Mensendieck somatocognitive therapy as treatment approach to chronic pelvic pain: results of a randomized controlled intervention study

American Journal of Obstetrics and Gynecology
Gro K HaugstadUlrik F Malt

Abstract

The etiology of chronic pelvic pain is disputed and multifactorial. We studied the effect of Mensendieck somatocognitive therapy aimed at reducing physical pain by changing posture, movement and respiration patterns combined with standard gynecological treatment. Women with chronic pelvic pain unexplained by pelvic pathology were randomized into 2 groups: (1) standard gynecological treatment and (2) gynecological treatment plus somatocognitive therapy. A Mensendieck test of motor function (posture, movement, gait, sitting posture, respiration) and a visual analogue score of pain were obtained before and after the 90-day treatment period. The test results of patients treated by standard gynecological measures were unchanged (nonsignificant). By contrast, the patients receiving somatocognitive therapy in addition improved scores by 25% to 60% for all motor functions (P < .01, largest improvement for respiration, up from average 2.98 [SEM 0.30] to 4.72 [0.37]), and pain scores reduced by 50% (down from 5.60 [0.40] to 2.89 [0.40], P < .01). Mensendieck somatocognitive therapy combined with standard gynecological care improved pain experience and motor functions of women with chronic pelvic pain better than gynecological treatment a...Continue Reading

References

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Citations

Sep 1, 2006·Photomedicine and Laser Surgery
Sep 11, 2012·BMC Musculoskeletal Disorders·Robert A LairdJennifer L Keating
Jun 7, 2014·Der Schmerz·F Siedentopf, M Sillem
Oct 31, 2015·Journal of Psychosomatic Obstetrics and Gynaecology·Friederike SiedentopfHeribert Kentenich
Nov 7, 2006·Journal of Psychosomatic Research·Gro Killi HaugstadUlrik F Malt
Nov 6, 2009·Zeitschrift für Psychosomatische Medizin und Psychotherapie
Jan 28, 2015·Physiotherapy Theory and Practice·Marit Fougner, Gro Killi Haugstad
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Oct 17, 2017·American Journal of Obstetrics and Gynecology·Catherine AllairePaul J Yong

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