Journal ArticleDOI
Reliability and validity of a standardized Mensendieck physiotherapy test (SMT)
Gro Killi Haugstad,Tor S. Haugstad,Unni Kirste,Siv Leganger,Brit Hammel,Inger Klemmetsen,Ulrik Fredrik Malt +6 more
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The results indicate that the standardized Mensendieck test is a reliable tool, demonstrating a good discriminative validity, and may turn out to be a useful instrument in the evaluation of patients with somatoform disorders.Abstract:
A standardized test was developed to evaluate posture, movement, gait, sitting posture, and respiration of patients with psychosomatic disorders, based on the Mensendieck principles of observation and analysis of motor function. To validate the test and to make a comprehensive body examination of a defined group of patients, it was applied in a study of women with chronic pelvic pain (CPP, ICD10 F45.4). Fifteen women with CPP and 15 matched, healthy controls were examined. Test subjects were video recorded and scored by three experienced Mensendieck physical therapists, blinded with respect to the selection of subjects. Scores from 0 (for least functional movement) to 7 (optimal function) were assigned to each test person according to a test manual. High intraclass correlations (ICC1.1 [corrected] ranging from 0.82 to 0.97) were found among the testers. The standardized Mensendieck test (SMT) discriminated well between women with CPP and the controls (sensitivity 0.9, specificity 0.7, mean values). The CPP patients scored significantly lower than the controls in all subtests (p < 0.01). The largest difference in scores were found for gait (patients 2.70 +/- 0.11, vs. control, 5.60 +/- 0.09) and respiration (patients 2.88 +/- 0.14, vs. control, 5.63 +/- 0.10). The results indicate that, in the hands of experienced Mensendieck therapists, the SMT is a reliable tool, demonstrating a good discriminative validity. Furthermore, it may turn out to be a useful instrument in the evaluation of patients with somatoform disorders. It may also point toward a possible therapeutic treatment approach to patients with CPP.read more
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Journal ArticleDOI
Non surgical interventions for the management of chronic pelvic pain
TL;DR: The effectiveness and safety of non-surgical interventions for women with chronic pelvic pain were assessed, including lifestyle, physical, medical and psychological treatments, and the quality of the evidence was assessed by using GRADE methods.
Journal ArticleDOI
Posture, movement patterns, and body awareness in women with chronic pelvic pain
Gro Killi Haugstad,Gro Killi Haugstad,Tor S. Haugstad,Unni Kirste,Siv Leganger,Slawomir Wojniusz,Slawomir Wojniusz,Inger Klemmetsen,Ulrik Fredrik Malt +8 more
TL;DR: A specific pattern of pain, posture, movement, muscle pathology, and reduced awareness of one's own body was found in women with CPP, which may increase the understanding of and point toward new treatment strategies for this disease.
Journal ArticleDOI
Mensendieck somatocognitive therapy as treatment approach to chronic pelvic pain: Results of a randomized controlled intervention study
Gro Killi Haugstad,Gro Killi Haugstad,Tor S. Haugstad,Unni Kirste,Siv Leganger,Inger Klemmetsen,Ulrik Fredrik Malt +6 more
TL;DR: Mensendieck somatocognitive therapy combined with standard gynecological care improved pain experience and motor functions of women with chronic pelvic pain better than Gynecological treatment alone.
Journal ArticleDOI
Continuing improvement of chronic pelvic pain in women after short-term Mensendieck somatocognitive therapy: results of a 1-year follow-up study.
Gro Killi Haugstad,Gro Killi Haugstad,Tor S. Haugstad,Unni Kirste,Siv Leganger,Slawomir Wojniusz,Slawomir Wojniusz,Inger Klemmetsen,Ulrik Fredrik Malt +8 more
TL;DR: It is reported that 3 months of Mensendieck somatocognitive intervention in chronic pelvic pain patients was followed by continued improvements of outcomes at 1-year follow-up in a randomized, controlled study design.
Journal ArticleDOI
Physiotherapy management of patients with chronic pelvic pain (CPP): A systematic review.
Susanne G. R. Klotz MSc, Pt, Hs,PT Mila Schön BSc,Gesche Ketels Ba, Pt, He,Bernd Löwe,Christian A. Brünahl +4 more
TL;DR: The evidence currently available is sparse with methodological flaws, making it difficult to recommend a specific physiotherapy option for patients with CPP, and there is an urgent need for high-quality randomized controlled trials to identify the most effective physiotherapy management strategy.
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Journal ArticleDOI
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