Symptom and Quality of Life Improvements After Pelvic Floor Physical Therapy in a Clinical Population of Women With Pelvic Pain and Other Symptoms.

Authors

Kim A. Killinger, Beaumont Health
Jacob L. Henrichsen, Oakland University William Beaumont School of Medicine Medical Student
Esther Han, Beaumont Health Fellow
Yi Ling Dai, Oakland University William Beaumont School of Medicine Medical Student
Laura Nguyen, Beaumont Health
Jason Gilleran, Beaumont Health
Lisa Odabachian, Beaumont Health
Judith A. Boura, Beaumont Health
Kenneth M. Peters, Beaumont Health
Larry T. Sirls, Beaumont Health

Document Type

Article

Publication Date

1-1-2021

Publication Title

Female Pelvic Medicine & Reconstructive Surgery

Abstract

OBJECTIVES: This study aimed to evaluate changes in validated symptom scores at intake and discharge in women undergoing pelvic floor physical therapy (PFPT) for pain and other pelvic floor symptoms.

METHODS: Consecutive women starting PFPT during 1 year were reviewed. History, demographics, and Pelvic Floor Distress Inventory Questionnaire - Short Form 20 (PFDI) total and domain scores (Pelvic Organ Prolapse Distress Inventory-6, Urogenital Distress Inventory-6, Colorectal-Anal Distress Inventory-8), Pelvic Floor Impact Questionnaire (PFIQ-7), and pain levels on a numeric rating scale (NRS) were collected at intake and discharge. Data were analyzed with descriptive statistics and sign tests.

RESULTS: Of 474 women, mean age was 50.3 ± 16.7 years (range, 18-87 years) and the most common indication for PFPT was pelvic pain (208/474; 43.9%). In women with complete data, pretreatment to posttreatment median scores improved on the PFDI (77.3 vs 41.8; P < 0.0001), Urogenital Distress Inventory (37.5 vs 16.0; P < 0.0001), and PFIQ (58.0 vs 19.0; P < 0.0001), and the minimal clinically important difference was met for the PFDI, PFIQ, and Colorectal-Anal Distress Inventory. Women with primarily pelvic pain (n = 208) achieved significant improvements in PFDI, PFIQ, and NRS scores (P < 0.0001 for all) as well as the minimal clinically important difference for these measures. Pain patients with a history of pelvic surgery (n = 50) also had significant improvements in PFIQ and NRS but not PFDI scores.

CONCLUSIONS: Most women referred to PFPT demonstrated symptom improvements as measured by validated instruments.

Volume

27

Issue

1

First Page

e18

Last Page

e21

Recommended Citation

Killinger KA, Henrichsen JL, Han E, Dai YL, Nguyen L, Gilleran J, Odabachian L, Boura JA, Peters KM, Sirls LT. Symptom and Quality of Life Improvements After Pelvic Floor Physical Therapy in a Clinical Population of Women With Pelvic Pain and Other Symptoms. Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):e18-e21. doi: 10.1097/SPV.0000000000000783. PMID: 31697265. Copy Download .nbib

DOI

10.1097/SPV.0000000000000783

ISSN

2154-4212

PubMed ID

31697265