{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:21:03Z","timestamp":1791883263755,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007137","name":"Helse Nord RHF","doi-asserted-by":"publisher","award":["SFP1228\u201015"],"award-info":[{"award-number":["SFP1228\u201015"]}],"id":[{"id":"10.13039\/501100007137","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Chronic pelvic pain in women is a complex condition, and physical therapy is recommended as part of a broader treatment approach. The objective of this study was to compare structured group\u2010based multimodal physical therapy in a hospital setting (intervention group) with primary\u2010care physical therapy (comparator group) for women with chronic pelvic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Women aged 20\u201065\u00a0years with pelvic pain \u22656\u00a0months and referred for physical therapy were eligible. The primary outcome measure was change in the mean pelvic pain intensity from baseline to 12\u00a0months, measured using the numeric rating scale (0\u201010). Secondary outcomes were changes in scores of \u201cworst\u201d and \u201cleast\u201d pain intensity, health\u2010related quality of life, movement patterns, pain\u2010related fear of movements, anxiety and depression, subjective health complaints, sexual function, incontinence, and obstructed defecation. The differences between the groups regarding change in scores were analyzed using the independent t test and Mann\u2010Whitney U test. Sensitivity analysis of the primary outcome was performed with a linear regression model adjusted for the baseline value. A <jats:italic>P<\/jats:italic> value &lt;.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 62 women included, 26 in the intervention group and 25 in the comparator group were available after 12\u00a0months for data collection and analysis. The difference between the groups for change in the mean pain intensity score was \u22121.2 (95% CI \u22122.3 to \u22120.2; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.027), favoring the intervention group. The intervention group showed greater improvements in respiratory patterns (mean difference 0.9; 95% CI 0.2\u20101.6; <jats:italic>P\u00a0=\u00a0<\/jats:italic>.015) and pain\u2010related fear of movements (mean difference 2.9; 95% CI \u22125.5 to \u22120.3; <jats:italic>P\u00a0=<\/jats:italic>\u00a0.032), and no significant differences were observed between the groups for the other secondary outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the reduction in the mean pelvic pain intensity with group\u2010based multimodal physical therapy was significantly more than with primary\u2010care physical therapy, the difference in the change between the groups was less than expected and the clinical relevance is uncertain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13896","type":"journal-article","created":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T22:21:53Z","timestamp":1589062913000},"page":"1320-1329","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Group\u2010based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9506-0545","authenticated-orcid":false,"given":"Ane Sigrid","family":"Nygaard","sequence":"first","affiliation":[{"name":"Norwegian National Advisory Unit on Incontinence and Pelvic Floor Health University Hospital of North Norway Troms\u00f8 Norway"},{"name":"Women's Health and Perinatology Research Group Institute of Clinical Medicine The Arctic University of Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona Birgitte","family":"Rydningen","sequence":"additional","affiliation":[{"name":"Norwegian National Advisory Unit on Incontinence and Pelvic Floor Health University Hospital of North Norway Troms\u00f8 Norway"},{"name":"Department of Gastroenterological Surgery University Hospital of North Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Stedenfeldt","sequence":"additional","affiliation":[{"name":"Norwegian National Advisory Unit on Incontinence and Pelvic Floor Health University Hospital of North Norway Troms\u00f8 Norway"},{"name":"Norwegian Advisory Unit on Complex Symptom Disorders St. Olav's Hospital Trondheim University Hospital Trondheim Norway"},{"name":"Department of Circulation and Medical Imaging Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Slawomir","family":"Wojniusz","sequence":"additional","affiliation":[{"name":"Institute of Physical Therapy Oslo Met\u2010Oslo Metropolitan University Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marthe","family":"Larsen","sequence":"additional","affiliation":[{"name":"Clinical Research Department University Hospital of North Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolv\u2010Ole","family":"Lindsetmo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery University Hospital of North Norway Troms\u00f8 Norway"},{"name":"Institute of Clinical Medicine The Arctic University of Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gro Killi","family":"Haugstad","sequence":"additional","affiliation":[{"name":"Institute of Physical Therapy Oslo Met\u2010Oslo Metropolitan University Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7391-5311","authenticated-orcid":false,"given":"P\u00e5l","family":"\u00d8ian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospital of North Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2217\/whe.15.30"},{"key":"e_1_2_10_3_1","unstructured":"EngelerDS BaranowskiAP BorovickaJ et al.European Association of Urology Guidelines on Chronic Pelvic Pain 2017.https:\/\/uroweb.org\/guideline\/chronic-pelvic-pain\/"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2017-0181"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2006.05.003"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100368"},{"key":"e_1_2_10_7_1","first-page":"1","article-title":"Physiotherapy management of patients with chronic pelvic pain (CPP): a systematic review","volume":"28","author":"Klotz SGR","year":"2018","journal-title":"Physiother Theory Pract"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095410"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0005614"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2016.1194646"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.06.006"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.245"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1723"},{"key":"e_1_2_10_14_1","volume-title":"Explain pain","author":"Butler D","year":"2013"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2005.01121.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593980600822834"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31817c6c4b"},{"key":"e_1_2_10_18_1","unstructured":"EurQol.EQ\u20105D\u20105LUser Guide Basic information on how to use the EQ\u20105D\u20105L instrument: EuroQol Research Foundation;2019.https:\/\/euroqol.org\/publications\/user-guides"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00801743"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/14034948990270010401"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00348-4"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.44.1.77"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350612446354"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494810371245"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2018-0308"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.793"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000012445176"},{"key":"e_1_2_10_28_1","volume-title":"IBM SPSS Statistics for Macintosh, Version 25.0","author":"IBM","year":"2017"},{"key":"e_1_2_10_29_1","first-page":"28","article-title":"CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials","volume":"10","author":"Moher D","year":"2012","journal-title":"BMJ"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.10.002"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.08.188"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.38"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00242-0"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-007-7596-1_3"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-015-0295-6"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.13896","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.13896","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.13896","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.13896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T05:11:57Z","timestamp":1693890717000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.13896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":34,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1111\/aogs.13896"],"URL":"https:\/\/doi.org\/10.1111\/aogs.13896","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]},"assertion":[{"value":"2019-12-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}