Evidence map›Paper›PMID 32725502›Full record

ReviewSchmerz (Berlin, Germany)2020

[Myofascial chronic pelvic pain in women : A retrospective evaluation of the effects of specific diagnostics and therapy].

L Schwagerus, K Dörner, S Bender, K Müller, N Bitterlich, H-J Rothkötter, O Günther

Abstract readReview
PubMed Publisher
In one paragraph

Review in Schmerz (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

L SchwagerusInstitut für Anatomie, Medizinische Fakultät der Universität Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland.
K DörnerGynäkologische Praxis, Kroatenweg 72, 39116, Magdeburg, Deutschland.
S BenderGynäkologische Praxis, Goethestraße 33, 29410, Salzwedel, Deutschland.
K MüllerGynäkologische Praxis, Markt 17, 06449, Aschersleben, Deutschland.
N BitterlichMedizin & Service GmbH, Boettcherstraße 10, 09117, Chemnitz, Deutschland.
H-J RothkötterInstitut für Anatomie, Medizinische Fakultät der Universität Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland.
O GüntherRegionales Schmerzzentrum DGS - Magdeburg, Kroatenweg 72, 39116, Magdeburg, Deutschland. drs.orguenther@t-online.de.
University Hospital Magdeburg · DEInstitut für Bodenkultur und Pflanzenbau · DEOrthopädische Praxis · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of chronic pelvic pain of 11.8% in the general population underlines the importance of this disease. However, the specific diagnostics and therapy of the muscles of this region are not yet part of the standard examination. The following study examines the effects of specific diagnostics and therapy on myofascial chronic pelvic pain.

objectivesThe effectiveness of targeted diagnostics and multimodal therapy in the context of chronic pelvic pain and the need for a complementary drug adjustment. MATERIALS AND

methodsThis study retrospectively evaluated the data of 59 patients, who were referred to a pain center for treatment-resistant chronic pelvic pain in the period from January 2012 to April 2017. The pain needed to be clearly identified as myofascial. A previous minimum duration of pain as well as previous operations or other treatment procedures did not constitute exclusion criteria. Previous traumatization was a reason for exclusion. Therapy components included manual therapeutic treatment, training in self-stretching exercises, medication with the active ingredients flupirtine or methocarbamol, as well as relaxation procedures. Therapy was evaluated on the basis of the German Pain Questionnaire.

resultsAfter the treatment interval, the following statistically significant improvements were recorded: The average pain intensity decreased by 29.95 points (standard deviation [SD] = 20.61). General quality of life (Marburg questionnaire on habitual well-being, MFHW) increased by 1.1 points (SD = 0.73). The depression and anxiety assessment decreased by 2.56 (SD = 3.99) and 2.63 points (SD = 5.21) respectively.

conclusionA multimodal therapy concept with a manual therapeutic treatment focus can lead to an improvement in pain symptoms and quality of life in patients with myofascial chronic pelvic pain after a treatment period of 120 days. Myofascial syndromes of urogenital muscles must be considered in the assessment of the cause of chronic pelvic pain.

Indexed as

Chronic PainMyofascial Pain SyndromesPelvic PainFemaleHumansPain MeasurementQuality of LifeRetrospective StudiesManual therapyMusculoskeletal diseaseMyofascial pain syndromeReferred painTriggerpoints

Identifiers

PMID32725502
OpenAlexW3046369555

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.