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Titre : | Effect of a Multimodal Supervised Therapeutic Exercise Program on Quality of Life, Pain, and Lumbopelvic Impairments in Women With Endometriosis Unresponsive to Conventional Therapy: A Randomized Controlled Trial (2023) |
Auteurs : | Francisco Artacho-Cordón ; María del Mar Salinas-Asensio ; Noelia Galiano-Castillo ; Olga Ocón-Hernández ; Francisco M. Peinado ; Antonio Mundo-López ; Mario Lozano-Lozano ; Francisco Álvarez-Salvago ; Manuel Arroyo-Morales ; Carolina Fernandez-Lao ; Irene Cantarero-Villanueva |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 11, 2023) |
Article en page(s) : | p. 1785-1795 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.06.020 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Endométriose ; Qualité de vie ; Réadaptation ; Seuil nociceptif ; Traitement par les exercices physiques |
Résumé : | Objective To evaluate the effectiveness of ?Physio-EndEA?, a multimodal nine-week supervised exercise intervention, on quality of life, pain, and lumbopelvic impairments in women with endometriosis unresponsive to conventional therapy. Design Parallel-group randomized controlled trial. Outcomes were measured at baseline, post-intervention, and at 1 year. Setting Two Public University Hospitals. Participants This trial included 31 women with endometriosis (N=31) randomly allocated to ?Physio-EndEA? group (n=16) or control group (n=15). Four participants dropped out of the study for causes unrelated to the intervention. Interventions The ?Physio-EndEA? program consisted of a 1-week lumbopelvic stabilization learning phase followed by an 8-week phase of stretching, aerobic, and resistance exercises focused on the lumbopelvic area. It was sequentially instructed and supervised by a trained physiotherapist (with volume and intensity progression) and adapted daily to the potential of each participant. Control group received the usual treatment stipulated by their gynecologist. Main Outcome Measures The primary outcome was quality of life. Secondary outcomes were pain intensity, pressure pain thresholds, pain-related catastrophic thoughts, abdominal and back strength, lumbopelvic stability, and muscle architecture. Results Adherence rate was 90.6% and mean (+standard deviation) satisfaction was 9.44+0.73 out of 10. No remarkable health problems were reported during the trial. In comparison with controls, the quality of life was improved post-intervention and at 1 year in the Physio-EndEA group with large effect sizes (d>0.80). This group also evidenced: a reduced intensity of dyspareunia, catastrophic thoughts; an increase in pelvic, lumbar, and distal pressure pain thresholds; increases in abdominal and back strength and lumbopelvic stability; and increased thickness of transversus abdominis (right side) and width of lumbar multifidus (left side). Conclusion A 9-week program of multimodal supervised therapeutic exercise is a feasible and effective intervention to improve QoL in women with endometriosis. This program also offers benefits in terms of pain/sensitization and lumbopelvic impairments. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323004045 |