RT info:eu-repo/semantics/article
T1 Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis
A1 Fernández Pérez, Paula
A1 Leirós Rodríguez, Raquel
A1 Marqués Sánchez, Pilar
A1 Martínez Fernández, María Cristina
A1 Oliveira de Carvalho, Fernanda
A1 Maciel, Leonardo Y. S.
A2 Fisioterapia
K1 Fisioterapia
K1 Dyspareunia
K1 Physiological sexual dysfunctions
K1 Physiological sexual disorders
K1 Pelvic floor
K1 Physical therapy modalities
K1 Rehabilitation
K1 Manual therapy
K1 Exercise therapy
AB [EN] Background Dyspareunia is defined as the occurrence of pain during or after sexual intercourse, which directlyaffects physical, sexual, and mental health. This condition can lead to depression, anxiety, and low self‑esteemin women who experience it.Objectives The aim of this research was to evaluate the effectiveness of physical therapy interventions for the treat‑ment of female dyspareunia.Design A systematic review and meta‑analysis was conducted.Method Search of publications was conducted in Scopus, Medline, Pubmed, Cinahl and Web of Science. Treatmenteffects were defined as standardized mean difference and their 95% confidence intervals. Statistical heterogeneitywas assessed using Crohan’s Q test and quantified using the I2 index.Results Of the 19 articles selected, six applied multimodal physiotherapy treatments; five, electrotherapy; three,Thiele’s massage; two, interdisciplinary interventions or pelvic floor muscle training; and one, extracorporeal shock‑wave therapy. The meta‑analysis showed significant results for the variables pain and quality of life with the interven‑tions based on electrotherapy and electrotherapy combined with pelvic floor muscle training. These interventions didnot show significant results for the improvement of sexual function.Conclusions Physiotherapy techniques are effective and procedures have been identified with reliable resultsin improving pain and quality of life in patients with dyspareunia. One of the most important aspects is the strength‑ening of the perineal musculature and the application of Transcutaneous Electrical Nerve Stimulation. Furthermore,manual trigger point release therapy and Thiele massage, optimize and guarantee the reduction of pain intensity.
PB Springer
LK https://hdl.handle.net/10612/20940
UL https://hdl.handle.net/10612/20940
NO Fernández-Pérez, P., Leirós-Rodríguez, R., Marqués-Sánchez, M. P., Martínez-Fernández, M. C., de Carvalho, F. O., & Maciel, L. Y. (2023). Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis. BMC Women's Health, 23(1), 387.
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 21-jun-2024