Evidence map›Paper›PMID 35384474›Full record

SynthesisArchives of gynecology and obstetrics2023

Pelvic floor physical therapy and mindfulness: approaches for chronic pelvic pain in women-a systematic review and meta-analysis.

Cleima Coltri Bittelbrunn, Rogerio de Fraga, Camilli Martins, Ricardo Romano, Thomaz Massaneiro, Glauco Vinicius Pauka Mello, Matheus Canciglieri

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
8.0field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Mindfulness-based interventions for addressing sexual function after cancer: A systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
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  20. Evaluation and Medical Management of Chronic Pelvic Pain.Seminars in interventional radiology · 2023
    Review
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 2 institutions in 1 country.

Cleima Coltri BittelbrunnDepartment of Clinical Surgery, Universidade Federal do Paraná (UFPR), Rua José Naves da Cunha, 51, Curitiba, PR, 80310080, Brazil. cleima@me.com.ORCID http://orcid.org/0000-0002-8799-548X
Rogerio de FragaDepartment of Clinical Surgery, UFPR, R. Angelo Durigan, 1199/01, Curitiba, PR, 82025100, Brazil.
Camilli MartinsUFPR, Rua Marechal Deodoro, 1650/51, Curitiba, PR, 80045090, Brazil.
Ricardo RomanoDepartment of Clinical Surgery, UFPR, Alameda Augusto Stellfeld 1274/23, Curitiba, PR, 80430-140, Brazil.
Thomaz MassaneiroDepartment of Clinical Surgery, UFPR, Rua Diogo Pinto de Azevedo Portugal 115, Curitiba, PR, 82130460, Brazil.
Glauco Vinicius Pauka MelloPontifícia Universidade Católica do Paraná (PUCPR), Rua Benedito Cotolengo, 710/9, Curitiba, PR, 81220310, Brazil.
Matheus CanciglieriSystems and Production Engineering Department (PPGEPS), PUCPR, R. Amazonas, 642/34, Curitiba, PR, 80610-030, Brazil.
Universidade Federal do Paraná · BRPontifícia Universidade Católica do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic pelvic pain (CPP) in women is a complex syndrome and symptoms are associated with sexual dysfunction, musculoskeletal and myofascial disorders, and comorbid psychiatric disorders. Its widespread prevalence results in substantial expense due to therapy and lost productivity, and it is perhaps one of the most urgent and neglected medical needs. This systematic review and meta-analysis aimed to estimate the role of mindfulness and pelvic floor physical therapy (PFPT) in the treatment or management of women with CPP.

methodsThis systematic review (CRD42020204987) searched for relevant publications between January 2000 and November 2020 on MEDLINE/PubMed, Web of Science, One File GALE, and Technology Research databases using the following search terms: chronic pelvic pain, pelvic floor physical therapy/physiotherapy, mindfulness, and their variants. Risk of bias and quality of evidence were evaluated.

resultsSeven clinical trials (n = 279) were included in the review, and five in the meta-analysis (n = 225). For the pain outcome and its catastrophizing, there was a statistical difference for the Pain Catastrophizing Scale after treatment and during follow-up with mindfulness and PFPT (MD = - 3.82 [- 6.97, - 0.68], p = 0.01, and MD = - 4.49 [- 7.61, - 1.37], p = 0.00, respectively). Sexual function, assessed by the female sexual function index, differed significantly during follow-up between PFPT and mindfulness (MD = - 0.72 [- 1.38, - 0.05], p = 0.03).

conclusionThe small number of studies applying both PFPT and mindfulness to CPP suggests that a multidisciplinary approach is required to treat women with CPP, and further studies involving these therapeutic techniques throughout the CPP cycle are needed.

Indexed as

Chronic PainMindfulnessPelvic Floor DisordersFemaleHumansPelvic FloorPelvic PainPhysical Therapy ModalitiesTreatment OutcomeChronic pelvic painMindfulnessMindfulness meditationPelvic floor physical therapyPelvic floor physiotherapy

Identifiers

PMID35384474
OpenAlexW4226176564

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.