Brazilian journal of physical therapy · 2026
Effectiveness of physical therapy techniques and methods in the management of endometriosis symptoms: A systematic review with meta-analysis.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
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Mena-González Alba, Leirós-Rodríguez Raquel, Hernandez-Lucas Pablo
Аннотация
BACKGROUND: Endometriosis is a benign and chronic disease characterized by inflammation of the endometrial tissue outside the uterus. Numerous physical therapy interventions have been studied to alleviate the related symptoms.
OBJECTIVE: To evaluate the effectiveness of different physical therapy methods and techniques in improving the symptoms triggered by endometriosis.
METHODS: Systematic review of articles exclusively including women with endometriosis, quantitative studies, and interventions that included some form of physical therapy techniques. Difference in mean differences and their 95% confidence interval were calculated. The I² statistic was used to determine the degree of heterogeneity, and the GRADE approach was used to assess the certainty of the evidence.
RESULTS: The interventions analyzed included manual therapy, education, electrotherapy, exercise, relaxation techniques, and acupuncture. Dyspareunia (p = 0.001; I2 = 95.6%) and pelvic pain (p = 0.012; I2 = 90.1%) were significantly reduced. Quality of life was significantly increased (p < 0.001; I2 = 94.9%). The certainty of the evidence obtained was moderate.
CONCLUSION: Massage therapy combined with perineal stretching, electrotherapy, acupuncture, exercise, and patient education are effective in improving chronic pelvic pain, dyspareunia, dysmenorrhea, non-menstrual pain, the basic and modular domains of quality of life, mental and physical health, and functional well-being in endometriosis. Healthcare professionals must recognize the importance of evaluating each case individually and tailoring treatments to the specific needs of each patient.
OBJECTIVE: To evaluate the effectiveness of different physical therapy methods and techniques in improving the symptoms triggered by endometriosis.
METHODS: Systematic review of articles exclusively including women with endometriosis, quantitative studies, and interventions that included some form of physical therapy techniques. Difference in mean differences and their 95% confidence interval were calculated. The I² statistic was used to determine the degree of heterogeneity, and the GRADE approach was used to assess the certainty of the evidence.
RESULTS: The interventions analyzed included manual therapy, education, electrotherapy, exercise, relaxation techniques, and acupuncture. Dyspareunia (p = 0.001; I2 = 95.6%) and pelvic pain (p = 0.012; I2 = 90.1%) were significantly reduced. Quality of life was significantly increased (p < 0.001; I2 = 94.9%). The certainty of the evidence obtained was moderate.
CONCLUSION: Massage therapy combined with perineal stretching, electrotherapy, acupuncture, exercise, and patient education are effective in improving chronic pelvic pain, dyspareunia, dysmenorrhea, non-menstrual pain, the basic and modular domains of quality of life, mental and physical health, and functional well-being in endometriosis. Healthcare professionals must recognize the importance of evaluating each case individually and tailoring treatments to the specific needs of each patient.