Effects of extracorporeal shock wave combined with exercise therapy on VAS and FSFI in pelvic myofascial pain syndrome
Objective To analyze the effects of extracorporeal shock wave combined with exercise therapy on visual analogue scale(VAS)and female sexual function scale(FSFI)in pelvic myofascial pain syndrome.Methods 60 patients with pelvic myofascial pain syndrome were enrolled and divided into control group(conventional treatment,n=30)and study group(extracorporeal shock wave+exercise therapy,n=30)by random number table method.The pain degree,sexual function,inflammatory factors,pain mediators and growth factors were compared between the two groups.Results The study group was superior to the control group in VAS and FSFI scores(P<0.05).The levels of tumor necrosis factor-α(TNF-α)and interleukin-18(IL-18)in the study group were lower than those in the control group(P<0.05).The levels of 5-hydroxy tryptamine(5-HT)and prostaglandin E2(PGE2)in the study group were lower than those in the control group(P<0.05).Serum transforming growth factor(TGF-β1)and insulin-like growth factor(IGF-1)levels in the study group were higher than those in the control group(P<0.05).Conclusion Extracorporeal shock wave combined with exercise therapy can improve the pain degree and sexual function of the patients with pelvic myofascial pain syn-drome,and reduce the inflammatory response.
Pelvic myofascial pain syndromeExtracorporeal shock waveExercise therapySexual function