Randomized clinical trial of multimodal physiotherapy treatment compared to overnight lidocaine ointment in women with provoked vestibulodynia: Design and methods
dc.contributor.author | Morin, Mélanie | |
dc.contributor.author | Dumoulin, Chantal | |
dc.contributor.author | Bergeron, Sophie | |
dc.contributor.author | Mayrand, Marie-Hélène | |
dc.contributor.author | Khalifé, Samir | |
dc.contributor.author | Waddell, Guy | |
dc.contributor.author | Dubois, Marie-France | |
dc.contributor.author | Provoked vestibulodynia (PVD) Study Group | |
dc.date.accessioned | 2017-09-26T18:28:07Z | |
dc.date.available | MONTHS_WITHHELD:12 | fr |
dc.date.available | 2017-09-26T18:28:07Z | |
dc.date.issued | 2016-01-30 | |
dc.identifier.uri | http://hdl.handle.net/1866/19227 | |
dc.subject | Dyspareunia | fr |
dc.subject | Lidocaine | fr |
dc.subject | Pelvic floor muscles | fr |
dc.subject | Physical therapy | fr |
dc.subject | Provoked vulvodynia | fr |
dc.title | Randomized clinical trial of multimodal physiotherapy treatment compared to overnight lidocaine ointment in women with provoked vestibulodynia: Design and methods | fr |
dc.type | Article | fr |
dc.contributor.affiliation | Université de Montréal. Faculté de médecine. École de réadaptation | fr |
UdeM.statut | Professeur(e) / Professor | fr |
dc.identifier.doi | 10.1016/j.cct.2015.11.013 | |
dcterms.abstract | Provoked vestibulodynia (PVD) is a highly prevalent and debilitating condition yet its management relies mainly on non-empirically validated interventions. Among the many causes of PVD, there is growing evidence that pelvic floor muscle (PFM) dysfunctions play an important role in its pathophysiology. Multimodal physiotherapy, which addresses these dysfunctions, is judged by experts to be highly effective and is recommended as a firstline treatment. However, the effectiveness of this promising intervention has been evaluated through only two small uncontrolled trials. The proposed bi-center, single-blind, parallel group, randomized controlled trial (RCT) aims to evaluate the efficacy of multimodal physiotherapy and compare it to a frequently used first-line treatment, topical overnight application of lidocaine, in women with PVD. A total of 212 women diagnosed with PVD according to a standardized protocol were eligible for the study and were randomly assigned to either multimodal physiotherapy or lidocaine treatment for 10weeks. The primary outcome measure is pain during intercourse (assessed with a numerical rating scale). Secondary measures include sexual function, pain quality, psychological factors (including pain catastrophizing, anxiety, depression and fear of pain), PFM morphology and function, and patients' global impression of change. Assessments are made at baseline, post-treatment and at the 6-month follow-up. This manuscript presents and discusses the rationale, design and methodology of the first RCT investigating physiotherapy in comparison to a commonly prescribed first-line treatment, overnight topical lidocaine, for women with PVD. | fr |
dcterms.isPartOf | urn:ISSN:1551-7144 | |
dcterms.language | eng | fr |
UdeM.VersionRioxx | Version acceptée / Accepted Manuscript | |
oaire.citationTitle | Contemporary clinical trials | |
oaire.citationVolume | 46 | |
oaire.citationStartPage | 52 | |
oaire.citationEndPage | 59 |
Fichier·s constituant ce document
Ce document figure dans la ou les collections suivantes
Ce document diffusé sur Papyrus est la propriété exclusive des titulaires des droits d'auteur et est protégé par la Loi sur le droit d'auteur (L.R.C. (1985), ch. C-42). Il peut être utilisé dans le cadre d'une utilisation équitable et non commerciale, à des fins d'étude privée ou de recherche, de critique ou de compte-rendu comme le prévoit la Loi. Pour toute autre utilisation, une autorisation écrite des titulaires des droits d'auteur sera nécessaire.