RESUMEN
AIM: The present study aimed to investigate the effects of tDCS on pain score in women with Chronic Pelvic Pain (CPP). MATERIALS & METHODS: A total of 16 women with CPP participated in the present double-blind sham-controlled cross-over study. Each participant received a 20-min 0.3â¯MA of trans Cranial Direct Stimulation (tDCS) with a current density of 0.1â¯mA/cm2. In addition to the pain intensity, the Quality of Life (QOL), disability, and depression statuses were assessed prior to and one week after the treatment. Shapiro-Wilks goodness-of-fit test for normality, dependent t-Test, and Wilcoxon Signed- Rank Test were used for data analysis. Values of pâ¯<â¯.05 were considered statistically significant. FINDINGS: Active tDCS treatment was effective in the reduction of pain (pâ¯=â¯.0001), improving QOL (208.938â¯>â¯193.313, Pâ¯=â¯.025), and the disability (22.375â¯<â¯30.375, Pâ¯=â¯.025). The results showed no effect of active or sham treatment on the depression (pâ¯≥â¯.05). CONCLUSION: The positive effects of active tDCS on CPP suggest the need to study the effect of this method on other types of chronic pain.
Asunto(s)
Dolor Pélvico/terapia , Estimulación Transcraneal de Corriente Directa/métodos , Adulto , Enfermedad Crónica , Estudios Cruzados , Depresión/complicaciones , Método Doble Ciego , Femenino , Humanos , Persona de Mediana Edad , Dolor Pélvico/complicaciones , Calidad de Vida , Índice de Severidad de la Enfermedad , Adulto JovenRESUMEN
AIM: This study aimed to compare the prevalence of pelvic musculoskeletal dysfunctions in women with and without Chronic Pelvic Pain (CPP). MATERIALS &METHODS: A total of 84 women with and without CPP (42 in each group), participated in this cross-sectional analytical study. After collecting demographic information, clinical examinations were carried out to compare pelvic musculoskeletal dysfunctions between two groups. Kolmogorov-Smirnov (K-S) goodness-of-fit, Independent t, X2 and Pearson correlation tests were used for data analysis. Values of p < 0.05 were considered statistically significant. FINDINGS: Significant differences were found in the asymmetric iliac crest and pubic symphysis height (45.2% vs 9.5%), positive sacroiliac provocation and positive Carnett's tests (50% vs 4.8%), (p < 0.05). CPP Patients exhibited more tenderness at Levator ani, Piriformis, and Obturator Internus muscles, also higher degrees of pelvic inclination (p < 0.05). CONCLUSION: Higher frequency of pelvic musculoskeletal dysfunctions in women with CPP suggests the value of routine musculoskeletal examinations for earlier diagnosis of musculoskeletal originated CPP and effective management of these patients.