Physiotherapy Intervention for Provoked Vulvar Vestibulodynia
NCT ID: NCT01628679
Last Updated: 2020-06-23
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
125 participants
INTERVENTIONAL
2012-08-31
2020-06-30
Brief Summary
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1. Specific physiotherapy interventions will decrease pain, improve pelvic floor motor control, increase self efficacy, improve sexual function and decrease pain catastrophizing behaviour in women with provoked vulvar vestibulodynia.
This study will look at specific physiotherapy treatment interventions to see if they decrease pain, improve pelvic floor motor control, increase self efficacy, improve sexual function and decrease pain catastophizing behaviour. Participants will fill out a questionnaire on their pain symptoms and complete standardized scales prior to starting treatment and after 4 sessions to determine change due to interventions.
2. A combination of physiotherapy, group educational sessions and group cognitive behavioural therapy will have better outcomes than physiotherapy alone.
Results of physiotherapy intervention alone will be compared to results of those treated with physiotherapy, group educational sessions and group cognitive behavioural therapy at a separate treatment centre. Physiotherapy interventions and outcome measures are the same between both groups.
Justification:
Standard treatment is hard to identify as many approaches are taken, none with any evidence to support them. This study aims to look at specific techniques (pelvic floor coordination and relaxation exercises, education on female sexual response and pain pathophysiology education) to see if there is a benefit.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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physical therapy treatment
Physical therapy treatment
Subjects will be given pelvic floor motor control,proprioception and relaxation exercises. This will be with and without the use of external surface Electromyography (EMG) biofeedback. Education will also be given on pain management, female sexual response and vestibulodynia. Subjects will also practice inserting vaginal inserts of graduating diameter into their vaginas, practicing the skills learned in physical therapy sessions.
Interventions
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Physical therapy treatment
Subjects will be given pelvic floor motor control,proprioception and relaxation exercises. This will be with and without the use of external surface Electromyography (EMG) biofeedback. Education will also be given on pain management, female sexual response and vestibulodynia. Subjects will also practice inserting vaginal inserts of graduating diameter into their vaginas, practicing the skills learned in physical therapy sessions.
Eligibility Criteria
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Inclusion Criteria
* diagnosis of provoked vulvar vestibulodynia
Exclusion Criteria
* have had a total or partial hysterectomy
* are on estrogen suppression medication
* have a primary arousal disorder
* declined admission to the Multidisciplinary Vulvodynia Program at Vancovuer General Hospital
16 Years
40 Years
FEMALE
No
Sponsors
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University of British Columbia
OTHER
Responsible Party
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Marcy Dayan
Registered Physiotherapist, Clinical Instructor Department of PhysicalTherapy
Principal Investigators
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Marcy L Dayan, BSc Rehab
Role: PRINCIPAL_INVESTIGATOR
Clinical Instructor, Dep't of Physical Therapy, Faculty of Medicine, University of British Columbia
Locations
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Dayan Physiotherapy and Pelvic Floor Clinic
Vancouver, British Columbia, Canada
Countries
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Other Identifiers
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H11-01805
Identifier Type: -
Identifier Source: secondary_id
H11-01805
Identifier Type: -
Identifier Source: org_study_id
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