Randomized Multicenter Feasibility Trial of Myofascial Physical Therapy for the Treatment of Urological Chronic Pelvic Pain Syndromes

被引：121

作者：

FitzGerald, Mary P. ^{[1
]}

Anderson, Rodney U. ^{[3
]}

Potts, Jeannette ^{[4
]}

Payne, Christopher K. ^{[3
]}

Peters, Kenneth M. ^{[5
]}

Clemens, J. Quentin ^{[6
]}

Kotarinos, Rhonda ^{[1
]}

Fraser, Laura ^{[3
]}

Cosby, Annemarie ^{[3
]}

Fortman, Carole ^{[1
]}

Neville, Cynthia ^{[2
]}

Badillo, Suzanne ^{[2
]}

Odabachian, Lisa ^{[5
]}

Sanfield, Andrea ^{[5
]}

O'Dougherty, Betsy ^{[4
]}

Halle-Podell, Rick

Cen, Liyi ^{[7
]}

Chuai, Shannon ^{[7
]}

Landis, J. Richard ^{[7
]}

Mickelberg, Keith ^{[7
]}

Barrell, Ted ^{[7
]}

Kusek, John W. ^{[8
]}

Nyberg, Leroy M. ^{[8
]}

机构：

[1] Loyola Univ, Med Ctr, Maywood, IL 60153 USA

[2] Rehabil Inst Chicago, Chicago, IL 60611 USA

[3] Stanford Univ, Sch Med, Stanford, CA 94305 USA

[4] Cleveland Clin Fdn, Cleveland, OH 44195 USA

[5] William Beaumont Hosp, Royal Oak, MI 48072 USA

[6] Univ Michigan, Med Ctr, Ann Arbor, MI USA

[7] Univ Penn, Sch Med, Philadelphia, PA 19104 USA

[8] NIH, Bethesda, MD 20892 USA

来源：

JOURNAL OF UROLOGY | 2009年 / 182卷 / 02期

关键词：

prostatitis; cystitis; interstitial; physical therapy modalities; PROSTATITIS SYMPTOM INDEX; INTERSTITIAL-CYSTITIS; FLOOR DYSFUNCTION; PREVALENCE; WOMEN; MEN; POPULATION; BIOFEEDBACK;

D O I：

10.1016/j.juro.2009.04.022

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: We determined the feasibility of conducting a randomized clinical trial designed to compare 2 methods of manual therapy (myofascial physical therapy and global therapeutic massage) in patients with urological chronic pelvic pain syndromes. Materials and Methods: We recniited 48 subjects with chronic prostatitis/chronic pelvic pain syndrome or interstitial cystitis/painful bladder syndrome at 6 clinical centers. Eligible patients were randomized to myofascial physical therapy or global therapeutic massage and were scheduled to receive up to 10 weekly treatments of I hour each. Criteria to assess feasibility included adherence of therapists to prescribed therapeutic protocol as determined by records of treatment, adverse events during study treatment and rate of response to therapy as assessed by the patient global response assessment. Primary outcome analysis compared response rates between treatment arms using Mantel-Haenszel methods. Results: There were 23 (49%) men and 24 (51%) women randomized during a 6-month period. Of the patients 24 (51%) were randomized to global therapeutic massage, 23 (49%) to myofascial physical therapy and 44 (94%) completed the study. Therapist adherence to the treatment protocols was excellent. The global response assessment response rate of 57% in the myofascial physical therapy group was significantly higher than the rate of 21% in the global therapeutic massage treatment group (p = 0.03). Conclusions: We judged the feasibility of conducting a full-scale trial of physical therapy methods and the preliminary findings of a beneficial effect of myofascial physical therapy warrants further study.

引用

页码：570 / 580

页数：11

共 28 条

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