{"paper_id":"bb66f71d-9781-4681-859b-652988c12a30","body_text":"Widespread Pain Hypersensitivity and Lumbopelvic Impairments in Women Diagnosed with Endometriosis\nFecha\n2021-09-08\nTítulo de la revista\nISSN de la revista\nTítulo del volumen\nEditor\nOXFORD UNIV PRESS GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND\nResumen\nAbstract\nObjective: To explore hypersensitivity to pain and musculoskeletal impairments in the lumbopelvic area in women with and without endometriosis.\nMethods: This cross-sectional study included 66 women (41 women with endometriosis and 25 healthy women). Pain and related catastrophizing thoughts were assessed through a numeric rating scale, pressure pain thresholds (PPTs), the slump test, and the Pain Catastrophizing Scale. Lumbopelvic muscles were evaluated through ultrasound imaging, flexor/extensor resistance tests, and the lumbopelvic stability test.\nResults: Women with endometriosis showed increased self-reported intensity of current pelvic pain (CuPP), reduced local PPTs (42.8-64.7% in the affected area, P-value <.001) and higher prevalence of lumbar nerve root impingement/irritation pain and catastrophizing thoughts (P-value ≤.002). Moreover, affected women showed decreased thickness of transversus abdominis, reduced resistance of flexor and extensor trunk muscles and lower lumbopelvic stability (P-values <.030). Endometriosis stage and severity of CuPP were related to worse results in these parameters.\nConclusions: The presence of pain sensitization signs and lumbopelvic impairments, more pronounced in patients with stage IV endometriosis and moderate/severe CuPP, warrants the development of rehabilitation interventions targeting pain and lumbopelvic impairments in women with endometriosis.\nKeywords: Abdominal Muscles; Back Muscles; Endometriosis; Lumbopelvic Stability; Pain Pressure Threshold; Pelvic Pain.\nDescripción\nPalabras clave\nAbdominal Muscles, Back Muscles, Endometriosis, Lumbopelvic Stability, Pain Pressure Threshold, Pelvic Pain\nCitación\nLara-Ramos A, Álvarez-Salvago F, Fernández-Lao C, Galiano-Castillo N, Ocón-Hernández O, Mazheika M, Salinas-Asensio MM, Mundo-López A, Arroyo-Morales M, Cantarero-Villanueva I, Artacho-Cordón F. Widespread Pain Hypersensitivity and Lumbopelvic Impairments in Women Diagnosed with Endometriosis. Pain Med. 2021 Sep 8;22(9):1970-1981. doi: 10.1093/pm/pnaa463. PMID: 33675228.","source_license":"Public-Domain","license_restricted":false}