Evidence map›Paper›PMID 35389057›Full record

SynthesisInternational urogynecology journal2022

Effectiveness of Myofascial Manual Therapies in Chronic Pelvic Pain Syndrome: A Systematic Review and Meta-Analysis.

Fulvio Dal Farra, Alessandro Aquino, Andrea Gianmaria Tarantino, Daniele Origo

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 7% 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.

NCT05851742 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Myofascial Release With and Without Electrical Stimulation on Pain and Functionality in Women With Chronic Pelvic Pain

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled24ConditionsChronic Pelvic Pain, Myofascial Trigger Point PainArmsTENS, Myofascial trigger point release
NCT07351851 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of PEMM in Chronic Low Back Pain Women With Urinary Incontinence A Randomised Controlled Trial

TypeinterventionalSponsorHamad Medical CorporationRan2025 to 2027Enrolled200ConditionsChronic Low-back Pain (cLBP), Urinary Incontinence (UI), Pelvic External Myofascial Mobilisation, Myofascial TechniquesArmsPEMM with Theragun, Active Comparator: Control
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 20 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Fulvio Dal FarraSOMA Istituto Osteopatia Milano, Research Department, Viale Sarca 336 F, 20126, Milan, Italy.ORCID 0000-0001-8431-600X
Alessandro AquinoDepartment of Health Science, University of Milan, Milan, Italy.ORCID 0000-0003-1898-1065
Andrea Gianmaria TarantinoSOMA Istituto Osteopatia Milano, Research Department, Viale Sarca 336 F, 20126, Milan, Italy. andreagtarantino@gmail.com.ORCID 0000-0001-9911-6270
Daniele OrigoSOMA Istituto Osteopatia Milano, Research Department, Viale Sarca 336 F, 20126, Milan, Italy.ORCID 0000-0002-7920-2435
UniCredit (Italy) · ITUniversity of Cagliari · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisChronic pelvic pain syndrome (CPPS) is defined as the occurrence of chronic pelvic pain (CPP) in the absence of a specific cause. People typically refer to pain associated with urological, gynaecological, and sexual dysfunction, affecting the quality of life. Therefore, we assessed the effectiveness of myofascial manual therapies (MMT) for pain and symptom impact.

methodsA systematic review and meta-analysis were conducted. Findings were reported following the 2020 PRISMA statement. Five databases were searched for RCTs. Studies were independently assessed through a standardized form, and their internal validity was evaluated using the Cochrane risk of bias (RoB) tool. Effect sizes (ES) were calculated post-treatment, and the quality of evidence was assessed through GRADE criteria.

resultsSeven articles were included in the review, five of these in the meta-analysis. None of these studies were completely judged at low RoB. MMT was revealed to be not significantly superior for pain reduction [ES: -0.54 (-1.16; 0.08); p = 0.09], for symptom impact [ES: -0.37 (-0.87; 0.13); p = 0.15], and for quality of life [ES: -0.44 (-1.22, 0.33), p = 0.26] compared to standard care. The quality of evidence was "very low". Other results were presented in a qualitative synthesis.

conclusionsIn patients with CPP/CPPS, MMT is not considered superior to other interventions for pain reduction and symptom impact improvements. However, a positive trend was detected, and we should find confirmation in the future. Further high-quality, double-blinded, sham-controlled RCTs are first necessary to confirm these positive effects and to improve the quality of evidence.

Indexed as

Chronic PainGenital Diseases, FemaleMusculoskeletal ManipulationsFemaleHumansPelvic PainQuality of LifeSyndromeChronic pelvic painChronic pelvic pain syndromeChronic prostatitisManipulationManual therapyMyofascial release

Identifiers

PMID35389057
OpenAlexW4226198686

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.