None listed
Conditions
Brief summary
The aim of this study is to investigate whether a course of water based exercises, in addition to usual Physiotherapy, improves symptoms and quality of life in patients with Persistent Pelvic Pain due to endometriosis, when compared to usual Physiotherapy alone. If women in this study gain relief from their symptoms, hydrotherapy may become another treatment option for this condition. The results of this research will be used to decide whether hydrotherapy is useful to help treat this condition and whether it can be provided by the RBWH Physiotherapy Department.
Interventions
This is a prospective, single blinded pilot randomised controlled trial with concealed allocation, blinded assessors and intention to treat analysis. In addition to usual care, participants allocated to the intervention group will be invited to attend a group-based, weekly hydrotherapy class for 8 weeks supervised by a Physiotherapist. All hydrotherapy sessions will be a maximum of one hour in duration and will take place within the Physiotherapy Department. The structure of the hydrotherapy sessions will include a warm up, targeted exercises and cool down. Exercises will include but are not limited to walking in water, pelvic floor exercises, pelvic stretches and relaxation, deep water walking, pendular exercises and sea weeding. Session attendance and adherence to the exercises will be monitored by an exercise chart kept in a folder with the Physiotherapist providing the hydrotherapy intervention. This is a different Physiotherapist to that providing usual care.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria include: - female participants - minimum age 18 years (at the time of study recruitment) - have a formal diagnosis of endometriosis determined by a laparoscopic procedure undertaken at least 6 months prior to study recruitment - referral to the Royal Brisbane and Women's Hospital Physiotherapy Department for management of their persistent pelvic pain condition.
Exclusion criteria
Exclusion criteria include: • Conditions that contra-indicate hydrotherapy (open wounds, active infection, heat sensitive condition, fear of water) • Physiotherapy treatment for the same condition within the last 6 months • Severe psychiatric history where it is judged that safety during hydrotherapy may be compromised • Non-English speaking background where an accredited interpreter is required to be present • Concomitant diagnosis of Fibromyalgia • Unable to commit to the 8-week intervention period • Post-menopausal (as defined by absence of menses for 12 months without a pathological cause. The average age at which this occurs is 51.4 years)