[Effectiveness of multimodal rehabilitation (biofeedback plus capacitive-resistive radiofrequency) on chronic pelvic pain and dyspareunia: prospective study and literature review]

M E Fernández-Cuadros, Marcos Edgar Fernández‐Cuadros, Silvina Gabriela Kazlauskas, S G Kazlauskas, M J Albaladejo-Florin, María Jesús Albaladejo-Florín, M Robles-López, María Decire Robles-Lopéz, A. Laborda-Delgado, C. de la Cal-Alvarez, Olga Susana Pérez-Moro, O Pérez-Moro
Rehabilitacion · 2020 · vol. 54(3) , pp. 154–161 · doi:10.1016/j.rh.2020.02.005 · PMID:32441260 · W3020968475
Review OA: closed CC0 ⤵ 1 in-corpus citation
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-09-01 ⓘ

A prospective study found that a multimodal rehabilitation protocol combining biofeedback and capacitive-resistive radiofrequency significantly reduced pain and increased pelvic floor muscular strength in patients with chronic pelvic pain and dyspareunia.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVE: To determine whether a multimodal rehabilitation protocol (Biofeedback [BFB] plus capacitive-resistive [INDIBA®] radiofrequency [RF]) reduces pain and increases muscular strength in patients with chronic pelvic pain (CPP) and dyspareunia. MATERIAL AND METHODS: We performed a prospective, quasi-experimental, before-after study in 37 patients with CPP and/or dyspareunia referred to the Rehabilitation Department of Hospital Universitario Santa Cristina (January 2016 to December 2018). The protocol consisted of 8 sessions of pelvic floor exercises assisted by manometric BFB (15min of tonic/phasic exercises each) supervised by a physiotherapist, followed by suprapubic and perineovaginal bipolar RF [capacitive(5 min)/resistive(10 min)]. The variables evaluated were pain (VAS 0-10) and strength (mmHg) of the pelvic floor musculature and the start/end of the treatment. RESULTS: The mean age was 41.5±12.65 years. The prevalence was higher among women aged 21-40 years (n=20, 54%) and those aged 41-60 years (n=12; 32.4%). Dyspareunia was present in 34 patients (91.8%), and non-specific CPP in 3 (8.2%). The protocol improved pain (from 7.27±1.34 to 3.75±2.21 points), maximal muscular strength (from 25.56±15.9mmHg to 35.35±20.4mmHg) and mean muscular strength (from 4.86±3.53mmHg to 7.18±4.46mmHg) respectively (p<0.0001). CONCLUSION: CPP and dyspareunia are a diagnostic challenge that requires multidisciplinary management. Treatment should be started early and should consist of distinct therapeutic modalities. The protocol of multimodal rehabilitation including BFB and capacitive-resistive RF reduces pain and improves strength in patients with CPP and dyspareunia.

My notes (saved in your browser only)

MeSH descriptors

Biofeedback, Psychology Dyspareunia Exercise Therapy Pelvic Pain Radiofrequency Therapy Radiofrequency Therapy Radiofrequency Therapy Adolescent Adult Chronic Pain Chronic Pain Dyspareunia Equipment Design Female Humans Middle Aged Muscle Strength Pain Management Pelvic Pain Prospective Studies

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

Cited by (1)

References (30)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:27:31.514347+00:00
unpaywall
last seen: 2026-10-22T06:24:31.118836+00:00
License: CC0 · commercial use OK