Study objective

The purpose of this case series is to describe the change in capability to perform self-selected activities in adolescent and young adult patients with chronic pelvic pain and surgically proven endometriosis following pelvic floor physical therapy as part of multidisciplinary treatment.

Design

Retrospective case series

Setting

Tertiary care pediatric hospital

Participants

Twenty patients with ages ranging from 14 to 22 years and a median age of 16.5 years with biopsy-confirmed endometriosis

Intervention

Pelvic floor physical therapy

Main outcome measure(s)

Patient-Specific Functional Scale (PSFS) outcome measure

Results

Patients had a clinically significant functional improvement (median score of 6.0 points on the PSFS outcome measure; interquartile range, 3.8-13.5) over the course of care (median number of 12 visits; range 4-48 visits) (P < .001).

Conclusions

Patients with chronic pelvic pain and surgically proven endometriosis experienced significant functional improvement after physical therapy treatment. The results of this case series suggest that physical therapy is a viable additional intervention for adolescents and young adults with chronic pelvic pain and endometriosis and warrants further research.

中文翻译：

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骨盆底物理治疗对三级儿童医院经活检确诊的子宫内膜异位症青少年和年轻人功能的影响：案例系列

学习目标

本病例系列的目的是描述在盆底物理治疗作为多学科治疗的一部分后，患有慢性盆腔疼痛和手术证实的子宫内膜异位症的青少年和年轻成人患者进行自我选择活动的能力的变化。

设计

回顾案例系列

环境

三级儿科医院

参加者

20 名年龄在 14 至 22 岁之间、中位年龄为 16.5 岁的经活检确诊的子宫内膜异位症患者

干涉

骨盆底物理治疗

主要观察指标）

患者特异性功能量表 (PSFS) 结果测量

结果

在护理过程中（中位就诊次数 12 次；范围 4-48 次），患者的功能有临床显着改善（PSFS 结果测量的中位数得分为 6.0 分；四分位间距为 3.8-13.5）（P < .001） .

结论

患有慢性盆腔疼痛和手术证实的子宫内膜异位症的患者在物理治疗后经历了显着的功能改善。该病例系列的结果表明，对于患有慢性盆腔疼痛和子宫内膜异位症的青少年和年轻人，物理治疗是一种可行的额外干预措施，值得进一步研究。