Banca de QUALIFICAÇÃO: RENATA POLLIANA DE OLIVEIRA NASCIMENTO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : RENATA POLLIANA DE OLIVEIRA NASCIMENTO
DATE: 30/06/2023
TIME: 09:00
LOCAL: Sala de reunião da GEP, na Maternidade Escola Januário Cicco/UFRN
TITLE:

EFFICACY OF PHYSIOTHERAPY FOR TREATING VULVODYNIA: A SYSTEMATIC REVIEW

KEY WORDS:

Vulvodynia, Physiotherapy, Biofeedback.

PAGES: 77
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Vulvodynia is described as pain in the vulvar region that impacts dramatically women's lives leading to sexual dysfunction, reduction in self-esteem and decrease in the quality of life. Neurologic (central and peripheral) mechanisms may be associated to this condition, thus systematic reviews focusing the efficacy and benefits of physiotherapy on this population are necessary for consolidated evidence to aid clinical practice.  Objectives: To assess the efficacy of physiotherapy for vulvodynia. Methods: The present systematic review was designed and reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). PubMed, Embase, Scopus, Web of Science, SciELO, PEDro, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov were searched on February 2023. Two authors selected and extracted the data independently. The risk of bias was assessed using the Cochrane Risk of Bias tool (Rob 2).  Due to the high heterogeneity presented between the studies, it was not possible to carry out the qualitative analysis. The results were presented in narratively. PROSPERO registration: CRD42023394207. Results:A total of 2.274 articles were retrieved from the databases. Seven studies met the criteria and were included in a systematic review, a total of 477 patients. The interventions included were electromyography biofeedback (n= 2), Transcutaneous electrical nerve stimulation TENS (n= 1), Transcranial direct current stimulation (TDSC) (n= 1), Low-Intensity Shockwave (LISWT) (n= 1), physiotherapy treatment (n= 1), and pelvic floor exercise more behavioral modifications (n= 1). Of the seven studies present in the article, all evaluated pain reduction, five evaluated sexual function, and two evaluated qualities of life. All interventions were effective for the main  outcomes; only the TDSC intervention had no significant difference when compared to the placebo group (Sham). Three studies presented a high risk of bias due to the lack of studies blinding. Conclusions: The studied interventions (electromyography biofeedback, TENS, Shockwave, physiotherapy, and pelvic floor exercise) seem to improve pain, sexual function, and quality of life. However, the heterogeneity of the studies prevented the meta-analysis. Additionally, well-designed trials are needed to improve the certainty of the evidence.

COMMITTEE MEMBERS:
Presidente - 1199080 - ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
Externa à Instituição - ANA PAULA FERREIRA COSTA - LNRCC
Externa ao Programa - 4344630 - MICHELLY NOBREGA MONTEIRO - null