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Obstet Gynecol Sci > Epub ahead of print
DOI: https://doi.org/10.5468/ogs.22171    [Epub ahead of print]
Published online January 20, 2023.
A novel radiofrequency modulation therapy versus routine physiotherapy modalities in treatment of myofascial pelvic pain syndrome: a pilot randomized trial
Elaheh Miri Ashtiani1, Nasim Shokouhi2  , Mona Mohseni3, Nafiseh Saedi4, Ali Asghar Haeri-Mehrizi5, Mahmood Bakhtiyari6,7
1Emam Khomeini Hospital Pelvic floor clinic, Iran
2Yas University Hospital, Tehran University of Medical Sciences, Iran
3Medical school, Tehran University of Medical Sciences, Iran
4Department of Obstetrics and Gynecology, Yas University Hospital, Tehran University of Medical Science, Iran
5Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
6Non-Communicable Diseases Research Center, Iran
7Clinical Research Development Unit, Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Iran
Correspondence:  Nasim Shokouhi,
Email: shokouhinasim@ymail.com
Received: 17 July 2022   • Revised: 28 October 2022   • Accepted: 28 December 2022
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.
Key Words: Myofascial pain syndromes, Diathermy, HIGGS, Physical therapy modalities, Pelvic floor disorders
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