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Pelvic Floor Muscle Exercises for Chronic Pelvic Pain : A Systematic Review and Meta-Analysis of Clinical and Ultrasound Imaging Outcomes

첫 페이지 보기
  • 발행기관
    한국신경근육물리치료학회(구 한국신경근육재활학회) 바로가기
  • 간행물
    한국신경근육재활학회지 KCI 등재 바로가기
  • 통권
    제16권 제2호 (2026.05)바로가기
  • 페이지
    pp.17-29
  • 저자
    Jae-Hun Shim
  • 언어
    영어(ENG)
  • URL
    https://www.earticle.net/Article/A484738

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초록

영어
Pelvic pain is a multifactorial condition commonly associated with pelvic floor dysfunction. This meta-analytic systematic review assessed the efficacy of pelvic floor muscle exercises (PFME), with or without ultrasound imaging (USI) and/or biofeedback, in adults experiencing pelvic pain. Comprehensive literature searches of PubMed, EMBASE, CINAHL, PEDro, and Cochrane CENTRAL databases from January 1990 to December 2024 identified randomized controlled trials (RCTs) reporting outcomes related to pain and/or pelvic floor structural and functional measures. Methodological quality was evaluated using the PEDro scale and the Cochrane Risk of Bias 2.0 tool. Eight RCTs met the inclusion criteria. Random-effects meta-analyses, expressed as standardized mean differences (SMD) with 95% CI, demonstrated significant reductions in pain (SMD −1.25 to −1.30) and substantial improvements in morphometric indices (SMD 0.95 to 1.50), alongside enhancements in muscle strength, bladder base displacement, and quality of life (QOL). Studies incorporating USI indicated improved motor control and adherence, suggesting a potential additive benefit of image- guided feedback. Overall, PFME represents an effective, non-invasive intervention for pelvic pain, yielding improvements in both structural and functional outcomes. Future research should focus on standardizing treatment protocols, extending follow-up durations, and elucidating underlying mechanisms to optimize dosing and identify patient subgroups most likely to benefit.

목차

Abstract
Ⅰ. Introduction
Ⅱ. Methods
1. Protocol and reporting guidelines
2. Eligibility criteria
3. Literature search
4. Study selection, data extraction, and quality assessment
5. Data synthesis and statistical analysis
Ⅲ. Results
Ⅳ. Discussion
Ⅴ. Conclusion
References

키워드

Biofeedback Chronic pelvic pain Meta-analysis Pelvic floor muscle exercise Ultrasound imaging

저자

  • Jae-Hun Shim [ Department of Physical Therapy, College of Health Science, Baekseok University ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국신경근육물리치료학회(구 한국신경근육재활학회) [Korean Academy of Neuromuscular Physical Therapy]
  • 설립연도
    2010
  • 분야
    의약학>물리치료학
  • 소개
    본회는 신경과학과 학문적 근거에 기초하여 신경계 질병에 대한 관리 및 치료모형을 개발하고 발전시키는 것을 목적으로 한다.

간행물

  • 간행물명
    한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]
  • 간기
    계간
  • pISSN
    2508-6456
  • 수록기간
    2011~2026
  • 등재여부
    KCI 등재
  • 십진분류
    KDC 514 DDC 617

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