Chronic Pelvic Pain in Women - Conservative Group Treatment Compared to Standard Conservative Treatment. (CPP)
Chronic Pelvic Pain in Women - Conservative Multidisciplinary Group Treatment Compared to Standard Conservative Treatment. A Randomised Controlled Trial.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Yksityiskohtainen kuvaus
Background: Chronic pelvic pain (CPP) is a common source of pain and reduced quality of life among women throughout the world. CPP is a complex condition, and the understanding of both etiology and effective treatment is limited. The newest/latest clinical guidelines recommend a holistic and multidisciplinary treatment approach to this condition.
In accordance with the guidelines a multidisciplinary group based treatment for women with CPP has been started at the University Hospital of North Norway. The treatment is offered to patients who are considered to benefit from conservative treatment approach.
Method: To investigate the effect of a group based treatment compared to standard conservative treatment by physiotherapists in primary or secondary health care, a randomized controlled trial will be conducted.
Patients who are found eligible and consent to participate in the trial, will be randomized to one of the two treatment options. Data will be registered at baseline, 3, 6 and 12 months after start of treatment.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Troms
-
Tromso, Troms, Norja, 9038
- University Hospital of North Norway
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Chronic pelvic pain lasting minimum 6 months
- Motivated for group intervention
Exclusion Criteria:
- Pelvic pathology that needs medical treatment other than conservative
- Pregnancy, or labour last 12 months.
- Abdominal or pelvic surgery the last 6 months
- Botox injections in pelvic areas last 4 months.
- Drug addiction or using large dozes of analgesics
- Serious psychiatric diagnosis. Consent capability is necessary.
- Not speaking/writing Norwegian language
- Previously treated by physiotherapist involved in the group intervention in this project
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Yksittäinen
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
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Kokeellinen: Multidisciplinary group treatment
Multidisciplinary group intervention at the University Hospital of North Norway. The group intervention is led by physiotherapists, with contributions from a gynecologist, nutritionist and a peer patient. The treatment consists of active exercises and theory lessons. The focus is to enhance the participants body awareness and to recognize the integration of mental and physical processes. The aim is to create change in patterns that influence the participants health negatively. The treatment lasts one year. The first meeting has a duration of 10 days, then follow-up after 3, 6 and 12 months. |
Multidisciplinary group intervention at the University Hospital of North Norway. The group intervention is led by physiotherapists, with contributions from a gynecologist, nutritionist and a peer patient. The treatment consists of active exercises and theory lessons. The focus is to enhance the participants body awareness and to recognize the integration of mental and physical processes. The aim is to create change in patterns that influence the participants health negatively. The treatment lasts one year. The first meeting has a duration of 10 days, then follow-up after 3, 6 and 12 months. |
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Active Comparator: Standard physiotherapy treatment
Standard treatment in primary or secondary health care physiotherapy.
Patients are referred to a physiotherapist with appropriate training/competence, as close to their home as possible.
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Standard treatment in primary or secondary health care physiotherapy.
Patients are referred to a physiotherapist with appropriate training/competence, as close to their home as possible.
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Changes in pelvic pain
Aikaikkuna: From baseline to 3, 6 and 12 months after start of intervention.
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Self reported pelvic pain the last 7 days.
The worst, the least and the mean pain are recorded.
Each item is scored 0-10 (0=no pain, 10 = pain as bad as can be).
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From baseline to 3, 6 and 12 months after start of intervention.
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Changes in subjective health complaints
Aikaikkuna: From baseline to 3, 6 and 12 months after start of intervention
|
Self reported health complaints last 30 days, using a standardized questionnaire.
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From baseline to 3, 6 and 12 months after start of intervention
|
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Changes in fear of movement,
Aikaikkuna: From baseline to 12 months after start of intervention
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Measured with Tampa Scale of Kinesiophobia, a self-completed questionnaire.
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From baseline to 12 months after start of intervention
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Changes in sexual function concerning pain during intercourse
Aikaikkuna: From baseline to 12 months after start of intervention
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Questionnaire recording sexual desire, orgasm problems and pain during intercourse.
Each item is scored "all the time", "almost all the time", "often", "rarely" or "never".
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From baseline to 12 months after start of intervention
|
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Changes in general health condition
Aikaikkuna: From baseline to 3, 6 and 12 months after start of intervention
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EQ-5D questionnaire recording mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
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From baseline to 3, 6 and 12 months after start of intervention
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Changes in fecal incontinence, urinary incontinence (UI), obstructed defecation
Aikaikkuna: From baseline to 12 months
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Measured by the standardized St.Marks score, the ICIQ-UI_SF and the Obstructed Defecation Syndrome Score.
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From baseline to 12 months
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Changes in motor functions: posture, movement, gait, sitting posture, respiration
Aikaikkuna: From baseline to 12 months after start of intervention
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A standardized Mensendieck test is used.
Motor functions are recorded and evaluated by a trained physiotherapist.
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From baseline to 12 months after start of intervention
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Yhteistyökumppanit ja tutkijat
Sponsori
Yhteistyökumppanit
Tutkijat
- Opintojen puheenjohtaja: Paal Oian, Professor MD, University Hospital of North Norway
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- 2014/1398 (REK)
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