Ahadi T, Raissi G R, Hosseini M, Sajadi S, Ebadi S, Mansoori K. A Randomized Clinical Trial on the Effect of Biofeedback on Pain and Quality of Life of Patients with Chronic Coccydynia. BCN 2020; 11 (6) :753-764
URL:
http://bcn.iums.ac.ir/article-1-1350-en.html
1- Associate professor of Physical Medicine and Rehabilitation, Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran.
2- Assistant professor of physical medicine and rehabilitation, Imam Khomeini hospital, Tehran University of Medical Sciences, Tehran, Iran.
3- Assistant professor of Physical Medicine and Rehabilitation, Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- Assistant professor, PhD PT, Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran.
Abstract:
Purpose of the study: Pelvic floor muscles dysfunction is one of the most important etiologies of coccydynia, therefore, manual therapies have been proposed as the first line of treatment. The purpose of this study was to investigate the effect of biofeedback as a new approach in the treatment of coccydynia.
Methods: Thirty women were randomized into two groups. Both groups were injected with corticosteroid. One group received pelvic floor muscle exercises plus biofeedback while the other only performed exercises. Patient’s pain was measured using Visual Analogue Scale (VAS) in the first visit and after 1, 2 and 6 months of follow-up as well as Dallas pain and SF-36 quality of life questionnaires before and 2 months after the treatment.
Results: Pain had improved significantly after 1, 2 and 6 months in both groups compared to the baseline. However, the amount of change was not different between the groups at any time interval. The results were the same for Dallas pain scale and SF-36 quality of life questionnaire.
Conclusion: Adding biofeedback to pelvic floor muscle exercises did not lead to any further improvement in management of chronic coccydynia. Further studies with larger sample sizes may show the effect of biofeedback more clearly.
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● We report on the effect of pelvic floor muscles biofeedback in the treatment of coccydynia for the first time.
● Coccydynia significantly affects patients’ function and quality of life without any accepted treatment.
● According to the reputable theory of pelvic floor muscle dysfunction as one of the most important etiologies of coccydynia, manual therapies have been proposed as the first line of treatment.
● Pelvic floor muscles biofeedback would be a new and safe treatment option in this area.
● The paper should be of interest to readers in the areas of the importance of the issue and the novelty of the treatment approach.
Plain Language Summary
Coccydynia is a painful condition that is felt in the coccyx area. Its prevalence in women is five times more than in men. The most common type of trauma is falling back in a sitting position. Repeated minor trauma for example due to prolonged sitting in an inappropriate position is also mentioned as an important cause of coccydynia. Biofeedback is a method of gaining control and strengthening the muscles. In this study, we aimed to investigate the effect of adding pelvic floor biofeedback to topical anti-inflammatory drug injection plus pelvic floor muscle exercises in patients with coccydynia. In the end, we have concluded that adding biofeedback to pelvic floor muscles exercises did not lead to any further improvement in pain and quality of life in patients with chronic coccydynia.
Type of Study:
Original |
Subject:
Clinical Neuroscience Received: 2018/10/16 | Accepted: 2019/10/2 | Published: 2020/11/1