Feasibility, acceptability and effects of multimodal pelvic floor physical therapy for gynecological cancer survivors suffering from painful sexual intercourse: A multicenter prospective interventional study

被引：29

作者：

Cyr, Marie-Pierre ^{[1
,2
]}

Dumoulin, Chantale ^{[3
,4
]}

Bessette, Paul ^{[2
,5
]}

Pina, Annick ^{[6
,7
]}

Gotlieb, Walter Henry ^{[8
,9
]}

Lapointe-Milot, Korine ^{[2
,5
]}

Mayrand, Marie-Helene ^{[7
,10
,11
]}

Morin, Melanie ^{[1
,2
]}

机构：

[1] Univ Sherbrooke, Fac Med & Hlth Sci, Sch Rehabil, 3001 12e Ave N, Sherbrooke, PQ J1H 5N4, Canada

[2] Ctr Hosp Univ Sherbrooke, Res Ctr, 3001 12e Ave N, Sherbrooke, PQ J1H 5N4, Canada

[3] Univ Montreal, Fac Med, Sch Rehabil, 7077 Pk Ave, Montreal, PQ H3N 1X7, Canada

[4] Inst Univ Geriatrie Montreal, Res Ctr, 4545 Queen Mary, Montreal, PQ H3W 1W6, Canada

[5] Univ Sherbrooke, Fac Med & Hlth Sci, Div Gynecol Oncol, Dept Obstet & Gynecol, 3001 12e Ave N, Sherbrooke, PQ J1H 5N4, Canada

[6] Univ Montreal, Fac Med, Div Gynecol Oncol, Dept Obstet & Gynecol, POB 6128 Ctr Ville Stn, Montreal, PQ H3C 3J7, Canada

[7] Ctr Hosp Univ Montreal, Res Ctr, 900 St Denis, Montreal, PQ H2X 0A9, Canada

[8] McGill Univ, Fac Med, Div Gynecol Oncol, Dept Obstet & Gynecol, 1001 Decarie Blvd, Montreal, PQ H4A 3J1, Canada

[9] Jewish Gen Hosp, Lady Davis Inst, 3755 Chem Cote St Catherine, Montreal, PQ H3T 1E2, Canada

[10] Univ Montreal, Fac Med, Dept Obstet & Gynecol, POB 6128 Ctr Ville Stn, Montreal, PQ H3C 3J7, Canada

[11] Univ Montreal, Fac Med, Dept Social & Prevent Med, POB 6128 Ctr Ville Stn, Montreal, PQ H3C 3J7, Canada

来源：

GYNECOLOGIC ONCOLOGY | 2020年 / 159卷 / 03期

关键词：

Acceptability; Dyspareunia; Gynecological cancer survivors; Pain; Physical therapy; Sexual function; CLINICAL-TRIALS; PSYCHOMETRIC EVALUATION; FUNCTION INDEX; DYSFUNCTION; HEALTH; PILOT; WOMEN; SYMPTOMS; REHABILITATION; QUESTIONNAIRE;

D O I：

10.1016/j.ygyno.2020.09.001

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objectives. Painful sexual intercourse (dyspareunia) is a distressing condition affecting a large proportion of gynecological cancer survivors, yet treatments remain limited and poorly studied. This multicenter prospective interventional study examined the feasibility, acceptability and effects of multimodal pelvic floor physical therapy in gynecological cancer survivors with dyspareunia. Methods. Thirty-one endometrial and cervical cancer survivors with dyspareunia participated in 12 weekly 60-min physical therapy sessions combining education, manual therapy, pelvic floor muscle exercises using biofeedback and home exercises, which included the use of a dilator. The adherence rate to home exercises (>= 80%), the attendance rate at physical therapy sessions (>= 80% of participants attending >= 10 sessions) and the dropout rate ((<)15%) served as feasibility and acceptability outcomes and benchmarks. Pain intensity, pain quality, sexual function, pelvic floor dysfunction symptoms and quality of life were measured at baseline and post-treatment. Treatment satisfaction and participants' perceived improvement were also assessed. Results. The adherence rate was 88% (SD 10), 29/31 (94%) women attended >= 10 treatment sessions, and the dropout rate was 3%. Moreover, women experienced significant improvements in all outcomes after the intervention (p <= 0.044). They also reported being highly satisfied with the treatment (9.3/10 (SD 1.2)), and 90% of them were very much or much improved. Conclusions. Our findings support the feasibility and acceptability of multimodal pelvic floor physical therapy for gynecological cancer survivors with dyspareunia. The intervention also led to significant improvements in pain, sexual function, pelvic floor dysfunction symptoms and quality of life. A randomized controlled trial is needed to confirm these results. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：778 / 784

页数：7

共 39 条

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