Online Graded Motor Imagery Is Effective in Women Diagnosed with Pelvic Pain: A Randomized Controlled Trial.

IF 3.5 4区医学 Q1 ORTHOPEDICS Physical Therapy Pub Date : 2024-11-14 DOI:10.1093/ptj/pzae164

Aida Lopez-Brull, Borja Perez-Dominguez, Maria Plaza-Carrasco, Cristina Blasco-Ortiz, Blanca Navarro-Ribera, Jose Casaña, Esther Diaz Mohedo, Irmina Nahon

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Abstract

Objective: Effective therapeutic strategies are crucial for managing Genito-Pelvic Pain/Penetration Disorder (GPPPD), a condition presenting challenges for both patients and health care providers. This study aims to assess the effectiveness of an online Graded Motor Imagery program in alleviating pain intensity and improving sexual function in women diagnosed with GPPPD.

Methods: Eighty-seven women were randomly assigned to either an online Graded Motor Imagery group or a control group. The online Graded Motor Imagery protocol involved engaging participants in 2-week segments of left/right judgment exercises, mental simulation of movements, and gradual exposure therapy. After 6 weeks, we assessed pain intensity and sexual function. The control group gained access to the program upon study completion.

Results: The online Graded Motor Imagery group demonstrated a significant reduction in pain intensity, coupled with improvements in sexual function. Notably, participants with enhanced movement imagery abilities experienced greater improvements, while those with negative beliefs and thoughts regarding vaginal penetration showed lower sexual function scores.

Conclusion: An online Graded Motor Imagery program is effective in alleviating the pain burden faced by women dealing with GPPPD.

Impact: Effectively addressing pelvic pain in patients remains a daunting challenge for physical therapists. Therefore, implementing efficient and easily accessible strategies is crucial. The incorporation of Graded Motor Imagery intervention proves to be an effective approach for improving both pain and sexual functioning in women with GPPPD.

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在线分级运动想象对诊断为盆腔疼痛的妇女有效：随机对照试验。

目的：有效的治疗策略对于控制生殖盆腔疼痛/插入障碍（GPPPD）至关重要，这种疾病给患者和医疗服务提供者都带来了挑战。本研究旨在评估在线分级运动想象程序在减轻确诊为 GPPPD 的妇女的疼痛强度和改善其性功能方面的有效性：87名女性被随机分配到在线分级运动想象组或对照组。在线分级运动想象方案包括让参与者参与为期两周的左右判断练习、心理模拟运动和渐进暴露疗法。6 周后，我们对疼痛强度和性功能进行了评估。对照组则在研究完成后获得该项目：结果：在线分级运动想象组的疼痛强度显著降低，性功能也有所改善。值得注意的是，运动想象能力增强的参与者的改善幅度更大，而那些对阴道插入有负面信念和想法的参与者的性功能评分较低：结论：在线分级运动想象计划能有效减轻患有 GPPPD 的女性所面临的疼痛负担：影响：对于物理治疗师来说，有效解决患者的骨盆疼痛仍然是一项艰巨的挑战。因此，实施高效且易于使用的策略至关重要。事实证明，结合分级运动想象干预是改善 GPPPD 女性患者疼痛和性功能的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy Multiple-

CiteScore

7.10

自引率

0.00%

发文量

187

审稿时长

4-8 weeks

期刊介绍： Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.