Tehran University of Medical Sciences

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A Novel Radiofrequency Modulation Therapy Versus Routine Physiotherapy Modalities in Treatment of Myofascial Pelvic Pain Syndrome: A Pilot Randomized Trial Publisher



Ashtiani EM1 ; Shokouhi N2 ; Mohseni M3 ; Saedi N4 ; Haerimehrizi AA5 ; Bakhtiyari M6, 7
Authors
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Authors Affiliations
  1. 1. Emam Khomeini Hospital Pelvic Floor Clinic, Tehran University of Medical Sciences, Iran
  2. 2. Yas University Hospital, Tehran University of Medical Sciences, Iran
  3. 3. Medical school, Tehran University of Medical Sciences, Iran
  4. 4. Department of Obstetrics and Gynecology, Yas University Hospital, Tehran University of Medical Science, Iran
  5. 5. Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
  6. 6. Non-Communicable Diseases Research Center, Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran
  7. 7. Clinical Research Development Unit, Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran

Source: Obstetrics and Gynecology Science Published:2023


Abstract

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. © 2023 Korean Society of Obstetrics and Gynecology