A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial

Objective The current study aimed to compare the effectiveness of novel radiofrequency modulation (RM) therapy with a tailored physiotherapy course for patients with chronic pelvic pain (CPP) of myofascial origin, also known as myofascial pelvic pain syndrome (MPPS). Methods We enrolled 46 patients...

Full description

Bibliographic Details
Main Authors: Elaheh Miri Ashtiani, Nasim Shokouhi, Mona Mohseni, Nafiseh Saedi, Ali Asghar Haeri-Mehrizi, Mahmood Bakhtiyari
Format: Article
Language:English
Published: Korean Society of Obstetrics and Gynecology 2023-05-01
Series:Obstetrics & Gynecology Science
Subjects:
Online Access:http://ogscience.org/upload/pdf/ogs-22171.pdf
_version_ 1797825610288988160
author Elaheh Miri Ashtiani
Nasim Shokouhi
Mona Mohseni
Nafiseh Saedi
Ali Asghar Haeri-Mehrizi
Mahmood Bakhtiyari
author_facet Elaheh Miri Ashtiani
Nasim Shokouhi
Mona Mohseni
Nafiseh Saedi
Ali Asghar Haeri-Mehrizi
Mahmood Bakhtiyari
author_sort Elaheh Miri Ashtiani
collection DOAJ
description Objective The current study aimed to compare the effectiveness of novel radiofrequency modulation (RM) therapy with a tailored physiotherapy course for patients with chronic pelvic pain (CPP) of myofascial origin, also known as myofascial pelvic pain syndrome (MPPS). Methods We enrolled 46 patients with myofascial CPP to compare the effectiveness of a 10-session routine physiotherapy course versus a 6-session RM with an integrated device (HIGGS) in alleviating MPPS morbidity and pelvic floor muscle (PFM) rehabilitation. The primary outcome was reduction in pelvic pain after the final session and in the follow-up period 3 months after the final intervention session. Results The 6-session therapy in the RM group and the manual, biofeedback, and transcutaneous electrical nerve stimulation therapies in the physiotherapy group were similarly effective in reducing pain and improving PFM endurance after the final intervention session in each group, whereas perineometer readings and PFM strength were associated with greater improvements in the physiotherapy group. Conclusion The results of this study demonstrated comparable effectiveness of RM in the management of MPPS and improvement of PFM function compared to routine physiotherapy programs with fewer sessions of therapy.
first_indexed 2024-03-13T10:56:29Z
format Article
id doaj.art-9bb4016a5bb84a00a526fd82ef29a274
institution Directory Open Access Journal
issn 2287-8572
2287-8580
language English
last_indexed 2024-03-13T10:56:29Z
publishDate 2023-05-01
publisher Korean Society of Obstetrics and Gynecology
record_format Article
series Obstetrics & Gynecology Science
spelling doaj.art-9bb4016a5bb84a00a526fd82ef29a2742023-05-17T04:19:56ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802023-05-0166323024010.5468/ogs.221718739A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trialElaheh Miri Ashtiani0Nasim Shokouhi1Mona Mohseni2Nafiseh Saedi3Ali Asghar Haeri-Mehrizi4Mahmood Bakhtiyari5 Emam Khomeini Hospital Pelvic Floor Clinic, Tehran University of Medical Sciences, Tehran, Iran Yas University Hospital, Tehran University of Medical Sciences, Tehran, Iran Medical school, Tehran University of Medical Sciences, Tehran, Iran Department of Obstetrics and Gynecology, Yas University Hospital, Tehran University of Medical Science, Tehran, Iran Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran Non-Communicable Diseases Research Center, Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, IranObjective The current study aimed to compare the effectiveness of novel radiofrequency modulation (RM) therapy with a tailored physiotherapy course for patients with chronic pelvic pain (CPP) of myofascial origin, also known as myofascial pelvic pain syndrome (MPPS). Methods We enrolled 46 patients with myofascial CPP to compare the effectiveness of a 10-session routine physiotherapy course versus a 6-session RM with an integrated device (HIGGS) in alleviating MPPS morbidity and pelvic floor muscle (PFM) rehabilitation. The primary outcome was reduction in pelvic pain after the final session and in the follow-up period 3 months after the final intervention session. Results The 6-session therapy in the RM group and the manual, biofeedback, and transcutaneous electrical nerve stimulation therapies in the physiotherapy group were similarly effective in reducing pain and improving PFM endurance after the final intervention session in each group, whereas perineometer readings and PFM strength were associated with greater improvements in the physiotherapy group. Conclusion The results of this study demonstrated comparable effectiveness of RM in the management of MPPS and improvement of PFM function compared to routine physiotherapy programs with fewer sessions of therapy.http://ogscience.org/upload/pdf/ogs-22171.pdfmyofascial pain syndromesdiathermyhiggsphysical therapy modalitiespelvic floor disorders
spellingShingle Elaheh Miri Ashtiani
Nasim Shokouhi
Mona Mohseni
Nafiseh Saedi
Ali Asghar Haeri-Mehrizi
Mahmood Bakhtiyari
A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
Obstetrics & Gynecology Science
myofascial pain syndromes
diathermy
higgs
physical therapy modalities
pelvic floor disorders
title A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
title_full A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
title_fullStr A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
title_full_unstemmed A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
title_short A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
title_sort novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome a pilot randomized trial
topic myofascial pain syndromes
diathermy
higgs
physical therapy modalities
pelvic floor disorders
url http://ogscience.org/upload/pdf/ogs-22171.pdf
work_keys_str_mv AT elahehmiriashtiani anovelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT nasimshokouhi anovelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT monamohseni anovelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT nafisehsaedi anovelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT aliasgharhaerimehrizi anovelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT mahmoodbakhtiyari anovelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT elahehmiriashtiani novelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT nasimshokouhi novelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT monamohseni novelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT nafisehsaedi novelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT aliasgharhaerimehrizi novelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial
AT mahmoodbakhtiyari novelradiofrequencymodulationtherapyversusroutinephysiotherapymodalitiesintreatmentofmyofascialpelvicpainsyndromeapilotrandomizedtrial