Physiotherapy Intervention in Climacteric Women With Dyspareunia

Hospital de Clinicas de Porto Alegre42 enrolled

Overview

Aim: To evaluate the effectiveness of physical therapy intervention techniques in the improvement of dyspareunia in climacteric women. Study design: This is a randomized controlled trial.

Search location: Menopause and Sexuality Clinic of the department of obstetrics and Gynecology and Clinical Research Center, Hospital de Clínicas de Porto Alegre (HCPA). Patients or participants: The recruited patients may not be vaginal atrophy (cytology-hormone test) and must provide the diagnosis of dyspareunia for more than six months being confirmed by one of the investigators through the pain score above grade 3 (visual analog pain scale) visual inspection, palpation and a questionnaire about the duration and location of pain. Intervention and measures: consist of evaluation of the pelvic floor muscles (Oxford Scale and Perfect), myoelectric assessment (Electromyography), quality of life (Cervantes Scale), sexual function (FSFI), level of depression (Beck Scale) and pain (visual analog pain scale) before and after physical therapy intervention. Expected results: To estimate the effectiveness of pelvic floor training techniques with physical therapy in women with dyspareunia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Dyspareunia

Interventions

superficial heat pelvic floor muscleOTHER

Superficial heat application in the pelvic floor muscle

superficial heat low backOTHER

Superficial heat application in the low back

Pelvic Floor Muscle TrainingOTHER

Pelvic floor muscle training exercises

Eligibility

Sex: FEMALEMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * dyspareunia complaint for at least six months * visual analog scale of pain above 3 * trophic vagina Exclusion Criteria: * vaginal atrophy * neurological disorders * lack of cognition and understanding * urinary tract infection and / or genital infections * prolapse grade 2 and 3 * severe systemic disease * performing physical therapy

Locations (1)

Clinical Research Center of HCPA

Porto Alegre, Rio Grande do Sul, Brazil

Outcomes

Primary Outcomes

To evaluate the effectiveness of physiotherapy techniques in pain improvement using visual analog scale pain

To evaluate the effectiveness of physiotherapy techniques using the analog pain scale.

Time frame: Seven meetings, twice a week, in which the first is the initial assessment and the seventh is the final evaluation totaling a maximum of one month treatment for each patient.

Secondary Outcomes

To evaluate the quality of life

Time frame: To evaluate the quality of life, using Cervantes Scale in climateric women in baseline and after four weeks of intervention

To evaluate depression

Time frame: To evaluate depression, using Beck Scale, in baseline and after four weeks of intervention

To evaluate sexual function

Time frame: To evaluate sexual function, using Female Sexual Function Index, in baseline and after four weeks of intervention

To evaluate electrical activity of the pelvic floor muscles

Time frame: To evaluate electrical activity of the pelvic floor muscles, using Electromyographic biofeedback , in baseline and after four weeks of intervention

To evaluate the pelvic floor muscle function

Time frame: To evaluate the pelvic floor muscle function, using PERFECT Scale in baseline and after four weeks of intervention

Data from ClinicalTrials.gov

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