Artículos de revistas
Postural changes in women with chronic pelvic pain: a case control study
Fecha
2009Registro en:
BMC MUSCULOSKELETAL DISORDERS, LONDON, v.10, JUL 7, 2009
1471-2474
10.1186/1471-2474-10-82
Autor
MONTENEGRO, Mary Lourdes Lima de Souza
VASCONCELOS, Elaine Cristine Lemes Mateus de
ROSA e SILVA, Julio Cesar
REIS, Francisco José Cândido dos
NOGUEIRA, Antonio Alberto
NÉTTO, Oméro Benedicto Poli
Institución
Resumen
Background: Chronic pelvic pain (CPP) is a lower abdominal pain lasting at least 6 months, occurring continuously or intermittently and not associated exclusively with menstruation or intercourse. Although the musculoskeletal system has been found to be involved in CPP, few studies have assessed the contribution of posture in women with CPP. We aimed to determine if the frequency of postural changes was higher in women with CPP than healthy subjects. Methods: A case-control study included 108 women with CPP of more than 6 months' duration (CPP group) who consecutively attended at the Hospital of the University of Sao Paulo and 48 healthy female volunteers (control group). Postural assessment was noninvasive and performed in the standing position, with the reference points of Kendall used as normal parameters. Factors associated with CPP were assessed by logistic regression analysis. Results: Logistic regression showed that the independent factors associated with CPP were postural changes in the cervical spine (OR 4.1; 95% CI 1.6-10.7; p < 0.01) and scapulae (OR 2.9; 95% CI 1.1-7.6; p < 0.05). Conclusion: Musculoskeletal changes were associated with CPP in 34% of women. These findings suggest that a more detailed assessment of women with CPP is necessary for better diagnosis and for more effective treatment.