Management of chronic pelvic pain by manual self massage for trigger point of pelvic floor muscle

2017 Fiscal Year Final Research Report

• Project/Area Number: 15K20730
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Lifelong developmental nursing
• Research Institution: The University of Tokyo
• Principal Investigator: Yoshida Mikako 東京大学, 大学院医学系研究科(医学部), 特任講師 (40382957)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Keywords: 慢性骨盤痛症候群 / 疼痛マネジメント / マニュアルセラピー / 筋弛緩 / バイオフィードバック

Outline of Final Research Achievements

To establish pain management by manual massage for chronic pelvic pain, this study had two aims: 1) development of parameters to evaluate the tenderness of the pelvic floor muscles which can be used for biofeedback of manual massage by patients and 2) evaluation of effectiveness of the manual massage. Based on literature review about chronic pelvic pain, low brightness findings by transvaginal ultrasound was selected as candidates for tenderness of the pelvic floor muscles. Transperineal ultrasound method was developed to observe pelvic organs and pelvic floor muscle after adjusting probe pressure on perineal and posture of a patient during observation. There is still room for verification to select parameters from the candidates for pain in ultrasound images because of no difference of them between healthy women and women with chronic pelvic pain even when using color Doppler or elastography method.

Free Research Field

排泄看護学