A preliminary report of musculoskeletal dysfunction in female chronic pelvic pain: A blinded study of examination findings

Cynthia E. Neville, Colleen M. Fitzgerald, Trudy Mallinson, Suzanne Badillo, Christina K. Hynes, Frank F. Tu
In: Journal of Bodywork and Movement Therapies · 2011 · vol. 16(1) , pp. 50–56 · doi:10.1016/j.jbmt.2011.06.002 · PMID:22196427 · W2057322600
article OA: closed CC0 ⤵ 9 in-corpus citations
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This preliminary study utilized blinded examination to identify musculoskeletal dysfunctions in female patients experiencing chronic pelvic pain.

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Abstract

Introduction and hypothesisFemale chronic pelvic pain is prevalent and causes disability. Can women with self-reported chronic pelvic pain (CPP) be distinguished from pain-free women by demonstrating a greater number of abnormal musculoskeletal findings on examination?MethodsIn this cross-sectional study, blinded examiners performed 9 physical exam maneuvers on 48 participants; 19 with CPP, and 29 pain-free. Frequency of positive findings between groups, total number of positive exam findings, cluster analysis, and sensitivity - specificity analyses were performed.ResultsWomen with CPP presented with significantly more abnormal findings than pain-free women. By using two examination maneuvers, examiners correctly classified women with self-reported CPP from pain-free women 85% of the time.ConclusionsAbnormal findings on musculoskeletal exam are more common in women with self-reported CPP. Women with CPP might benefit from a faster time to diagnosis and improved treatment outcomes if a musculoskeletal contribution to CPP was identified earlier.

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chronic_pelvic_pain

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