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首页> 外文期刊>The journal of sexual medicine >A prospective study of pelvic floor physical therapy: pain and psychosexual outcomes in provoked vestibulodynia.
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A prospective study of pelvic floor physical therapy: pain and psychosexual outcomes in provoked vestibulodynia.

机译：骨盆底物理治疗的前瞻性研究：诱发的前庭不速性疼痛和性交结果。

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INTRODUCTION: Research suggests that increased tension in the pelvic floor muscles of women with provoked vestibulodynia (PVD, the most common form of chronic vulvar pain) may play an important role in maintaining and exacerbating their pain. However, no prospective studies of pelvic floor physical therapy (PFPT) for PVD have been carried out. AIM: This study prospectively examined the effectiveness of a PFPT intervention in treating the pain and sexual and psychological components of PVD, and determined predictors of greater treatment success. METHODS: Thirteen women with PVD completed eight sessions of PFPT. Participants were assessed at pre- and post-treatment via gynecological examinations, vestibular pain threshold testing, structured interviews, and standardized questionnaires. A 3-month follow-up interview assessed any further changes. MAIN OUTCOME MEASURES: Outcome measures included: vestibular pain thresholds, gynecological examination and intercourse pain ratings, sexual function and intercourse frequency, mental health, negative pain cognitions, and success rates. RESULTS: Following treatment, participants had significantly higher vestibular pain thresholds and significantly lower pain ratings during the gynecological examination. Participants reported significant reductions in pain intensity during intercourse and were able to engage in significantly more pain-free activities. Although overall sexual function significantly improved, various components of sexual function and frequency of intercourse did not. Participants' mental health did not significantly improve; however, pain catastrophizing and pain-related anxiety significantly decreased. The treatment was considered to be successful for 10 of the 13 participants, and predictors of greater treatment success included greater reductions in helplessness and a longer period of time in treatment. CONCLUSIONS: Results provide preliminary support for the effectiveness of PFPT in treating the pain of PVD, as well as some of the sexual and cognitive correlates of PVD. The results also indicate the need for large-scale, randomized studies of the effectiveness of PFPT in comparison and in conjunction with other treatment options.
机译：引言：研究表明，患有诱发性前庭不速（PVD，慢性外阴痛的最常见形式）的女性，盆底肌肉的张力增加可能在维持和加剧疼痛方面起着重要作用。然而，尚未进行针对PVD的骨盆底物理疗法（PFPT）的前瞻性研究。目的：该研究前瞻性地检查了PFPT干预在治疗PVD的疼痛以及性和心理方面的有效性，并确定了更大治疗成功的预测指标。方法：13名患有PVD的妇女完成了8次PFPT。在治疗前和治疗后，通过妇科检查，前庭疼痛阈值测试，结构化访谈和标准化问卷对参与者进行了评估。为期3个月的随访采访评估了任何进一步的变化。主要观察指标：结果指标包括：前庭疼痛阈值，妇科检查和性交疼痛等级，性功能和性交频率，心理健康，否定性疼痛认知和成功率。结果：治疗后，在妇科检查过程中，参与者的前庭疼痛阈值明显升高，疼痛等级明显降低。参与者报告说，性交时疼痛强度明显降低，并且能够进行更多的无痛活动。尽管总体性功能显着改善，但性功能的各个组成部分和性交频率均未改善。参与者的心理健康没有明显改善。然而，灾难性疼痛和与疼痛相关的焦虑明显降低。在13名参与者中，有10名被认为治疗成功，而更大治疗成功的预测因素包括更大程度地减少了无助感，并延长了治疗时间。结论：结果为PFPT治疗PVD疼痛以及PVD的一些性和认知相关性的有效性提供了初步的支持。结果还表明，需要对PFPT的有效性进行比较的大规模随机研究，并与其他治疗方案结合使用。

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