Ultrasound Therapy for persistent Post-natal Perineal Pain and Dyspareunia: A randomised placebo-controlled trial

Everett, Tina; McIntosh, Jeanne; Grant, Adrian

doi:10.1016/s0031-9406(10)61437-x

Cited by 13 publications

(9 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A lot of studies had focused on the dyspareunia in immediate postnatal perineal pain and found the effects of ultrasound therapy, pulsed electromagnetic therapy and found its effect on quality of life and pain [15][16][17][18][19]. However, only very few studies had found the effect of ultrasound therapy over the complicated episiotomy scar and no studies had compared scar mobilization and ultrasound over superficial dyspareunia.…”

Section: Discussionmentioning

confidence: 99%

Comparison Between Therapeutic Ultrasound and Scar Mobilization Over Persistent Postnatal Dyspareunia

Ponmathi

Pvr

2017

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: Dyspareunia is known as the painful sexual intercourse. This study was conducted to compare the effectiveness between therapeutic ultrasound and scar mobilization in persistent postnatal dyspareunia.Methods: This is an experimental study. 30 subjects with superficial dyspareunia, age group between 25 and 35 years are taken in this study and 15 subjects in Group A were treated with ultrasound therapy, 15 subjects in Group B were treated with scar mobilization. Female sexual functional index questionnaire (FSFI) and visual analogue scale (VAS) were used as the outcome measure. Results:Results showed a significant difference in FSFI and VAS measurements in both the groups, but clinically Group A showed better improvement in pain and quality of life than Group B. Conclusion:There is no significant difference between ultrasound therapy and scar mobilization over the pain and quality of life in patients with persistent postnatal dyspareunia.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison Between Therapeutic Ultrasound and Scar Mobilization Over Persistent Postnatal Dyspareunia

Ponmathi

Pvr

2017

Asian J Pharm Clin Res

View full text Add to dashboard Cite

show abstract

“…Using TENS, 18 based on behavioral theory, showed positive results in treating vestibulodynia that remained after three months. In spite of ultrasound (US) having an anti-inflammatory effect due to the deep heating and consequent vasodilation, the use of this technique on dyspareunia showed no significant results in the study by Everett et al 20 This fact occurred due to the small sample size and by the lack of a control group, according to those authors.…”

Section: 20mentioning

confidence: 96%

“…23 Interventions using only electrotherapeutic resources can be observed in two studies. 18,20 Only one author did the intervention using Manual Therapy 14 and separately, in three groups, used CBT, Biofeedback, and Vestibulectomy.…”

Section: Physiotherapeutic Approachmentioning

confidence: 99%

“…In 33.3% at least 16% of the participants quit after starting the intervention. In the items referring to being blinded, 83% did not blind the therapists, 15,16 while 66.6% used blinded evaluators 16,18,19,20 and 33.3% had blinded individuals.…”

Section: 6mentioning

confidence: 99%

“…15,19,20 Criteria such as random distribution, similarity of the most important prognostic indicators, and measures of accuracy and of variability of at least one key outcome were always respected. Kinesiotherapy, also known as pelvic floor muscle training (PFMT) or Kegel exercises, is applicable in treating FSDs due to its recruitment of local musculature and the consequent pelvic vascularization and clitoral sensitivity.…”

Section: 20mentioning

confidence: 99%

See 2 more Smart Citations

Physical therapy in sexually dysfunctional women: a systematic review

Wolpe¹,

Toriy²,

Silva³

et al. 2015

Acta Fisiátrica

View full text Add to dashboard Cite

The World Health Organization (WHO) considers Female Sexual Dysfunctions (FSDs) to be a public health issue. There are a multitude of disorders such as female sexual arousal disorder, hypoactive sexual desire disorder, orgasmic disorder, dyspareunia, and vaginismus. FSDs are detected in 67.9% of the women in the world and are present in 50% of Asians, in 30-50% of Americans, and in 30% of Brazilians. Objective: To systematically review the literature on the different physiotherapy techniques used in the treatment of FSDs. Methods: A systematic search was conducted in the databases EMBASE, PEDro, and MedLine in data as recent as June 2013, by combining words and descriptors of physical therapy treatments and female sexual dysfunctions. Excluded from review were articles concerning male sexual dysfunction, pilot studies, multicentric papers of projects, and those which were either not available in their entirety or were duplicated in another database. After the selection of studies was complete, the randomized clinical trials were scored on the PEDro Evaluation Scale. Results: Eleven articles were included, six of which went on to be qualitatively evaluated on the PEDro scale. The present study followed the methodological structure of PRISMA (Statement for Reporting Systematic Reviews and Meta-Analyses of Studies). All studies found used questionnaires to assess the effects of physical therapy on FSDs. A total of five different types of interventions were verified: kinesiotherapy (Kegel exercises and pelvic floor muscle training -PFMT), Cognitive behavioral therapy (CBT), biofeedback, electrotherapy (transcutaneous electrical stimulation -TENS, and therapeutic ultrasound -US), and manual therapy. The limitations found in this systematic review were related to the unavailability of the articles in full and the low methodological quality of the studies. Conclusion: All studies showed improvements in sexual function after physical therapy intervention. There is no consensus on any intervention with better results; however, kinesiotherapy using PFMT proved to be advantageous because of its easy application, low cost, easy learning curve, and lasting results achieved in a short period. However, there are methodological shortcomings that still need to be dealt with to determine the most suitable physical therapy treatment for FSDs, as well as defining the best dosage, the protocol to be followed, and the duration of therapy, as well as the best cost-benefit.

show abstract

Therapeutic ultrasound for postpartum perineal pain and dyspareunia

Hay‐Smith

1998

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Ultrasound Therapy for persistent Post-natal Perineal Pain and Dyspareunia: A randomised placebo-controlled trial

Cited by 13 publications

References 11 publications

Comparison Between Therapeutic Ultrasound and Scar Mobilization Over Persistent Postnatal Dyspareunia

Comparison Between Therapeutic Ultrasound and Scar Mobilization Over Persistent Postnatal Dyspareunia

Physical therapy in sexually dysfunctional women: a systematic review

Therapeutic ultrasound for postpartum perineal pain and dyspareunia

Contact Info

Product

Resources

About