Ensaio clínico: Liberação miofascial do assoalho pélvico associada ou não a exercícios de relaxamento domiciliar em mulheres com transtorno da dor gênito-pélvica/penetração

Abstract

Introduction: Genito-pelvic pain/penetration disorder (GPPD) is any difficulty that persists for at least six months and/or causes significant distress for women during sexual intercourse. Objective: To compare the effects of myofascial release, associated or not with home pelvic floor relaxation exercises, in women with PGPD. Methods: This was a prospective comparative clinical trial, with a sample of 20 women who had pain during sexual intercourse and were over 18 years old, and was approved by the CEP (CAAE: 57875222.3.0000.5505). Assessments were made using the Female Sexual Function Index (FSFI) questionnaire, muscle tone analysis using the Reissing Scale and muscle strength using the Modified Oxford Scale. The treatments were carried out in two groups of 10 women Group A received pelvic floor myofascial release and Group B, in addition to pelvic floor myofascial release, was offered the use of vaginal dilators and a booklet with 4 pelvic relaxation exercises to be performed at home. The clinical interventions were carried out twice a week, lasting 10 minutes and over a period of 5 weeks in both groups. The home intervention was only carried out in group B, 3 times a week for 5 weeks. The Two Way ANOVA test was used to analyze the data. Results: The results showed that there was a significant difference only in the intra-group strength domain. Conclusion: It can be concluded that conventional physiotherapy alone or combined with home relaxation exercises was not able to modify PGD.