IMPACTO DA FISIOTERAPIA PÉLVICA NA QUALIDADE DE VIDA DE PACIENTES COM ENDOMETRIOSE: ANÁLISE DA DOR E DA FUNCIONALIDADE MUSCULAR

Abstract

Endometriosis is a chronic inflammatory disease characterized by the presence of endometrial tissue located outside the uterine cavity. The prevalence is around 10% of women of reproductive age. It can be asymptomatic, but there is a higher incidence with reports of dysmenorrhea, dyspareunia, chronic pelvic pain and/or infertility. Among the processes involved in the pathophysiology of endometriosis, angiogenesis and inflammation are fundamental. Thus, this research is a qualitative and quantitative cross-sectional descriptive study, which aims to evaluate the impact of pelvic physiotherapy on the quality of life related to pain and muscle dysfunction in the pelvic floor of patients with endometriosis. The sample consisted of 90 female patients, diagnosed with endometriosis proven by imaging tests and / or biopsy, referred to the Physiotherapy School Clinic of Faculdade Pitágoras, Instituto Alisson Chianca and Clínica Fisioáudio from January 2021 to December 2023. The patients were assessed using an anamnesis form, a physical and functional assessment of the pelvic floor with electromyographic biofeedback from Miotec using the New PERFECT scale, as well as answering the Endometriosis Health Profile Questionnaire (EHP-30), already validated in Portuguese. They underwent five (5) weeks of treatment with ten (10) pelvic physiotherapy sessions, adjusted into five (5) phases and then reassessed with the initial parameters. In the analysis of the results, 88 patients completed the study, with only 2 dropping out. The new PERFECT scale showed improvement in P (PowerStrength), E (Endurance-Sustenance), R (Repetition), F (Fast Contraction) and E (Elevation), as well as the C (Co-contraction) and T (Timing-Involuntary Contraction) indices, with significance in all variables (p<0.001) and a large effect size. The EHP30 questionnaire also showed an improvement in all its central questionnaire indices after the intervention (p<0,001) with a large effect size, with similar significance in the modular EHP in sections A, B and C, while in sections D, E and F there was statistical significance (p<0,001) but with a medium effect size. Thus, the present study revealed a positive impact on quality of life related to pain and muscle dysfunction in patients diagnosed with endometriosis, with a significant large effect for the follow-up of patients by pelvic physiotherapy with potential improvement in pelvic pain and muscle functionality, which significantly improved the quality of life of these patients.