{"title":"Myofascial pain and pelvic floor dysfunction in patients with interstitial cystitis.","authors":"Renee Bassaly, Natalie Tidwell, Siobhan Bertolino, Lennox Hoyte, Katheryne Downes, Stuart Hart","doi":"10.1007/s00192-010-1301-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The objectives of this study are to investigate myofascial pain in patients with interstitial cystitis (IC) and to correlate myofascial exam findings with validated questionnaires.</p><p><strong>Methods: </strong>A retrospective chart review was performed on 186 patients with a diagnosis of IC from April 2007 to December 2008. Demographics, history and physical examination, and validated pelvic floor dysfunction questionnaire scores were extracted. The data was evaluated with SPSS for Windows using Spearman's rho, Mann-Whitney, and Kruskal-Wallis statistical analyses.</p><p><strong>Results: </strong>Myofascial pain was demonstrated in 78.3% of IC patients with at least one myofascial trigger point, and 67.9% of patients had numerous areas of trigger points. Mild correlations were seen with trigger points and scores from the PUF, PFDI-20, and PFIQ-7 questionnaires.</p><p><strong>Conclusions: </strong>Myofascial pain is prevalent among IC patients and positively correlated with pelvic floor dysfunction scores. These findings support evaluation of pelvic floor myofascial pain in IC patients and suggest a possible benefit from pelvic floor therapy.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":"22 4","pages":"413-8"},"PeriodicalIF":1.8000,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-010-1301-3","citationCount":"77","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-010-1301-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2010/10/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 77
Abstract
Introduction and hypothesis: The objectives of this study are to investigate myofascial pain in patients with interstitial cystitis (IC) and to correlate myofascial exam findings with validated questionnaires.
Methods: A retrospective chart review was performed on 186 patients with a diagnosis of IC from April 2007 to December 2008. Demographics, history and physical examination, and validated pelvic floor dysfunction questionnaire scores were extracted. The data was evaluated with SPSS for Windows using Spearman's rho, Mann-Whitney, and Kruskal-Wallis statistical analyses.
Results: Myofascial pain was demonstrated in 78.3% of IC patients with at least one myofascial trigger point, and 67.9% of patients had numerous areas of trigger points. Mild correlations were seen with trigger points and scores from the PUF, PFDI-20, and PFIQ-7 questionnaires.
Conclusions: Myofascial pain is prevalent among IC patients and positively correlated with pelvic floor dysfunction scores. These findings support evaluation of pelvic floor myofascial pain in IC patients and suggest a possible benefit from pelvic floor therapy.
前言和假设:本研究的目的是调查间质性膀胱炎(IC)患者的肌筋膜疼痛，并将肌筋膜检查结果与有效问卷相关联。方法:回顾性分析2007年4月至2008年12月诊断为IC的186例患者的资料。提取了人口统计学、病史和体格检查以及经验证的骨盆底功能障碍问卷得分。使用SPSS for Windows软件对数据进行评估，采用Spearman's rho、Mann-Whitney和Kruskal-Wallis统计分析。结果:78.3%的IC患者至少有一个肌筋膜触发点，67.9%的患者有多个触发点。触发点与PUF、PFDI-20和PFIQ-7问卷得分之间存在轻微相关性。结论:肌筋膜疼痛在IC患者中普遍存在，且与盆底功能障碍评分呈正相关。这些发现支持对IC患者盆底肌筋膜疼痛的评估，并提示盆底治疗可能有益。
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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