Continuing improvement of chronic pelvic pain in women after short-term Mensendieck somatocognitive therapy: results of a 1-year follow-up study

Haugstad, Gro Killi; Haugstad, Tor S.; Kirste, Unni; Leganger, Siv; Wojniusz, Slawomir; Klemmetsen, Inger; Malt, Ulrik Fredrik

doi:10.1016/j.ajog.2008.06.019

Cited by 53 publications

(67 citation statements)

References 25 publications

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“…Generally speaking, all of these approaches aim to cultivate a particular quality of body awareness characterized not by its intensity (exaggerated or ignored) but by non-judgmental ‘mindfulness’, “a quality of non-elaborative awareness to current experience and a quality of relating to one's experience with an orientation of curiosity, experiential openness, and acceptance” [65]. By today, they have been studied to a preliminary degree in patients with a variety of medical conditions including chronic low back pain [16], [86]–[89], pelvic pain [2], [90], fibromyalgia [91]–[93], musculoskeletal pain [94], [95], chronic pain in general [95], [96], disordered eating and obesity [23], [97], [98], irritable bowel syndrome [99], sexual abuse trauma [74], [100], coronary artery disease [101], [102], congestive heart failure [5], chronic renal failure [18], falls in the elderly [103], anxiety [104], [105] and depression [106]. In order to determine whether body awareness indeed plays a role in these clinical areas and therapeutic approaches, we need a more precise understanding and reliable, valid measurement of this construct.…”

Section: Introductionmentioning

confidence: 99%

Body Awareness: Construct and Self-Report Measures

et al. 2009

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ObjectivesHeightened body awareness can be adaptive and maladaptive. Improving body awareness has been suggested as an approach for treating patients with conditions such as chronic pain, obesity and post-traumatic stress disorder. We assessed the psychometric quality of selected self-report measures and examined their items for underlying definitions of the construct.Data sourcesPubMed, PsychINFO, HaPI, Embase, Digital Dissertations Database.Review methodsAbstracts were screened; potentially relevant instruments were obtained and systematically reviewed. Instruments were excluded if they exclusively measured anxiety, covered emotions without related physical sensations, used observer ratings only, or were unobtainable. We restricted our study to the proprioceptive and interoceptive channels of body awareness. The psychometric properties of each scale were rated using a structured evaluation according to the method of McDowell. Following a working definition of the multi-dimensional construct, an inter-disciplinary team systematically examined the items of existing body awareness instruments, identified the dimensions queried and used an iterative qualitative process to refine the dimensions of the construct.ResultsFrom 1,825 abstracts, 39 instruments were screened. 12 were included for psychometric evaluation. Only two were rated as high standard for reliability, four for validity. Four domains of body awareness with 11 sub-domains emerged. Neither a single nor a compilation of several instruments covered all dimensions. Key domains that might potentially differentiate adaptive and maladaptive aspects of body awareness were missing in the reviewed instruments.ConclusionExisting self-report instruments do not address important domains of the construct of body awareness, are unable to discern between adaptive and maladaptive aspects of body awareness, or exhibit other psychometric limitations. Restricting the construct to its proprio- and interoceptive channels, we explore the current understanding of the multi-dimensional construct and suggest next steps for further research.

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Section: Introductionmentioning

confidence: 99%

Body Awareness: Construct and Self-Report Measures

et al. 2009

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“…Some authors concluded that patients suffering from CPP presented standard characteristics when in some positions that could be called "pelvic pain protection pattern", therefore the posture of these patients should be inherently unstable and this pattern, considered as a means of overcoming used as a balance strategy [5,12]. Therefore, it is clear that CPP is a complex disease that diagnosis and treatment goes beyond the scope of gynecology because it may be associated with an altered muscle and postural pattern and could benefit from a multidisciplinary approach to decrease levels of pain [5,13,14]. Indeed, authors have demonstrated that standardized Mensendieck test could be helpful to CPP management.…”

Section: Introductionmentioning

confidence: 99%

Baropodometry on women suffering from chronic pelvic pain - a cross-sectional study

et al. 2011

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BackgroundPrevious studies have associated chronic pelvic pain with a stereotyped pattern of movement and posture, lack of normal body sensations, a characteristic pain distribution. We aimed at evaluating if these postural changes are detectable in baropodometry results in patients with chronic pelvic pain.MethodsWe performed a prospective study in a university hospital. We selected 32 patients suffering from chronic pelvic pain (study group) and 30 women without this pathology (regular gynecological work out - control group). Pain scores and baropodometric analysis were performed.ResultsAs expected, study group presented higher pain scores than control group. Study and control groups presented similar averages for the maximum pressures to the left and right soles as well as soles supports in the forefeet and hind feet. Women suffering from chronic pelvic pain did not present differences in baropodometric analysis when compared to healthy controls.ConclusionsThis data demonstrates that postural abnormalities resulting from CPP could not be demonstrated by baropodometric evaluation. Other postural measures should be addressed to evaluate pelvic pain patients.

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“…Pasientene hadde gjennomgått til sammen 72 kirurgiske inngrep i abdomen, bl.a. eksplorative inngrep, hysterektomi og ekstirpasjon av adnexae, uten tilfredsstillende effekt (1,8). Det kunne ikke påvises spesifikk somatisk etiologi.…”

Section: Egne Erfaringerunclassified

“…Etter behandlingen hadde kvinnene i behandlingsgruppen 41 % bedre VAS-skår og 63 % bedre respirasjonsskår enn kvinnene som kun mottok veiledning (1). Ved oppfølging ett år etter behandlingsstart hadde fremgangen fortsatt, og behandlingsgruppen hadde nå 53 % bedre skår for smerte og 86 % bedre skår for respirasjon (8). De hadde også bedring av skår for angst, depresjon og mestring (målt ved GHQ-30).…”

Section: Egne Erfaringerunclassified

“…I en kommentar fra American Journal of Obstetrics and Gynecology anføres det at standardisert mensendiecktest kan benyttes til å evaluere kandidater for somatokognitiv behandling, og at somatokognitiv tilnaerming kan anvendes på pasienter med langvarig urogenital-og muskel-og skjelettlidelser (8). Vi anbefaler norske gynekologiske avdelinger å utvikle behandlingsprogrammer for pasienter med langvarige underlivssmerter som omfatter en somatokognitiv tilnaering til bevegelsesanalyse og terapi.…”

Section: Anbefalingerunclassified

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