{"paper_id":"6f39597f-7b7b-4d79-ace7-7faf07d8e80c","body_text":"Effect of a Multimodal Supervised Therapeutic Exercise Program on Quality of Life, Pain, and Lumbopelvic Impairments in Women With Endometriosis Unresponsive to Conventional Therapy: A Randomized Controlled Trial\nFecha\n2023-07-17\nTítulo de la revista\nISSN de la revista\nTítulo del volumen\nEditor\nW B SAUNDERS CO-ELSEVIER INC, 1600 JOHN F KENNEDY BOULEVARD, STE 1800, PHILADELPHIA, PA 19103-2899\nResumen\nAbstract\nObjective: To evaluate the effectiveness of \"Physio-EndEA\", a multimodal nine-week supervised exercise intervention, on quality of life, pain, and lumbopelvic impairments in women with endometriosis unresponsive to conventional therapy.\nDesign: Parallel-group randomized controlled trial. Outcomes were measured at baseline, post-intervention, and at 1 year.\nSetting: Two Public University Hospitals.\nParticipants: This trial included 31 women with endometriosis (N=31) randomly allocated to \"Physio-EndEA\" group (n=16) or control group (n=15). Four participants dropped out of the study for causes unrelated to the intervention.\nInterventions: The \"Physio-EndEA\" program consisted of a 1-week lumbopelvic stabilization learning phase followed by an 8-week phase of stretching, aerobic, and resistance exercises focused on the lumbopelvic area. It was sequentially instructed and supervised by a trained physiotherapist (with volume and intensity progression) and adapted daily to the potential of each participant. Control group received the usual treatment stipulated by their gynecologist.\nMain outcome measures: The primary outcome was quality of life. Secondary outcomes were pain intensity, pressure pain thresholds, pain-related catastrophic thoughts, abdominal and back strength, lumbopelvic stability, and muscle architecture.\nResults: Adherence rate was 90.6% and mean (±standard deviation) satisfaction was 9.44±0.73 out of 10. No remarkable health problems were reported during the trial. In comparison with controls, the quality of life was improved post-intervention and at 1 year in the Physio-EndEA group with large effect sizes (d>0.80). This group also evidenced: a reduced intensity of dyspareunia, catastrophic thoughts; an increase in pelvic, lumbar, and distal pressure pain thresholds; increases in abdominal and back strength and lumbopelvic stability; and increased thickness of transversus abdominis (right side) and width of lumbar multifidus (left side).\nConclusion: A 9-week program of multimodal supervised therapeutic exercise is a feasible and effective intervention to improve QoL in women with endometriosis. This program also offers benefits in terms of pain/sensitization and lumbopelvic impairments.\nTrial registration: ClinicalTrials.gov NCT03979183.\nKeywords: Endometriosis; Lumbopelvic impairment; Pain threshold; Quality of life; Rehabilitation; Therapeutic exercise.\nDescripción\nPalabras clave\nEndometriosis, Lumbopelvic impairment, Pain threshold, Quality of life, Rehabilitation, Therapeutic exercise\nCitación\nArtacho-Cordón F, Salinas-Asensio MDM, Galiano-Castillo N, Ocón-Hernández O, Peinado FM, Mundo-López A, Lozano-Lozano M, Álvarez-Salvago F, Arroyo-Morales M, Fernández-Lao C, Cantarero-Villanueva I. Effect of a Multimodal Supervised Therapeutic Exercise Program on Quality of Life, Pain, and Lumbopelvic Impairments in Women With Endometriosis Unresponsive to Conventional Therapy: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2023 Nov;104(11):1785-1795. doi: 10.1016/j.apmr.2023.06.020. Epub 2023 Jul 17. PMID: 37467936.","source_license":"Public-Domain","license_restricted":false}