patients should be referred to a pelvic floor physiotherapist, as soon as they have the diagnosis of endometriosis, to be assessed to prevent and/or treat pelvic floor impairments.
本研究旨在分析患有子宫内膜异位症女性的盆底感觉和肌肉功能，旨在提高对子宫内膜异位症患者盆底肌肉功能的整体认识/研究结果。
计算出 92 名年龄在 18 至 45 岁之间、非处女、无其他疼痛原因且不能怀孕的患有子宫内膜异位症的患者的样本量。患者接受盆底感觉和肌肉功能检查（EFSMAP）。记录描述性数据，包括均值和标准差、中位数（范围）、绝对和相对频率。采用 Kolmogorov-Smirnov 检验观察定量变量的正态性。本研究采用的显著性水平为 5%。
在评估的 92 名女性中，93.3%有疼痛，75%有提肛肌张力增加；50.4%的女性存在盆底放松功能障碍，Oxford 量表的中位强度为 3，耐力为 2 秒。
这些患者的盆底肌肉疼痛和功能障碍发生率较高，如肌肉耐力较低和放松困难。这表明，一旦这些患者被诊断为子宫内膜异位症，就应转介给盆底物理治疗师进行评估，以预防和/或治疗盆底损伤。
