Physiotherapy Intervention for Provoked Vulvar Vestibulodynia
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.
- 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.
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.
|Vulvodynia Provoked Vulvar Vestibulodynia||Behavioral: Physical therapy treatment|
|Study Design:||Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Physiotherapy Intervention for Provoked Vulvar Vestibulodynia|
- Upon completion of data analysis, establishment of the efficacy of pelvic floor physiotherapy for the treatment of Provoked Vulvar Vestibulodynia will be determined [ Time Frame: 2 years ]Time frame: Following completion of data collection
|Study Start Date:||August 2012|
|Estimated Study Completion Date:||August 2018|
|Estimated Primary Completion Date:||August 2018 (Final data collection date for primary outcome measure)|
|Experimental: physical therapy treatment||
Behavioral: 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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01628679
|Contact: Marcy L Dayan, BSc Rehabfirstname.lastname@example.org|
|Canada, British Columbia|
|Dayan Physiotherapy and Pelvic Floor Clinic||Recruiting|
|Vancouver, British Columbia, Canada, V5Z 1H8|
|Contact: Marcy L Dayan, BSc Rehab 604-739-3133 email@example.com|
|Principal Investigator: Marcy L Dayan, BSc Rehab|
|Principal Investigator:||Marcy L Dayan, BSc Rehab||Clinical Instructor, Dep't of Physical Therapy, Faculty of Medicine, University of British Columbia|