Volume 10,Issue 9
Application Effect of Comprehensive Pelvic Floor Rehabilitation Therapy in Patients with Myofascial Pelvic Pain Syndrome
Objective: To explore the application effect of comprehensive pelvic floor rehabilitation therapy in patients with myofascial pelvic pain syndrome (MPPS). Methods: A total of 84 MPPS patients admitted to the pelvic floor rehabilitation clinic of Shaanxi Provincial People’s Hospital from December 2023 to June 2025 were divided into an observation group and a control group, with 42 cases in each group. The control group received pelvic floor electrical stimulation, while the observation group received a 5-week, 15-session comprehensive pelvic floor rehabilitation program including myofascial manual release, diaphragmatic breathing training, electrical stimulation, biofeedback, magnetic stimulation and home Kegel training. The numerical rating scale (NRS) of pelvic floor pain and the dyspareunia scores were compared before treatment, at the end of treatment and one month after treatment; the Glazer surface electromyography (sEMG) parameters and the Nottingham Health Profile (NHP) scores were compared at the end of treatment; clinical efficacy was also evaluated. Results: At the end of treatment and at the one-month follow-up, the observation group showed significantly lower NAS scores, pre-/post-resting potentials and the coefficient of variation of pre-resting potential, and higher amplitudes of rapid, sustained and endurance contractions, together with lower NHP scores and dyspareunia scores, than the control group (all p < 0.05); the total effective rate was 92.3% in the observation group versus 73.7% in the control group (p < 0.05). Conclusion: Comprehensive pelvic floor rehabilitation therapy can effectively relieve pelvic floor pain, reduce pelvic floor muscle hypertonicity and improve pelvic floor electrophysiological function and quality of life in MPPS patients, and is superior to electrical stimulation alone.
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