Efecto de las técnicas de inducción miofascial en la reducción del dolor en pacientes con dolor miofascial pélvico crónico

Introduction and objective: Myofascial Chronic Pelvic Pain (MCPP) is a pathology with a high prevalence, and an aetiology as diverse is its treatment. A treatment protocol has not yet been established and a multidisciplinary approach is currently recommended. The aim is to evaluate the effect of a Myofascial Induction Techniques (MIT) protocol based on 10 sessions in patients with Myofascial Chronic Pelvic Pain. Material and methods: A quasi-experimental study (before-after) was carried out, with an intervention based on MIT adapted to the location of the pain. Pain intensity was evaluated using the Visual Analogue Scale and quality of life, both physical and mental, was assessed using the SF-12v2 Health Survey questionnaire. To assess the effect of MIT, the pre-intervention and post-intervention results were compared using the Student's t test for paired data, and the non-parametric Wilcoxon test. Results: 50 patients were included in the study (27 women and 23 men), with a mean age of 44.8 years (SD 12.1), and a mean duration of symptoms of 58.3 months (SD 60.5). The protocol analysis showed that pain intensity decreased by 3.99 points at the end of the intervention and quality of life improved in the physical and mental scores by 5.45 and 5.87 points, respectively (p < 0.05). Of the patients, 86.7% completed the treatment protocol. Conclusions: In a group of patients with myofascial chronic pelvic pain, MIT appear to have a significant beneficial effect, reducing pain and improving quality of life.