{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:21:22Z","timestamp":1783066882246,"version":"3.54.6"},"reference-count":39,"publisher":"Galenos Yayinevi","issue":"3","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Phys Med Rehab"],"accepted":{"date-parts":[[2024,10,7]]},"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    The objective of study was to compare the effects of pelvic myofascial trigger point release and structured pelvic floor muscle training (PFMT) in patients with female sexual dysfunction after vaginal delivery.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Patients and methods:<\/jats:bold>\n                    In this prospective randomized controlled trial, 126 patients with female sexual dysfunction after vaginal delivery were included between October 2022 and December 2023. The participants were randomly allocated to receive either trigger point release and structured PFMT (63 females; mean age, 30.4\u00b12.8 years; range, 25 to 35 years) or only structured PFMT (63 females; mean age, 31.4\u00b13.1 years; range, 24 to 35 years). The primary outcome was Female Sexual Function Index (FSFI) score of the participants. Secondary outcomes were Glazer pelvic floor electromyography and the Visual Analog Scale score of urogenital pain map, pelvic floor muscle pain map, and bladder pain map.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The observation group manifested a significant improvement in the FSFI total score and each individual subitem compared to the control group (p&lt;0.01). In addition, in Glazer pelvic floor electromyography, the observation group exhibited a significant decrease in pre-resting value and post-resting value compared to the control group after treatment (p&lt;0.01). Additionally, there was significant decrease in Visual Analog Scale scores in the observation group compared to the control group (p&lt;0.01). Moreover, after therapy, the observation group demonstrated a significantly greater enhancement in pelvic floor muscle strength than the control group (p&lt;0.05).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Pelvic myofascial trigger point release combined with structured PFMT is an efficient treatment for female sexual dysfunction after vaginal delivery compared to structured PFMT alone.\n                  <\/jats:p>","DOI":"10.5606\/tftrd.2025.15136","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T06:35:36Z","timestamp":1757918136000},"page":"304-315","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of pelvic myofascial trigger point release for the therapy of sexual dysfunction in women after vaginal delivery: A prospective pilot study"],"prefix":"10.4274","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0079-8574","authenticated-orcid":false,"given":"Ye-Ran","family":"Mao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1461-1403","authenticated-orcid":false,"given":"Wenjun","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2937-210X","authenticated-orcid":false,"given":"Yinjie","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0531-3059","authenticated-orcid":false,"given":"Qing","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4072-2257","authenticated-orcid":false,"given":"Quanfang","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9601-8226","authenticated-orcid":false,"given":"Zhidan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Expert Panel on GYN and OB Imaging; Khatri G, Bhosale PR, Robbins JB, Akin EA, Ascher SM, Brook OR, Dassel M, Glanc P, Henrichsen TL, Learman LA, Sadowski EA, Saphier CJ, Wasnik AP, Maturen KE. ACR appropriateness Criteria\u00ae pelvic floor dysfunction in females. J Am Coll Radiol 2022;19:S137-55. doi: 10.1016\/j.jacr.2022.02.016.","DOI":"10.1016\/j.jacr.2022.02.016"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Clayton AH, Valladares Juarez EM. Female sexual dysfunction. Med Clin North Am 2019;103:681-98. doi: 10.1016\/j.mcna.2019.02.008.","DOI":"10.1016\/j.mcna.2019.02.008"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Ozerdogan N, Mizrak Sahin B, Gursoy E, Zeren F. Sexual dysfunction in the third trimester of pregnancy and postpartum period: A prospective longitudinal study. J Obstet Gynaecol 2022;42:2722-8. doi: 10.1080\/01443615.2022.2106830.","DOI":"10.1080\/01443615.2022.2106830"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Moradi M, Mohammadzadeh F, Niazi A, Afiat M. The relationship between women's sexual function and type of delivery and pelvic organ prolapse: A cross-sectional study. Health Care Women Int 2025;46:149-61. doi: 10.1080\/07399332.2023.2223150.","DOI":"10.1080\/07399332.2023.2223150"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Quaghebeur J, Petros P, Wyndaele JJ, De Wachter S. Pelvic-floor function, dysfunction, and treatment. Eur J Obstet Gynecol Reprod Biol 2021;265:143-9. doi: 10.1016\/j. ejogrb.2021.08.026.","DOI":"10.1016\/j.ejogrb.2021.08.026"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Wang C, Che Y, Zhang Y, Guan T, Wang J, Du X. Analysis of pelvic floor muscle electromyography parameters in women with or without sexual dysfunction. Sex Health 2024;21:SH24026. doi: 10.1071\/SH24026.","DOI":"10.1071\/SH24026"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Castro S\u00e1nchez AM, Garc\u00eda L\u00f3pez H, Fern\u00e1ndez S\u00e1nchez M, P\u00e9rez M\u00e1rmol JM, Aguilar-Ferr\u00e1ndiz ME, Luque Su\u00e1rez A, et al. Improvement in clinical outcomes after dry needling versus myofascial release on pain pressure thresholds, quality of life, fatigue, pain intensity, quality of sleep, anxiety, and depression in patients with fibromyalgia syndrome. Disabil Rehabil 2019;41:2235-46. doi: 10.1080\/09638288.2018.1461259.","DOI":"10.1080\/09638288.2018.1461259"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Janik PE, Charytonowicz D, Miszczyk J, Charytonowicz M. Female sexual function and sexual well-being before and after breast reduction: A pilot cross-sectional study and review of literature. Ann Plast Surg 2019;82:609-13. doi: 10.1097\/SAP.0000000000001742.","DOI":"10.1097\/SAP.0000000000001742"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Sz\u00f6ll\u0151si K, Komka K, Szab\u00f3 L. Risk factors for sexual dysfunction during the first year postpartum: A prospective study. Int J Gynaecol Obstet 2022;157:303-12. doi: 10.1002\/ ijgo.13892.","DOI":"10.1002\/ijgo.13892"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Alimi R, Marvi N, Azmoude E, Heidarian Miri H, Zamani M. Sexual function after childbirth: A meta-analysis based on mode of delivery. Women Health 2023;63:83-96. doi: 10.1080\/03630242.2022.2158412.","DOI":"10.1080\/03630242.2022.2158412"},{"key":"ref-11","unstructured":"American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 4th ed. Washington DC: American Psychiatric Press; 1994."},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Ament W, Verkerke GJ. Exercise and fatigue. Sports Med 2009;39:389-422. doi: 10.2165\/00007256-200939050-00005.","DOI":"10.2165\/00007256-200939050-00005"},{"key":"ref-13","unstructured":"World Health Organization. International Statistical Classifications of Diseases and Related Health Problems (ICD-10). Geneva: World Health Organization; 1992."},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Sugrue DP, Whipple B. The consensus-based classification of female sexual dysfunction: Barriers to universal acceptance. J Sex Marital Ther 2001;27:221-6. doi: 10.1080\/00926230152052030.","DOI":"10.1080\/00926230152052030"},{"key":"ref-15","unstructured":"Jantos M, Johns S, Torres A. Mapping chronic urogenital pain in women: review and rationale for a muscle assessment protocol. Pelviperineology 2015;34:21-7."},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Zhao H, Liu XN, Liu LN. Effect of structured pelvic floor muscle training on pelvic floor muscle contraction and treatment of pelvic organ prolapse in postpartum women: Ultrasound and clinical evaluations. Arch Gynecol Obstet 2024;309:2177-82. doi: 10.1007\/s00404- 023-07226-y.","DOI":"10.1007\/s00404-023-07226-y"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005;31:1-20. doi: 10.1080\/00926230590475206.","DOI":"10.1080\/00926230590475206"},{"key":"ref-18","doi-asserted-by":"crossref","unstructured":"Oleksy \u0141, Wojciechowska M, Mika A, Antos E, Bylina D, Kielnar R, et al. Normative values for Glazer Protocol in the evaluation of pelvic floor muscle bioelectrical activity. Medicine (Baltimore) 2020;99:e19060. doi: 10.1097\/ MD.0000000000019060.","DOI":"10.1097\/MD.0000000000019060"},{"key":"ref-19","doi-asserted-by":"crossref","unstructured":"Ferreira CH, Barbosa PB, de Oliveira Souza F, Ant\u00f4nio FI, Franco MM, B\u00f8 K. Inter-rater reliability study of the modified Oxford Grading Scale and the Peritron manometer. Physiotherapy 2011;97:132-8. doi: 10.1016\/j. physio.2010.06.007.","DOI":"10.1016\/j.physio.2010.06.007"},{"key":"ref-20","doi-asserted-by":"crossref","unstructured":"Li X, Chen C, Zhao C, Li Z, Liang W, Liu Z. Augmentation effect of acupuncture on Bi'nao for hypophasis in patients with Bell's palsy: Study protocol for a randomized controlled trial. Trials 2018;19:316. doi: 10.1186\/s13063-018-2699-z.","DOI":"10.1186\/s13063-018-2699-z"},{"key":"ref-21","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Gynecology. Female Sexual Dysfunction: ACOG Practice Bulletin Clinical Management Guidelines for Obstetrician-Gynecologists, Number 213. Obstet Gynecol 2019;134:e1-18. doi: 10.1097\/ AOG.0000000000003324.","DOI":"10.1097\/AOG.0000000000003324"},{"key":"ref-22","doi-asserted-by":"crossref","unstructured":"Cattani L, De Maeyer L, Verbakel JY, Bosteels J, Deprest J. 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Eur J Contracept Reprod Health Care 2021;26:246-54. doi: 10.1080\/13625187.2020.1867843.","DOI":"10.1080\/13625187.2020.1867843"},{"key":"ref-25","doi-asserted-by":"crossref","unstructured":"Goldstein I, Kim NN, Clayton AH, DeRogatis LR, Giraldi A, Parish SJ, et al. Hypoactive sexual desire disorder: International Society for the Study of Women's Sexual Health (ISSWSH) Expert Consensus Panel Review. Mayo Clin Proc 2017;92:114-28. doi: 10.1016\/j.mayocp.2016.09.018.","DOI":"10.1016\/j.mayocp.2016.09.018"},{"key":"ref-26","doi-asserted-by":"crossref","unstructured":"Zhang X, Chen Y, Ding J. Superior to the traditional treatment, individual biofeedback combined with electrostimulation fits type II pelvic floor muscle injury best and contributes to sexual satisfaction. Journal of Minimally Invasive Gynecology 2016;23:S11.","DOI":"10.1016\/j.jmig.2016.08.034"},{"key":"ref-27","doi-asserted-by":"crossref","unstructured":"Sigurdardottir T, Steingrimsdottir T, Geirsson RT, Halldorsson TI, Aspelund T, B\u00f8 K. Can postpartum pelvic floor muscle training reduce urinary and anal incontinence?: An assessor-blinded randomized controlled trial. Am J Obstet Gynecol 2020;222:247.e1-8. doi: 10.1016\/j. ajog.2019.09.011.","DOI":"10.1016\/j.ajog.2019.09.011"},{"key":"ref-28","doi-asserted-by":"crossref","unstructured":"Wu YM, McInnes N, Leong Y. Pelvic floor muscle training versus watchful waiting and pelvic floor disorders in postpartum women: A systematic review and metaanalysis. Female Pelvic Med Reconstr Surg 2018;24:142-9. doi: 10.1097\/SPV.0000000000000513.","DOI":"10.1097\/SPV.0000000000000513"},{"key":"ref-29","doi-asserted-by":"crossref","unstructured":"Qi X, Shan J, Peng L, Zhang C, Xu F. The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence. Medicine (Baltimore) 2019;98:e16907. doi: 10.1097\/ MD.0000000000016907.","DOI":"10.1097\/MD.0000000000016907"},{"key":"ref-30","doi-asserted-by":"crossref","unstructured":"Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol 2005;174:155-60. doi: 10.1097\/01.ju.0000161609.31185.d5.","DOI":"10.1097\/01.ju.0000161609.31185.d5"},{"key":"ref-31","doi-asserted-by":"crossref","unstructured":"Xu J, Chen K, Ding B, Zhu M, Yao S, Ren M, et al. Effectiveness of self-myofascial release combined with biofeedback and electrical stimulation for the management of myofascial pelvic pain: A randomized controlled trial. Eur J Pain 2022;26:405-16. doi: 10.1002\/ejp.1867.","DOI":"10.1002\/ejp.1867"},{"key":"ref-32","doi-asserted-by":"crossref","unstructured":"L\u00facio A, Louren\u00e7o CB, Damasceno BP, de Moraes Lopes MHB, D\u2019ancona CAL. The effect of pelvic floor muscle contraction on detrusor overactivity pressure in neurogenic and nonneurogenic women during urodynamic study: A cross-sectional study. Am J Phys Med Rehabil 2019;98:275- 9. doi: 10.1097\/PHM.0000000000001065. .","DOI":"10.1097\/PHM.0000000000001065"},{"key":"ref-33","doi-asserted-by":"crossref","unstructured":"Arias-Castillo L, Garc\u00eda L, Garc\u00eda-Perdomo HA. The complexity of female orgasm and ejaculation. Arch Gynecol Obstet 2023;308:427-34. doi: 10.1007\/s00404-022-06810-y.","DOI":"10.1007\/s00404-022-06810-y"},{"key":"ref-34","doi-asserted-by":"crossref","unstructured":"Dietz HP. Diagnosis of maternal birth trauma by pelvic floor ultrasound. Eur J Obstet Gynecol Reprod Biol 2023;285:86- 96. doi: 10.1016\/j.ejogrb.2023.04.005.","DOI":"10.1016\/j.ejogrb.2023.04.005"},{"key":"ref-35","unstructured":"Glazer HI, Romanzi L, Polaneczky M. Pelvic floor muscle surface electromyography. Reprod Med 1999;44:779-82."},{"key":"ref-36","doi-asserted-by":"crossref","unstructured":"\u015eeng\u00fcl M, Tekeli \u015eeng\u00fcl S. Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial. Turk J Phys Med Rehabil 2024;70:98-104. doi: 10.5606\/ tftrd.2024.12716.","DOI":"10.5606\/tftrd.2024.12716"},{"key":"ref-37","doi-asserted-by":"crossref","unstructured":"Lewis GK, Chen AH, Craver EC, Crook JE, Carrubba AR. Trigger point injections followed by immediate myofascial release in the treatment of pelvic floor tension myalgia. Arch Gynecol Obstet 2023;307:1027-35. doi: 10.1007\/s00404-022- 06880-y.","DOI":"10.1007\/s00404-022-06880-y"},{"key":"ref-38","doi-asserted-by":"crossref","unstructured":"Gao L, Xie B, Zhu H, Zhang D, Fu X, Li H, et al. Association between pelvic floor muscle strength and sexual function based on PISQ-12-an analysis of data from a multicenter cross-sectional study on 735 nulliparae during pregnancy. Front Med (Lausanne) 2023;10:1093830. doi: 10.3389\/ fmed.2023.1093830.","DOI":"10.3389\/fmed.2023.1093830"},{"key":"ref-39","doi-asserted-by":"crossref","unstructured":"Banaei M, Azizi M, Moridi A, Dashti S, Yabandeh AP, Roozbeh N. Sexual dysfunction and related factors in pregnancy and postpartum: A systematic review and metaanalysis protocol. 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